第一个永久性牙的口腔健康影响和成本效益
Christina R Scherrer1, Pritam Deb1, Jayden Ayash1
1Department of Industrial and Systems Engineering, Kennesaw State University, Marietta, Georgia.
AJPM focus
|June 9, 2025
概括
在第一次永久性上重新切割牙密封剂可显著减少变并改善健康结果. 最具成本效益的策略是,在第一次去看牙医时重新密封,为像医疗补助计划这样的付款人提供了巨大的节省.
科学领域:
- 牙科公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 预防性牙科 预防性牙科
背景情况:
- 牙密封剂对于防止第一个永久性牙的牙至关重要.
- 再密封策略经常被忽视,但可能会提高长期密封剂的有效性.
- 了解再密封的成本效益对于优化公共卫生干预至关重要.
研究的目的:
- 评估不同牙密封剂重新密封场景的成本效益和健康影响.
- 为了比较第一次去看牙医时的再密封与12岁时的再密封,与没有再密封的基线进行比较.
- 从付款人的角度分析结果,包括虫减少和根据残疾调整的寿命年 (DALYs).
主要方法:
- 开发了一个离散事件模拟模型.
- 该模型分析了1000名儿童的4000个密封的第一个牙,长达10年.
- 场景包括没有重新切割,在第一次去牙医时重新切割,并在12岁时重新切割.
主要成果:
- 在12岁时重新密封将密封剂的保留率提高到53.05%,并在第一次访问时重新密封为43.48%,而在没有重新密封的情况下则为34.88%.
- 再密封显著减少了衰变体验 (25.30%-26.65%) 和 DALY (3.19-3.52) 与没有再密封 (41.15%衰变,5.35 DALY).
- 在第一次去看牙医时重新切割是最具成本效益的,每次避免牙腔的成本最低 (43.03美元) 和DALY (6753美元).
结论:
- 重复切割牙密封剂是一种具有成本效益的策略,可以在10年内减少牙腐烂.
- 实施再医疗政策可以改善牙科健康结果,并降低付款人治疗费用.
- 保险公司和医疗补助可以从经济上受益,并通过采用重新密封协议来改善人口口腔健康.
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