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01.12.2015 | Study protocol | Ausgabe 1/2015 Open Access

BMC Oral Health 1/2015

Effectiveness, cost-effectiveness and cost-benefit of a single annual professional intervention for the prevention of childhood dental caries in a remote rural Indigenous community

Zeitschrift:
BMC Oral Health > Ausgabe 1/2015
Autoren:
Ratilal Lalloo, Jeroen Kroon, Ohnmar Tut, Sanjeewa Kularatna, Lisa M. Jamieson, Valda Wallace, Robyn Boase, Surani Fernando, Yvonne Cadet-James, Paul A. Scuffham, Newell W. Johnson
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

NWJ is Chief Investigator of the NHMRC Grant: all other authors are co-investigators. NWJ, RL, JK, OT and LJ were the principal designers of the study: SK and PS provided advice on statistics and health economics; VL and YC-J provide advice on Indigenous cultural aspects; RB advises on logistics and clinical matters; SF assists with clinical interventions. All authors read and approved the final manuscript.

Abstract

Background

The aim of the study is to reduce the high prevalence of tooth decay in children in a remote, rural Indigenous community in Australia, by application of a single annual dental preventive intervention. The study seeks to (1) assess the effectiveness of an annual oral health preventive intervention in slowing the incidence of dental caries in children in this community, (2) identify the mediating role of known risk factors for dental caries and (3) assess the cost-effectiveness and cost-benefit of the intervention.

Methods/design

The intervention is novel in that most dental preventive interventions require regular re-application, which is not possible in resource constrained communities. While tooth decay is preventable, self-care and healthy habits are lacking in these communities, placing more emphasis on health services to deliver an effective dental preventive intervention. Importantly, the study will assess cost-benefit and cost-effectiveness for broader implementation across similar communities in Australia and internationally.

Discussion

There is an urgent need to reduce the burden of dental decay in these communities, by implementing effective, cost-effective, feasible and sustainable dental prevention programs. Expected outcomes of this study include improved oral and general health of children within the community; an understanding of the costs associated with the intervention provided, and its comparison with the costs of allowing new lesions to develop, with associated treatment costs. Findings should be generalisable to similar communities around the world.
The research is registered with the Australian New Zealand Clinical Trials Registry (ANZCTR), registration number ACTRN12615000693527; date of registration: 3rd July 2015.
Literatur
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