Abstract:
OBJECTIVE:Fluoride was first added to the Australian water supply in 1953, and by 2003, 69% of Australia's population was receiving the minimum recommended dose. Extending coverage of fluoridation to all remaining communities of at least 1000 people is a key strategy of Australia's National Oral Health Plan 2004-2013. We evaluate the cost-effectiveness of this strategy from an Australian health sector perspective. METHODS:Health gains from the prevention of caries in the Australian population are modelled over the average 15-year lifespan of a treatment plant. Taking capital and on-going operational costs of fluoridation into account, as well as costs of caries treatment, we determine the dollars per disability-adjusted life years (DALY) averted from extending coverage of fluoridation to all large (≥ 1000 people) and small (<1000 people) communities in Australia. RESULTS:Extending coverage of fluoridation to all communities of at least 1000 people will lead to improved population health (3700 DALYs, 95% uncertainty interval: 2200-5700 DALYs), with a dominant cost-effectiveness ratio and 100% probability of cost-savings. Extending coverage to smaller communities leads to 60% more health gains, but is not cost-effective, with a median cost-effectiveness ratio of A$92 000/DALY and only 10% probability of being under a cost-effectiveness threshold of A$50 000/DALY. CONCLUSIONS:Extension of fluoridation coverage under the National Oral Health Plan is highly recommended, but given the substantial dental health disparities and inequalities in access to dental care that currently exist for more regional and remote communities, there may be good justification for extending coverage to include all Australians, regardless of where they live, despite less favourable cost-effectiveness.
journal_name
Community Dent Oral Epidemioljournal_title
Community dentistry and oral epidemiologyauthors
Cobiac LJ,Vos Tdoi
10.1111/j.1600-0528.2012.00684.xsubject
Has Abstractpub_date
2012-08-01 00:00:00pages
369-76issue
4eissn
0301-5661issn
1600-0528journal_volume
40pub_type
杂志文章abstract::Interviews on the dentist-patient relationship were carried out among 1,221 persons representing the dentulous part of the Norwegian population aged 15 and over. Two thirds of the interviewees said that their dentists explained the treatment plan, and of these, every second interviewee received reasons for the treatme...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1979.tb01187.x
更新日期:1979-04-01 00:00:00
abstract:OBJECTIVES:To use recent national survey data to compare dentition status and oral diseases in China and New Zealand (NZ), with a particular focus on differences by sex and education level. METHODS:We undertook secondary analysis of representative data from oral health surveys conducted in 2009 in Sichuan (China) and ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12348
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:Oral health is an important part of general health and well-being. Health behaviours may change throughout a person's life, but the stage from childhood to adolescence is critical because influences from peers increase while those from parents and other family members decrease. The objective of this study was...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12475
更新日期:2019-10-01 00:00:00
abstract::There has been a lot of discussion concerning the possible influence of amalgam tooth fillings on different symptoms and complaints. Information on this topic could be obtained from 1024 dentulous women aged 38-72, participants in a population study of women in Gothenburg, Sweden, who answered a questionnaire with 30 ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1988.tb01760.x
更新日期:1988-08-01 00:00:00
abstract::A study of the communication between an Oral Medicine Unit and general dental practitioners (GDP) in the West of Scotland is reported. This investigation was done by means of a postal questionnaire aimed at identifying the factors affecting the efficiency of communication and possible ways of improving the communicati...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1987.tb00537.x
更新日期:1987-10-01 00:00:00
abstract::At the annual congresses of the Norwegian Dental Association in 1986 and 1987 surveys were conducted to assess the significance of potential sources of mercury exposure. Morning urine samples and questionnaires were collected from 672 participants in 1986 and 273 participants in 1987. The mean values of the urinary me...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1990.tb00040.x
更新日期:1990-06-01 00:00:00
abstract::A study was made of the dental health of a group of 8-year-old children studied earlier as 3-, 4- and 5-year-olds, including examination of caries, gingivitis and occlusion, as well as certain data on oral habits and fluoride prophylaxis. Caries was found in 92% of the children. The mean DMFS-value was 3.1 and the mea...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1978.tb01124.x
更新日期:1978-03-01 00:00:00
abstract:OBJECTIVE:To investigate the prevalence and incidence of dental erosion in children and adolescents. METHODS:Lesions were registered for all tooth surfaces of primary and permanent teeth using pre-orthodontic study models. A total of 1,000 individuals (mean age 11.4+/-3.3 years) were included; 265 of them were followe...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1034/j.1600-0528.2001.290405.x
更新日期:2001-08-01 00:00:00
abstract::All the 1012, 55-yr-old citizens of Oulu (a medium-sized Finnish town) were invited to a clinical examination, and 780 of them participated. The associations of lifestyle with periodontal health were analyzed in the 527 dentate subjects. Periodontal pockets deeper than 3 mm were recorded as a percentage of the surface...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1995.tb00220.x
更新日期:1995-06-01 00:00:00
abstract::In ancient and medieval times, the prevalence of caries and periodontal disease varied. There were no treatments for dental hard tissue, but dental cosmetics played an important role. In the late 19th century, caries levels reached a maximum in Europe and North America after refined sugar became a cheap staple food. T...
