Improving Child Oral Health: Cost Analysis of a National Nursery Toothbrushing Programme
Dental caries is one of the most common diseases of childhood. The aim of this study was to compare the cost of providing the Scotland-wide nursery toothbrushing programme with associated National Health Service (NHS) cost savings from improvements in the dental health of five-year-old children: thr...
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| creator | Anopa, Yulia McMahon, Alex D Conway, David I Ball, Graham E McIntosh, Emma Macpherson, Lorna M D |
| description | Dental caries is one of the most common diseases of childhood. The aim of this study was to compare the cost of providing the Scotland-wide nursery toothbrushing programme with associated National Health Service (NHS) cost savings from improvements in the dental health of five-year-old children: through avoided dental extractions, fillings and potential treatments for decay.
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.
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.
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. |
| doi_str_mv | 10.1371/journal.pone.0136211 |
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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.
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.
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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0136211</identifier><identifier>PMID: 26305577</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Anesthesia ; Child ; Child, Preschool ; Children ; Children & youth ; Cost analysis ; Cost control ; Cost engineering ; Cost reduction ; Cost-Benefit Analysis ; Costs ; Dental Care - economics ; Dental Care - statistics & numerical data ; Dental caries ; Dental health ; Dental schools ; Dentistry ; Dentists ; Deprivation ; Epidemiology ; Estimates ; Fluoridation ; Health ; Health disparities ; Health economics ; Health services ; Humans ; Infant ; Infant, Newborn ; Information services ; Inspection ; Life sciences ; Oral Health - economics ; Oral Health - statistics & numerical data ; Oral hygiene ; Population ; Public Health Surveillance ; Quality of life ; Scotland - epidemiology ; Teeth ; Therapeutic applications ; Toothbrushes ; Toothbrushing</subject><ispartof>PloS one, 2015-08, Vol.10 (8), p.e0136211-e0136211</ispartof><rights>2015 Anopa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Anopa et al 2015 Anopa et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-c9792e6284c8e50b24b5b21bd2c56e9cb3769d99810b6e5625a3e2585dcf2d423</citedby><cites>FETCH-LOGICAL-c526t-c9792e6284c8e50b24b5b21bd2c56e9cb3769d99810b6e5625a3e2585dcf2d423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4549338/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4549338/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26305577$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Milgrom, Peter M.</contributor><creatorcontrib>Anopa, Yulia</creatorcontrib><creatorcontrib>McMahon, Alex D</creatorcontrib><creatorcontrib>Conway, David I</creatorcontrib><creatorcontrib>Ball, Graham E</creatorcontrib><creatorcontrib>McIntosh, Emma</creatorcontrib><creatorcontrib>Macpherson, Lorna M D</creatorcontrib><title>Improving Child Oral Health: Cost Analysis of a National Nursery Toothbrushing Programme</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Dental caries is one of the most common diseases of childhood. The aim of this study was to compare the cost of providing the Scotland-wide nursery toothbrushing programme with associated National Health Service (NHS) cost savings from improvements in the dental health of five-year-old children: through avoided dental extractions, fillings and potential treatments for decay.
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.
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.
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.</description><subject>Adolescent</subject><subject>Anesthesia</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cost analysis</subject><subject>Cost control</subject><subject>Cost engineering</subject><subject>Cost reduction</subject><subject>Cost-Benefit Analysis</subject><subject>Costs</subject><subject>Dental Care - economics</subject><subject>Dental Care - statistics & numerical data</subject><subject>Dental caries</subject><subject>Dental health</subject><subject>Dental schools</subject><subject>Dentistry</subject><subject>Dentists</subject><subject>Deprivation</subject><subject>Epidemiology</subject><subject>Estimates</subject><subject>Fluoridation</subject><subject>Health</subject><subject>Health disparities</subject><subject>Health economics</subject><subject>Health services</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Information services</subject><subject>Inspection</subject><subject>Life sciences</subject><subject>Oral Health - 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economics</topic><topic>Dental Care - statistics & numerical data</topic><topic>Dental caries</topic><topic>Dental health</topic><topic>Dental schools</topic><topic>Dentistry</topic><topic>Dentists</topic><topic>Deprivation</topic><topic>Epidemiology</topic><topic>Estimates</topic><topic>Fluoridation</topic><topic>Health</topic><topic>Health disparities</topic><topic>Health economics</topic><topic>Health services</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Information services</topic><topic>Inspection</topic><topic>Life sciences</topic><topic>Oral Health - economics</topic><topic>Oral Health - statistics & numerical data</topic><topic>Oral hygiene</topic><topic>Population</topic><topic>Public Health Surveillance</topic><topic>Quality of life</topic><topic>Scotland - epidemiology</topic><topic>Teeth</topic><topic>Therapeutic applications</topic><topic>Toothbrushes</topic><topic>Toothbrushing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Anopa, Yulia</creatorcontrib><creatorcontrib>McMahon, Alex D</creatorcontrib><creatorcontrib>Conway, David I</creatorcontrib><creatorcontrib>Ball, Graham E</creatorcontrib><creatorcontrib>McIntosh, Emma</creatorcontrib><creatorcontrib>Macpherson, Lorna M D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Anopa, Yulia</au><au>McMahon, Alex D</au><au>Conway, David I</au><au>Ball, Graham E</au><au>McIntosh, Emma</au><au>Macpherson, Lorna M D</au><au>Milgrom, Peter M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving Child Oral Health: Cost Analysis of a National Nursery Toothbrushing Programme</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-08-25</date><risdate>2015</risdate><volume>10</volume><issue>8</issue><spage>e0136211</spage><epage>e0136211</epage><pages>e0136211-e0136211</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Dental caries is one of the most common diseases of childhood. The aim of this study was to compare the cost of providing the Scotland-wide nursery toothbrushing programme with associated National Health Service (NHS) cost savings from improvements in the dental health of five-year-old children: through avoided dental extractions, fillings and potential treatments for decay.
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.
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.
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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26305577</pmid><doi>10.1371/journal.pone.0136211</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Anesthesia Child Child, Preschool Children Children & youth Cost analysis Cost control Cost engineering Cost reduction Cost-Benefit Analysis Costs Dental Care - economics Dental Care - statistics & numerical data Dental caries Dental health Dental schools Dentistry Dentists Deprivation Epidemiology Estimates Fluoridation Health Health disparities Health economics Health services Humans Infant Infant, Newborn Information services Inspection Life sciences Oral Health - economics Oral Health - statistics & numerical data Oral hygiene Population Public Health Surveillance Quality of life Scotland - epidemiology Teeth Therapeutic applications Toothbrushes Toothbrushing |
| title | Improving Child Oral Health: Cost Analysis of a National Nursery Toothbrushing Programme |
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