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Economic evaluation of school-based caries preventive programs: A systematic review.

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Economic evaluations of school-based caries prevention programs show that targeting high-risk groups and longer program duration are cost-effective. Further research is needed on the economic aspects of these interventions.

Keywords:
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Area of Science:

  • Public Health
  • Dental Public Health
  • Health Economics

Background:

  • School-based caries prevention programs are crucial for child dental health.
  • Economic evaluations (EE) provide valuable data on the cost-effectiveness of these interventions.
  • A systematic review is needed to synthesize existing economic data on school-based caries prevention.

Purpose of the Study:

  • To systematically review and assess interventions and health outcomes from studies reporting economic evaluations of school-based caries prevention.
  • To identify cost-effective strategies for caries prevention in school settings.

Main Methods:

  • Systematic review of 6 databases, including 32 full papers meeting inclusion criteria.
  • Studies included partial or full economic evaluations.
  • Quality assessment used Consolidated Health Economic Evaluation Reporting Standards (CHEERS) guidelines.

Main Results:

  • Cost-effectiveness analysis was the most common EE type, frequently evaluating sealants and fluoride mouthrinse.
  • School-based programs under general supervision, with longer duration, and targeting high caries risk groups were found to be cost-effective.
  • Many studies did not meet all CHEERS criteria, indicating quality deficiencies.

Conclusions:

  • Existing studies have limitations, highlighting the need for more rigorous economic evaluations of school-based caries prevention interventions.
  • Further research should focus on the economic aspects to optimize resource allocation for dental public health programs.