{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T08:43:35Z","timestamp":1788857015703,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP11211982"],"award-info":[{"award-number":["APP11211982"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian Dental Journal"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Indigenous children in remote Australia face significant disparities in oral health and have limited access to dental care. This study evaluated the cost\u2010effectiveness of Atraumatic Restorative Treatment combined with the Hall Technique (ART\u2010HT) compared to usual care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cost\u2010effectiveness analysis using data from a 1\u2010year ART\u2010HT trial estimated dental caries status and costs from a health\u2010provider perspective. Two scenarios were examined: (1) actual treatment costs and (2) minimum dental services. The incremental cost per decayed, missing, and filled teeth (dmft) prevented was calculated in AUD 2021 prices. A probabilistic sensitivity analysis was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 228 children (ART\u2010HT\u2009=\u2009122; usual care\u2009=\u2009106), deterministic analysis showed ART\u2010HT required additional costs of $59.54 and $72.37 for scenarios 1 and 2, with 0.90 dmft prevented. Probabilistic sensitivity analysis revealed ART\u2010HT resulted in better oral health outcomes with a mean dmft prevented of 0.58 (95% uncertainty interval: 0.09 to1.07). The mean additional cost per dmft prevented was $118.50 and $181.84 for scenarios 1 and 2.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ART\u2010HT effectively managed dental caries in Indigenous children, providing better oral health outcomes compared to usual care, albeit with modest additional costs. This approach may improve access to culturally appropriate dental care in remote communities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/adj.13066","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T06:19:20Z","timestamp":1741933160000},"page":"150-159","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Cost\u2010effectiveness of atraumatic restorative treatment combined with the Hall Technique for managing dental caries in remote Indigenous children"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6464-744X","authenticated-orcid":false,"given":"U","family":"Tonmukayakul","sequence":"first","affiliation":[{"name":"Deakin Health Economics, Institute for Health Transformations Deakin University  Geelong Victoria 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