J Am Dent Assoc. 1985 Jan;110(1):103-7. doi: 10.14219/jada.archive.1985.0315.
Whether sealants are more cost-effective than restorative dentistry in reaching dental health goals for patients of private practitioners will depend on the relative excellence of materials and techniques, and on the values of prevention per se held by practitioner and patient. Given this heavy dose of subjectivity in the equation, it is doubtful if experimental cost-effectiveness studies of sealants in private practice will be fruitful. A more likely approach to answering questions on cost-effectiveness would be empirical testing of sealant reimbursement in prepayment programs under the standards suggested.
对于私人执业医生的患者而言,窝沟封闭剂在实现牙齿健康目标方面是否比修复性牙科更具成本效益,将取决于材料和技术的相对优势,以及医生和患者对预防本身的重视程度。鉴于该等式中存在大量主观性因素,私人执业中窝沟封闭剂的实验性成本效益研究是否会有成果令人怀疑。回答成本效益问题的一种更可行方法是,按照建议的标准对预付费项目中的窝沟封闭剂报销进行实证测试。