A retrospective analysis of the cost-effectiveness of dental sealants in a children's health center
dc.contributor.author | Weintraub, Jane A. | en_US |
dc.contributor.author | Stearns, Sally C. | en_US |
dc.contributor.author | Burt, Brian A. | en_US |
dc.contributor.author | Beltran, Eugenio D. | en_US |
dc.contributor.author | Eklund, Stephen A. | en_US |
dc.date.accessioned | 2006-04-10T15:44:52Z | |
dc.date.available | 2006-04-10T15:44:52Z | |
dc.date.issued | 1993-06 | en_US |
dc.identifier.citation | Weintraub, Jane A., Stearns, Sally C., Burt, Brian A., Beltran, Eugenio, Eklund, Stephen A. (1993/06)."A retrospective analysis of the cost-effectiveness of dental sealants in a children's health center." Social Science & Medicine 36(11): 1483-1493. <http://hdl.handle.net/2027.42/30782> | en_US |
dc.identifier.uri | http://www.sciencedirect.com/science/article/B6VBF-46698GS-15W/2/2b3487972ce310a604a151b14489ad6d | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/30782 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=8511636&dopt=citation | en_US |
dc.description.abstract | 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 the clinic over the period of the study used their own clinical judgement to determine sealant placement or alternative treatment. Dental services for 275 patients at a children's dental clinic for low-income families were evaluated. All children had at least 3 years between their first and last dental visit (mean=5.8 years). A lifetable analysis was conducted to compare the probability of survival (restoration-free tooth years) and costs incurred to first molars of children who did not receive sealants, received any sealants, or received sealants on all first molars. Among the children with sealants, comparisons were also made between sealed and unsealed teeth in children who did and did not have a first molar restoration prior to sealant placement. Costs included the cost of sealants and restorative treatments for these teeth over time. Depending on the conditions under which sealants were placed, cost-savings or improving cost-effectiveness with time were found. A strategy of identifying children with prior restorations and sealing the remaining molars showed cost-savings within 4-6 years. For other comparisons, incremental cost-effectiveness ratios became more favorable over time. | en_US |
dc.format.extent | 1062595 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Elsevier | en_US |
dc.title | A retrospective analysis of the cost-effectiveness of dental sealants in a children's health center | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbsecondlevel | Sociology | en_US |
dc.subject.hlbsecondlevel | Anthropology and Archaeology | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | The University of Michigan, School of Public Health, Program in Dental Public Health, Ann Arbor, MI 48109, U.S.A. | en_US |
dc.contributor.affiliationum | The University of Michigan, School of Public Health, Program in Dental Public Health, Ann Arbor, MI 48109, U.S.A. | en_US |
dc.contributor.affiliationother | University of North Carolina, School of Public Health, Department of Health Policy and Administration, Campus Box 7400, Chapel Hill, NC 27599-7400, U.S.A. | en_US |
dc.contributor.affiliationother | University of North Carolina, School of Public Health, Department of Health Policy and Administration, Campus Box 7400, Chapel Hill, NC 27599-7400, U.S.A. | en_US |
dc.contributor.affiliationother | Centers for Disease Control, Division of Oral Health, 1600 Clifton Road, MS F-10, Atlanta, GA 30333, U.S.A. | en_US |
dc.identifier.pmid | 8511636 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/30782/1/0000435.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1016/0277-9536(93)90390-P | en_US |
dc.identifier.source | Social Science & Medicine | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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