The Monitor Practice Programme: is non-invasive management of dental caries in private practice cost-effective?

Abstract:

BACKGROUND:The objective of this research was to assess the efficacy and cost-effectiveness of a non-invasive approach to dental caries management in private dental practice. METHODS:Private dental practices from a variety of locations in New South Wales were randomly allocated to either non-invasive management of caries, or continue with usual care. Patients were followed for three years and caries incidence assessed. A patient-level decision analytic model was constructed to assess the cost-effectiveness of the intervention at two years, three years, and hypothetical lifetime. RESULTS:Twenty-two dental practices and 920 patients were recruited. Within the clinical trial there was a significant difference in caries increment favouring non-invasive therapy at both two and three years. Efficacy was independent of age, gender, medical concerns, fluoride history, or previous history of dental caries, in a population of patients attending for treatment in private dental practices, in a variety of locations both urban and rural. Cost per DMFT avoided estimate was A$1287.07 (two years), A$1148.91 (three years) decreasing to A$702.52 in (medium) and A$545.93 (high) risk patients (three years). CONCLUSIONS:A joint preventive and non-invasive therapeutic approach appears to be cost-effective in patients at medium and high risk of developing dental caries when compared to the standard care provided by private dental practice.

journal_name

Aust Dent J

authors

Curtis B,Warren E,Pollicino C,Evans RW,Schwarz E,Sbaraini A

doi

10.1111/j.1834-7819.2010.01286.x

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

48-55

issue

1

eissn

0045-0421

issn

1834-7819

journal_volume

56

pub_type

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