Comparing the costs of three sealant delivery strategies

S. O. Griffin, P. M. Griffin, B. F. Gooch, L. K. Barker

Research output: Contribution to journalArticlepeer-review

43 Scopus citations


We analyzed the cost-effectiveness of 3 sealant delivery strategies: Seal all (SA), seal children assessed to be at risk by screening (TARGET), and seal none (SN). We assumed a nine-year analytic horizon, a 3% discount rate, and zero screening costs. Estimates for sealant costs ($27.00) and restoration costs ($73.77), annual caries increment (0.0624 surfaces), sealant failure rate (20% in yr 1 and 3% thereafter), annual amalgam failure rate (4.6%), and sensitivity (0.635) and specificity (0.795) of screening were obtained from published studies. Under baseline assumptions, TARGET dominated (cost less and reduced caries). SA and SN. If annual caries increment exceeded 0.095 surfaces, SA dominated TARGET, and if increment exceeded 0.05 surfaces, TARGET dominated SN. If sealant costs decreased to $6.00 (reported cost for school programs), TARGET dominated SN for caries increments exceeding 0.007 surfaces, and SA dominated TARGET for caries increments exceeding 0.034 surfaces.

Original languageEnglish (US)
Pages (from-to)641-645
Number of pages5
JournalJournal of Dental Research
Issue number9
StatePublished - Sep 2002

All Science Journal Classification (ASJC) codes

  • General Dentistry


Dive into the research topics of 'Comparing the costs of three sealant delivery strategies'. Together they form a unique fingerprint.

Cite this