journal_title:Community dentistry and oral epidemiology
pub_type: 历史文章,杂志文章
doi:10.1034/j.1600-0528.2002.300102.x
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVES:The overall aim was to analyse longitudinally the development of dental caries in the permanent dentition of children and adolescents in a Swedish region, in relation to possible change in socioeconomic status (SES). METHODS:A total of 259 448 individuals in western Sweden were followed over a 3-year period...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12529
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:In clinical practice, a visual-tactile caries examination is frequently supplemented by bitewing radiography. This study evaluated strategies for combining visual-tactile and radiographic caries detection methods and determined their implications for clinical management decisions in a low-caries population. ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2011.00655.x
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:The level of Fluoride exposure needed to cause dental fluorosis is not known precisely. An awareness of total F intake from all sources, especially during the critical stages of dental development during infancy and early childhood, is important in preventing the development of dental fluorosis. OBJECTIVES:...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2011.00632.x
更新日期:2012-02-01 00:00:00
abstract::The frequency of germinated and fused primary teeth was studied in a sample of 1141 Finnish children aged 3-4 years. The prevalence was 0.7%. All the joined teeth were found in the anterior area of the mouth. In seven cases the diagnosis was a fusion of two separate teeth, and in one case it was a germination of a sin...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1980.tb01286.x
更新日期:1980-08-01 00:00:00
abstract::Previous epidemiological studies, performed in conjunction with compulsory lung screening examinations, showed good results in detecting oral lesions in Hungary, where the mortality rate of oropharyngeal cancer has increased by more than 30% in the past decade. Oral examinations were performed on a district population...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1991.tb00164.x
更新日期:1991-10-01 00:00:00
abstract::This study compared the periodontal health of patients with SLE with that of healthy controls. Patients with systemic lupus erythematosus had significantly lower periodontal probing depths compared with healthy controls. It is possible that systemic drugs such as corticosteroids and NSAIDS may be responsible for these...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1993.tb00742.x
更新日期:1993-06-01 00:00:00
abstract::The prevalence of periodontal disease and overhanging approximal amalgam restorations in molars and premolars was registered in a clinical and radiographic examination of Norwegian adults (born 1959). A random sample of 250 persons was drawn from the populations of two neighboring towns where the Public Dental Service...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1984.tb01452.x
更新日期:1984-08-01 00:00:00
abstract:OBJECTIVES:In policy studies, an enduring research question is why some issues are taken seriously while others never become a central focus of policy making. This study aims to analyse the predecision stage of policy making and examines the position of oral health on the broader health policy agenda. METHODS:A study ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2012.00735.x
更新日期:2012-10-01 00:00:00
abstract::A study was executed to investigate the relation between the use of fluoride tablets by children in the age period 1.5-6 yr on the one hand and the caries experience at the age of 6 and 15 yr and the prevalence of fluorosis at the age of 15 yr on the other hand. The year of birth of the child, the motivation of the mo...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1992.tb01691.x
更新日期:1992-10-01 00:00:00
abstract::The demand for dental care was assessed among 3000 dental patients visiting an out-patient clinic in Sri Lanka. 46% of the patients sought treatment for complaints related to advanced stages of dental caries whilst 18% requested treatment for early stages of decay. 20% had complaints related to periodontal disease of ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1985.tb01678.x
