利用系统动力学模型研究泰国学龄前儿童综合预防龋齿项目的长期有效性。

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Community dental health Pub Date : 2023-08-31 DOI:10.1922/CDH_00078Oo06

T H Oo, S Tianviwat, P Sontamino, S Thitasomakul

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引用次数: 0

摘要

目的:利用系统动力学模型(SDM)比较泰国公共卫生部(MOPH)提供的三种预防龋齿干预措施的效果:监督刷牙(STB)，氟化物清漆(FV)，以及0至5岁儿童的STB+FV组合。方法:开发SDM，将STB、FV和STB+FV联合干预方案与基本方案进行比较。荟萃分析确定了模型中包括的干预措施的有效率。结果:该模型显示，在STB+FV、STB和FV条件下，3岁、5.7%和4.2%乳牙无龋人口分别比基准情况增加7.5%、5.7%和4.2%，5岁、12.8%、9.9%和5.9%。在3岁时，未经治疗的乳牙龋齿在STB+FV中下降12.9%，在STB中下降9.8%，在FV中下降7.3%，在5岁时，在STB+FV中下降10.9%，在STB中下降8.5%，在FV中下降4.9%。与基线相比，无龋人群的增加被认为具有临床意义。结论:该模型确定，在0 - 5岁之间，应有效地结合STB和FV进行治疗，以减少初级牙列的龋齿。SDM可以作为一种“假设”分析来应用，以便通过比较来确定最有益的干预或政策。

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Long-term Effectiveness of Integrated Caries Preventive Programs in Thailand Among Preschool Children Using a System Dynamics Model.

Objective: To compare the effect of three caries preventive interventions provided by Thailand's Ministry of Public Health (MOPH): supervised toothbrushing (STB), fluoride varnish (FV), and combined STB+FV from 0 to 5 years old to the base case using the System Dynamics Model (SDM).

Methods: The SDM was developed to compare the intervention scenarios: STB, FV, and combined STB+FV with the base case scenario. Meta-analyses determined the effective rates of the interventions included in the model.

Results: The model indicated that the population with no caries in deciduous teeth increased by 7.5%, 5.7%, and 4.2% at three years of age, and 12.8%, 9.9%, and 5.9% at five years of age, under STB+FV, STB, and FV respectively when compared to the base case. At three years old, the population with untreated caries in deciduous teeth decreased by 12.9% in STB+FV, 9.8% in STB, and 7.3% in FV, and by 10.9% in STB+FV, 8.5% in STB, and 4.9% in FV, at five years old. The increase in the population without caries is considered clinically significant compared to baseline.

Conclusion: The model determined that an effective combination of STB and FV should be administered between 0 and 5 years of age to reduce caries in the primary dentition. The SDM could be applied as a "what-if" analysis in order to determine the most beneficial intervention or policy by comparing them.

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.