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Cost-effectiveness analysis of fissure sealants for caries prevention in children
1Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul Gelisim University, Istanbul, Turkey.
Objective:
To evaluate the cost-effectiveness of resin-based and glass ionomer-based fissure sealants compared with no intervention for children.
Methods:
We developed a Markov-based decision analytic model that simulated Turkish children from aged 6 to 15 years. Two types of costs were explored from the payers' perspective and the health care system perspectives. A cost-effectiveness analysis of resin-based and glass ionomer-based fissure sealants was conducted to quantify their effectiveness using the number of caries prevented and the quality-adjusted tooth years (QATYs). Costs and effectiveness measures were discounted at 3% per year.
Results:
The most cost-effective intervention was resin-based fissure sealant, with an additional $5.34 per caries prevented and $1.86 per QATY gained compared with no treatment.
Conclusion:
Fissure sealants particularly resin-based sealants are cost-effective for children in Turkey due to their low cost and highly preventive characteristics.
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