Costs and Savings Associated With Community Water Fluoridation Programs in Colorado
2005

Cost Savings from Community Water Fluoridation in Colorado

Sample size: 172 publication Evidence: high

Author Information

Author(s): Diane Brunson, Joan M O’Connell, Theresa Anselmo, Patrick W Sullivan

Primary Institution: Colorado Department of Public Health and the Environment

Hypothesis

What are the cost savings associated with community water fluoridation programs in Colorado?

Conclusion

Colorado realizes significant annual savings from community water fluoridation programs, and additional savings could be achieved if more areas implemented these programs.

Supporting Evidence

  • Colorado community water fluoridation programs saved an estimated $148.9 million annually in 2003.
  • An average savings of $60.78 per person was calculated from existing fluoridation programs.
  • Implementing fluoridation in 52 additional water systems could save an additional $46.6 million annually.

Takeaway

Fluoridating water helps save money on dental care because it prevents tooth decay, and many people could benefit if more places did it.

Methodology

An economic model was developed to compare costs of community water fluoridation programs with treatment savings from averted tooth decay, using data from 172 public water systems.

Potential Biases

The effectiveness of community water fluoridation may be underestimated due to the influence of other fluoride sources.

Limitations

The model's assumptions may not represent actual costs for specific water systems, and it does not account for productivity losses due to morbidity.

Participant Demographics

The analysis included data from public water systems serving populations of 1000 or more in Colorado.

Statistical Information

Confidence Interval

$115.1 million to $187.2 million

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