Cost-Effectiveness of Pit-and-Fissure Sealants on Primary Molars in Medicaid-Enrolled Children
Bibliographic Data
Objectives. We compared the incremental cost-effectiveness of 2 primary molar sealant strategies—always seal and never seal—with standard care for Medicaid-enrolled children. Methods. We used Iowa Medicaid claims data (2008–2011), developed a tooth-level Markov model for 10 000 teeth, and compared costs, treatment avoided, and incremental cost per treatment avoided for the 2 sealant strategies with standard care. Results. In 10 000 simulated teeth, standard care cost $214 510, always seal cost $232 141, and never seal cost $186 010. Relative to standard care, always seal reduced the number of restorations to 340 from 2389, whereas never seal increased restorations to 2853. Compared with standard care, always seal cost $8.12 per restoration avoided (95% confidence interval [CI] = $4.10, $12.26; P ≤ .001). Compared with never seal, standard care cost $65.62 per restoration avoided (95% CI = $52.99, $78.26; P ≤ .001). Conclusions. Relative to standard care, always sealing primary molars is more costly but reduces subsequent dental treatment. Never sealing costs less but leads to more treatment. State Medicaid programs that do not currently reimburse dentists for primary molar sealants should consider reimbursement for primary molar sealant procedures as a population-based strategy to prevent tooth decay and reduce later treatment needs in vulnerable young children
Confidence interval · Cost effectiveness · Environmental health · Health care · Medicaid · Molar · Population · Reimbursement · Risk analysis (engineering) · Seal (emblem) · Sealant · Dental Health and Care Utilization · Dental materials and restorations · Dentistry · Endodontics and Root Canal Treatments · Medicine
Decision Modelling For Health Economic Evaluation
Cost-effectiveness simulation of a universal publicly funded sealants application program
Assessing Cost-Effectiveness of Sealant Placement in Children
Impact of Poor Oral Health on Children's School Attendance and Performance
Treatment Outcomes and Costs of Dental Sealants Among Children Enrolled in Medicaid
Effects of Enrollment in Medicaid Versus the State Children’s Health Insurance Program on Kindergarten Children’s Untreated Dental Caries
Impact of Chronic Condition Status and Severity on Dental Utilization for Iowa Medicaid-Enrolled Children
Discounting in the Economic Evaluation of Health Care Interventions
A retrospective analysis of the cost-effectiveness of dental sealants in a children's health center
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,33 |
| Citation span | 2023 - 2023 (1) |
| Citation velocity | historical |
| Highly cited | No |