IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i15p2668-d251701.html
   My bibliography  Save this article

Clinical Effectiveness and Cost-Effectiveness of Oral-Health Promotion in Dental Caries Prevention among Children: Systematic Review and Meta-Analysis

Author

Listed:
  • Nadine Fraihat

    (Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, H-4002 Debrecen, Hungary)

  • Saba Madae’en

    (Department of Clinical Pharmacy, Faculty of Pharmacy, University of Jordan, Amman 11942, Jordan)

  • Zsuzsa Bencze

    (Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, H-4002 Debrecen, Hungary)

  • Adrienn Herczeg

    (Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, H-4002 Debrecen, Hungary)

  • Orsolya Varga

    (Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, H-4002 Debrecen, Hungary)

Abstract

The objective of this study was to evaluate the clinical effectiveness and cost-effectiveness of oral-health promotion programs (OHPPs) aiming to improve children’s knowledge of favorable oral health behavior to lower decayed/-missing/-filled teeth (DMFT) while reducing the financial cost on health institutions. An electronic search was performed in seven databases. Studies were restricted to human interventions published in English. The search study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, and the risk of bias was assessed based on the Drummonds Checklist. A total of 1072 references were found. Among these, 19 full texts were included. Most studies had a strong quality. The overall pooled impact of OHPPs estimates children suffering from DMFT/S to have 81% lower odds of participating in OHPP (95% CI 61–90%, I 2 : 98.3%, p = 0). Furthermore, the program was shown to be effective at lowering the cost in 97 out of 100 OHPPs (95% CI 89–99%, I 2 : 99%, p = 0). Three subgroups analyses (age groups, study countries, studies of the last five years) were performed to evaluate the influence modification on the pooled effect. A comprehensive analysis of the OHPPs confirmed a reduction effect on child DMFT, hence, lowering the financial burden of dental-care treatment on health institutions.

Suggested Citation

  • Nadine Fraihat & Saba Madae’en & Zsuzsa Bencze & Adrienn Herczeg & Orsolya Varga, 2019. "Clinical Effectiveness and Cost-Effectiveness of Oral-Health Promotion in Dental Caries Prevention among Children: Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 16(15), pages 1-33, July.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:15:p:2668-:d:251701
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/15/2668/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/15/2668/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Yulia Anopa & Alex D McMahon & David I Conway & Graham E Ball & Emma McIntosh & Lorna M D Macpherson, 2015. "Improving Child Oral Health: Cost Analysis of a National Nursery Toothbrushing Programme," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-18, August.
    2. Donaldson, C. & Forbes, J. F. & Smalls, M. & Boddy, F. A. & Stephen, K. W. & McCall, D., 1986. "Preventive dentistry in a health centre: Effectiveness and cost," Social Science & Medicine, Elsevier, vol. 23(9), pages 861-868, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Rafael Denadai & Junior Chun-Yu Tu & Ya-Ru Tsai & Yi-Ning Tsai & Emma Yuh-Jia Hsieh & Betty CJ Pai & Chih-Hao Chen & Alex Kane & Lun-Jou Lo & Pang-Yun Chou, 2019. "Workflow and Strategies for Recruitment and Retention in Longitudinal 3D Craniofacial Imaging Study," IJERPH, MDPI, vol. 16(22), pages 1-14, November.
    2. Rachael Taylor & Deborah Sullivan & Penny Reeves & Nicola Kerr & Amy Sawyer & Emma Schwartzkoff & Andrew Bailey & Christopher Williams & Alexis Hure, 2023. "A Scoping Review of Economic Evaluations to Inform the Reorientation of Preventive Health Services in Australia," IJERPH, MDPI, vol. 20(12), pages 1-47, June.
    3. Gülçin Yılmaz & Abanoub Riad & Martin Krsek & Hanefı Kurt & Sameh Attia, 2021. "Oral Health-Related Knowledge, Attitudes and Behaviours of Elementary School Teachers," IJERPH, MDPI, vol. 18(11), pages 1-18, June.
    4. Eman S. Almabadi & Adrian Bauman & Rahena Akhter & Jessica Gugusheff & Joseph Van Buskirk & Michelle Sankey & Janet E. Palmer & David J. Kavanagh & Gregory J. Seymour & Mary P. Cullinan & Joerg Eberha, 2021. "The Effect of a Personalized Oral Health Education Program on Periodontal Health in an At-Risk Population: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(2), pages 1-13, January.
    5. Eduardo Guerreiro & João Botelho & Vanessa Machado & Luís Proença & José João Mendes & Ana Cristina Manso, 2023. "Caries Experience and Risk Indicators in a Portuguese Population: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(3), pages 1-12, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. SANTOS Maria Lizzia Moura Ferreira dos & CANGUSSU Maria Cristina Teixeira, 2020. "Oral Hygiene Habits Among Children Aged 6 To 36 Months from Salvador, Bahia, Brazil, 2018," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 24(5), pages 18625-18632, January.
    2. Cosmin Tudoroniu & Monica Popa & Simona Maria Iacob & Anca Lucia Pop & Bogdana Adriana Năsui, 2020. "Correlation of Caries Prevalence, Oral Health Behavior and Sweets Nutritional Habits among 10 to 19-Year-Old Cluj-Napoca Romanian Adolescents," IJERPH, MDPI, vol. 17(18), pages 1-12, September.
    3. Kertesi, Gábor & Hajdu, Tamás & Fadgyas-Freyler, Petra, 2023. "Társadalmi különbségek a magyarországi gyerekek fogainak állapotában és egészségmagatartásában [Social differences in the dental health and health behaviour of Hungarian children]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(5), pages 453-516.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:15:p:2668-:d:251701. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.