A retrospective analysis of the cost-effectiveness of dental sealants in a children's health center

摘要: A retrospective patient record analysis was conducted to study the cost-effectiveness of dental sealants placed under routine, unrestricted practice condition in a fluoridated community. The 26 dentists who provided care at clinic over period used their own clinical judgement determine sealant placement or alternative treatment. Dental services for 275 patients children's low-income families were evaluated. All children had least 3 years between first and last visit (mean = 5.8 years). lifetable compare probability survival (restoration-free tooth years) costs incurred molars did not receive sealants, received any on all molars. Among with comparisons also made sealed unsealed teeth have molar restoration prior placement. Costs included cost restorative treatments these time. Depending conditions which placed, cost-savings improving time found. strategy identifying restorations sealing remaining showed within 4-6 years. For other comparisons, incremental ratios became more favorable