A System Dynamics Model of Caries Preventive Interventions in Thailand's School-Aged Population.

IF 1.4 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Oral health & preventive dentistry Pub Date : 2023-12-04 DOI:10.3290/j.ohpd.b4721201

Tin Htet Oo, Sukanya Tianviwat, Songchai Thitasomakul, Phongpat Sontamino

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引用次数: 0

Abstract

Purpose: To compare the long-term effects of the Ministry of Public Health's (MOPH) caries preventive interventions for 6- to 12-year-olds (supervised toothbrushing [STB], dental sealant, and combined STB+sealant) to the base case (no intervention) using the System Dynamics Model.

Materials and methods: The System Dynamics Model was used to evaluate the intervention scenarios of supervised toothbrushing (STB), sealant, and combined STB+sealant with the base-case scenario. The effectiveness data for the model's interventions were obtained from systematic reviews and meta-analyses.

Results: The model determined that the caries-free population increased by 36.2%, 25.5%, and 14.5%, while the caries-affected population decreased by 8.1%, 5.5%, and 3.1% in the combined STB+sealant, sealant, and supervised toothbrushing scenarios compared to the base case at 15 years of age.

Conclusion: Combined STB+sealant is the most efficacious intervention among those administered to children between the ages of 6 and 12 with permanent teeth. In addition, the System Dynamics Model could be helpful in comparing interventions or policies to determine the optimal intervention for a given population.

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泰国学龄人口龋齿预防干预的系统动力学模型。

目的:利用系统动力学模型比较公共卫生部(MOPH)针对6- 12岁儿童的龋齿预防干预措施(监督刷牙[STB]、牙密封剂和牙密封剂+牙密封剂组合)与基本情况(无干预)的长期效果。材料和方法:采用系统动力学模型评估监督刷牙(STB)、密封胶、STB+密封胶联合干预方案与基本方案。该模型干预措施的有效性数据来自系统综述和荟萃分析。结果:该模型确定，与15岁时的基本情况相比，在STB+密封剂、密封剂和监督刷牙的组合情况下，无龋人口增加了36.2%、25.5%和14.5%，而受龋影响的人口减少了8.1%、5.5%和3.1%。结论:在6 ~ 12岁有恒牙的儿童中，STB+封闭剂联合使用是最有效的干预措施。此外，系统动力学模型可以帮助比较干预措施或政策，以确定给定人群的最佳干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral health & preventive dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinicians, general practitioners, teachers, researchers, and public health administrators will find this journal an indispensable source of essential, timely information about scientific progress in the fields of oral health and the prevention of caries, periodontal diseases, oral mucosal diseases, and dental trauma. Central topics, including oral hygiene, oral epidemiology, oral health promotion, and public health issues, are covered in peer-reviewed articles such as clinical and basic science research reports; reviews; invited focus articles, commentaries, and guest editorials; and symposium, workshop, and conference proceedings.