更新日期:1985-04-01 00:00:00
abstract::The purpose of this study was to determine the economic costs of school-based mouthrinsing in the demonstration programs. Costs for two complete years were expressed in 1978 dollars, and divided into explicit and implicit categories. Costs per participant were found to vary among programs (ranges of average total cost...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1984.tb01406.x
更新日期:1984-02-01 00:00:00
abstract::The potential for the increased risk of transmission of HIV (Human Immunodeficiency Virus) from patients to dental health care workers (DHCWs) in the workplace is examined. Based on published and hypothetical risk estimates, the authors conclude that in certain world communities with high prevalence rates of HIV infec...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1990.tb00083.x
更新日期:1990-12-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to describe the effect of income on demand and utilization of dental services according to household income in the adult population. METHODS:The data were collected using a questionnaire, which was sent to a random sample of Norwegians aged 20 years or older living at home, 1861 pe...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2011.00659.x
更新日期:2012-08-01 00:00:00
abstract::608 12-yr-old children in Harare, and 556 in rural areas of Mashonaland and Central Province, Zimbabwe, were examined for dental caries in 1985. 27.6% of children in the urban area, and 20.9% in the rural, had caries (P less than 0.01). The mean DMFT in urban and rural areas was 0.57 (+/- 1.13) and 0.49 (+/- 1.42), re...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1989.tb01822.x
更新日期:1989-02-01 00:00:00
abstract:OBJECTIVES:The aim of this epidemiologic study was to determine the impact of smoking on marginal bone loss in a subsample derived from an original randomly selected adult sample, after adjusting for oral and general factors. METHODS:The number of participants at baseline in this 10-year longitudinal study was 616 (me...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12260
更新日期:2017-02-01 00:00:00
abstract::The present study was conducted to compare level of dental caries, treatment pattern and contact patterns with the Child Oral Health Care System of children of immigrants. The study comprised 239 Turkish, 117 Pakistani and 91 other immigrants and a control group of 359 Danish children. Data were extracted from the den...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1985.tb00425.x
更新日期:1985-06-01 00:00:00
abstract::Of a random sample of dentists in Norway (n = 741), 83% responded to a questionnaire about their use of radiographs in and their opinions and knowledge about the diagnosis of approximal caries. There was great disparity in criteria for initiation of restorative treatment of approximal caries based on radiographic appe...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1985.tb00414.x
更新日期:1985-02-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to examine the association between food insecurity and untreated dental caries using a nationally representative sample of US adults. METHODS:Data from the National Health and Nutrition Examination Survey (NHANES) cycles 2011-2012 and 2013-2014 on adults aged 18 years and older...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/cdoe.12622
更新日期:2021-01-24 00:00:00
abstract::Examination of 2,138 subjects, aged 15-65+ years, was carried out by calibrated examiners using mirrors and fibre optic illumination. Each subject was scored by the Periodontal Status Index, PSI (WHO Oral Health Surveys), Periodontal Index, PI (Russell) and the Oral Hygiene Index, OHI (Greene & Vermillion). For the PS...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.1978.tb01159.x
更新日期:1978-09-01 00:00:00
abstract:OBJECTIVES:To assess the relationship between parents' dental attitudes and the caries increment in their children from the age of 3 to 5 years. METHODS:Data based on parental questionnaires and dental examinations were collected from children participating in a follow-up study from age 3 years (n = 354) in 2002 to 5 ...
journal_title:Community dentistry and oral epidemiology
pub_type: 杂志文章
doi:10.1111/j.1600-0528.2008.00430.x
更新日期:2008-10-01 00:00:00