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System dynamics modeling for tooth decay treatment in Brazilian children
Umeda, Josely Emiko; Chichakly, Karim; Passos, Guttenberg Ferreira; Terada, Raquel Sano Suga; Pascotto, Renata Corrêa; Fujimaki, Mitsue.
  • Umeda, Josely Emiko; Universidade Estadual de Maringá. Dentistry Department. Maringá. BR
  • Chichakly, Karim; Worcester Polytechnic Institute. Worcester. US
  • Passos, Guttenberg Ferreira; Prodemge. Belo Horizonte. BR
  • Terada, Raquel Sano Suga; Universidade Estadual de Maringá. Dentistry Department. Maringá. BR
  • Pascotto, Renata Corrêa; Universidade Estadual de Maringá. Dentistry Department. Maringá. BR
  • Fujimaki, Mitsue; Universidade Estadual de Maringá. Dentistry Department. Maringá. BR
Braz. oral res. (Online) ; 34: e017, 2020. tab, graf
Article Dans Anglais | LILACS | ID: biblio-1089399
ABSTRACT
Abstract Prevention and health promotion are considered important strategies to control oral diseases. Dental caries is preventable disease and remains the most common chronic disease that affects mainly low income children and still considered the main cause of tooth loss in adulthood in Brazil. The aim of this study is to present a System Dynamics model (SDM) specifically developed with the Stella Architect software to estimate the cost and clinical hours required to control the evolution of dental caries in preschool children in Maringá, Brazil. Two main strategies to control caries were considered in the model the application of fluoride varnish on teeth presenting white spots, and the use of Atraumatic Restorative Treatment (ART) in cavitated carious lesions without pulp involvement. The parameters used in the model were number of people covered by a local oral health team = 4,000; number of children up to 5 years = 7% of the population; children's decayed, missing, filled teeth (dmft) index = 2.4; time/cost of 4 applications of fluoride varnish = 5 minutes/US$ 0.716; and time/cost of each ART restoration = 15 minutes/US$ 1.475. The SDM generated an estimated total cost of US$698.00, and a total of 112 clinical hours to treat the population in question. The use of the SDM presented here has the potential to assist decision making by measuring the material and human resources required to prevent and control dental caries at an early age.
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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Analyse des systèmes / Caries dentaires / Traitement restaurateur atraumatique dentaire Type d'étude: Étude pronostique Limites du sujet: Enfant d'âge préscolaire / Femelle / Humains / Mâle Pays comme sujet: Amérique du Sud / Brésil langue: Anglais Texte intégral: Braz. oral res. (Online) Thème du journal: Dentisterie Année: 2020 Type: Article Pays d'affiliation: Brésil / États-Unis d'Amérique Institution/Pays d'affiliation: Prodemge/BR / Universidade Estadual de Maringá/BR / Worcester Polytechnic Institute/US

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Analyse des systèmes / Caries dentaires / Traitement restaurateur atraumatique dentaire Type d'étude: Étude pronostique Limites du sujet: Enfant d'âge préscolaire / Femelle / Humains / Mâle Pays comme sujet: Amérique du Sud / Brésil langue: Anglais Texte intégral: Braz. oral res. (Online) Thème du journal: Dentisterie Année: 2020 Type: Article Pays d'affiliation: Brésil / États-Unis d'Amérique Institution/Pays d'affiliation: Prodemge/BR / Universidade Estadual de Maringá/BR / Worcester Polytechnic Institute/US