A Cost Analysis of an Outreach School-Based Dental Program: Teeth on Wheels

Background: This study evaluated an outreach mobile dental service called Teeth on Wheels (TOW). The dental program targeted Australian children from low household income, who are eligible for the Child Dental Benefits Scheme (CDBS) in Victoria, Australia. The program is complemented with a school-b...

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Main Authors: Tan Minh Nguyen, Utsana Tonmukayakul, Hanny Calache
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/8/2/154
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author Tan Minh Nguyen
Utsana Tonmukayakul
Hanny Calache
author_facet Tan Minh Nguyen
Utsana Tonmukayakul
Hanny Calache
author_sort Tan Minh Nguyen
collection DOAJ
description Background: This study evaluated an outreach mobile dental service called Teeth on Wheels (TOW). The dental program targeted Australian children from low household income, who are eligible for the Child Dental Benefits Scheme (CDBS) in Victoria, Australia. The program is complemented with a school-based oral health promotion element. Methods: A retrospective cohort study was performed with a convenience sample. Children must have had at least three dental examinations during the 2016–2019 calendar years to be included in the study. Comparisons were made between the 2016–17 and 2018–19 calendar years. It was hypothesised that the program would result in reduced costs and the number of restorations and extractions in the latter period. Results: A total of 414 children were included in the analysis. The total mean costs of the program per child reduced from AU$605.3 in 2016–17 to AU$531.1 in 2018–19. The results showed an overall mean reduction in all restorations and extractions performed, but only statistical significance was noted for reductions of restored deciduous teeth. Conclusions: This outreach program, which is focused on prevention and minimally invasive dentistry, can be a promising alternative model of delivery for dental services in young children.
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spelling doaj.art-0ad11ab61f5742baa48685d2f522a6ef2023-12-11T17:27:57ZengMDPI AGChildren2227-90672021-02-018215410.3390/children8020154A Cost Analysis of an Outreach School-Based Dental Program: Teeth on WheelsTan Minh Nguyen0Utsana Tonmukayakul1Hanny Calache2Deakin Health Economics, Institute of Health Transformation, Faculty of Health, Deakin University, Waurn Ponds, VIC 3216, AustraliaDeakin Health Economics, Institute of Health Transformation, Faculty of Health, Deakin University, Waurn Ponds, VIC 3216, AustraliaDeakin Health Economics, Institute of Health Transformation, Faculty of Health, Deakin University, Waurn Ponds, VIC 3216, AustraliaBackground: This study evaluated an outreach mobile dental service called Teeth on Wheels (TOW). The dental program targeted Australian children from low household income, who are eligible for the Child Dental Benefits Scheme (CDBS) in Victoria, Australia. The program is complemented with a school-based oral health promotion element. Methods: A retrospective cohort study was performed with a convenience sample. Children must have had at least three dental examinations during the 2016–2019 calendar years to be included in the study. Comparisons were made between the 2016–17 and 2018–19 calendar years. It was hypothesised that the program would result in reduced costs and the number of restorations and extractions in the latter period. Results: A total of 414 children were included in the analysis. The total mean costs of the program per child reduced from AU$605.3 in 2016–17 to AU$531.1 in 2018–19. The results showed an overall mean reduction in all restorations and extractions performed, but only statistical significance was noted for reductions of restored deciduous teeth. Conclusions: This outreach program, which is focused on prevention and minimally invasive dentistry, can be a promising alternative model of delivery for dental services in young children.https://www.mdpi.com/2227-9067/8/2/154health promotiondental care for childrenschool health servicesoral healthcosts and cost analysis
spellingShingle Tan Minh Nguyen
Utsana Tonmukayakul
Hanny Calache
A Cost Analysis of an Outreach School-Based Dental Program: Teeth on Wheels
Children
health promotion
dental care for children
school health services
oral health
costs and cost analysis
title A Cost Analysis of an Outreach School-Based Dental Program: Teeth on Wheels
title_full A Cost Analysis of an Outreach School-Based Dental Program: Teeth on Wheels
title_fullStr A Cost Analysis of an Outreach School-Based Dental Program: Teeth on Wheels
title_full_unstemmed A Cost Analysis of an Outreach School-Based Dental Program: Teeth on Wheels
title_short A Cost Analysis of an Outreach School-Based Dental Program: Teeth on Wheels
title_sort cost analysis of an outreach school based dental program teeth on wheels
topic health promotion
dental care for children
school health services
oral health
costs and cost analysis
url https://www.mdpi.com/2227-9067/8/2/154
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