Cost-effectiveness analysis of fissure sealants for caries prevention in children

Egil E., Yaylalı E.

JOURNAL OF PUBLIC HEALTH DENTISTRY, vol.83, no.1, pp.43-50, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 83 Issue: 1
  • Publication Date: 2023
  • Doi Number: 10.1111/jphd.12549
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.43-50
  • Keywords: cost-effectiveness analysis, decision analytic models, Markov models, pit and fissure sealants, preventive dentistry, public health dentistry, HEALTH
  • Istanbul Technical University Affiliated: Yes


Objective To evaluate the cost-effectiveness of resin-based and glass ionomer-based fissure sealants compared with no intervention for children. Methods We developed a Markov-based decision analytic model that simulated Turkish children from aged 6 to 15 years. Two types of costs were explored from the payers' perspective and the health care system perspectives. A cost-effectiveness analysis of resin-based and glass ionomer-based fissure sealants was conducted to quantify their effectiveness using the number of caries prevented and the quality-adjusted tooth years (QATYs). Costs and effectiveness measures were discounted at 3% per year. Results The most cost-effective intervention was resin-based fissure sealant, with an additional $5.34 per caries prevented and $1.86 per QATY gained compared with no treatment. Conclusion Fissure sealants particularly resin-based sealants are cost-effective for children in Turkey due to their low cost and highly preventive characteristics.