Cost-effectiveness of the toddler oral health intervention in Dutch well-baby clinics: a trial-based economic evaluation

Authors Denise Leusink, Peggy van Spreuwel, Geert van der Heijden, Johanna Maria van Dongen, Cor van Loveren, Katarina Jerković-Ćosić
Published in Caries Research
Publication date 2026
Research groups Innovations in Preventive Care
Type Article

Summary

Early childhood caries (ECC) affects one in four Dutch 5-year olds and disproportionately impacts children from lower socioeconomic backgrounds. The Toddler Oral Health Intervention (TOHI) integrates oral health promotion into well-baby clinics, aiming to prevent ECC from the eruption of the first tooth. This study evaluates the cost-effectiveness of TOHI compared to care as usual (CAU) from a societal perspective, using caries reduction and quality-adjusted life years (QALYs) as outcomes.

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Language English
Published in Caries Research
Key words early childhood caries, preventive dentistry, cost-effectiveness, quality-adjusted life years, preschool children
Digital Object Identifier 10.1159/000551783
Page range 1-15

Innovations in Preventive Care