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Improving Child Oral Health: Cost Analysis of a National Nursery Toothbrushing Programme

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Listed:
  • Yulia Anopa
  • Alex D McMahon
  • David I Conway
  • Graham E Ball
  • Emma McIntosh
  • Lorna M D Macpherson

Abstract

Methods: Estimated costs of the nursery toothbrushing programme in 2011/12 were requested from all Scottish Health Boards. Unit costs of a filled, extracted and decayed primary tooth were calculated using verifiable sources of information. Total costs associated with dental treatments were estimated for the period from 1999/00 to 2009/10. These costs were based on the unit costs above and using the data of the National Dental Inspection Programme and then extrapolated to the population level. Expected cost savings were calculated for each of the subsequent years in comparison with the 2001/02 dental treatment costs. Population standardised analysis of hypothetical cohorts of 1000 children per deprivation category was performed. Results: The estimated cost of the nursery toothbrushing programme in Scotland was £1,762,621 per year. The estimated cost of dental treatments in the baseline year 2001/02 was £8,766,297, while in 2009/10 it was £4,035,200. In 2002/03 the costs of dental treatments increased by £213,380 (2.4%). In the following years the costs decreased dramatically with the estimated annual savings ranging from £1,217,255 in 2003/04 (13.9% of costs in 2001/02) to £4,731,097 in 2009/10 (54.0%). Population standardised analysis by deprivation groups showed that the largest decrease in modelled costs was for the most deprived cohort of children. Conclusions: The NHS costs associated with the dental treatments for five-year-old children decreased over time. In the eighth year of the toothbrushing programme the expected savings were more than two and a half times the costs of the programme implementation.

Suggested Citation

  • 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.
  • Handle: RePEc:plo:pone00:0136211
    DOI: 10.1371/journal.pone.0136211
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    References listed on IDEAS

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    1. Don Husereau & Michael Drummond & Stavros Petrou & Chris Carswell & David Moher & Dan Greenberg & Federico Augustovski & Andrew Briggs & Josephine Mauskopf & Elizabeth Loder, 2013. "Consolidated Health Economic Evaluation Reporting Standards (CHEERS) Statement," PharmacoEconomics, Springer, vol. 31(5), pages 361-367, May.
    2. AfDB AfDB, . "Annual Report 2012," Annual Report, African Development Bank, number 461.
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    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. 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.
    3. 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.
    4. 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.

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