Lifelong Effectiveness of Caries Prevention Programs by System Dynamics Model

Doctor of Philosophy in Oral Health Sciences, 2022

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Main Author: Tin Htet Oo
Other Authors: Sukanya Tianviwat
Format: Theses and Dissertations
Language:English
Published: Prince of Songkla University 2023
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Online Access:http://kb.psu.ac.th/psukb/handle/2016/18189
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Institution: Prince of Songkhla University
Language: English
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spelling th-psu.2016-181892023-07-19T02:36:17Z Lifelong Effectiveness of Caries Prevention Programs by System Dynamics Model Tin Htet Oo Sukanya Tianviwat Faculty of Dentistry คณะทันตแพทยศาสตร์ System Dynamics Model Lifelong Effectiveness Caries Prevention Dental caries Doctor of Philosophy in Oral Health Sciences, 2022 Dental caries is still considered a burden of disease not only in Thailand but also around the world. Various preventive and promotion programs are implemented for dental caries in individuals and communities among the population. For long-term assessment of preventive programs, simulation models are gaining attention to be approached. Objective: This study aims to estimate the lifelong outcomes of caries prevention programs among Thai age groups by conducting the System Dynamics Model (SDM). Methodology: Systematic reviews and meta-analyses were conducted to identify the efficacy of interventions: supervised toothbrushing, fluoride varnish, dental sealant, and oral health examination for dental caries according to age groups. Based on the effectiveness of interventions from meta-analyses and their coverage rates, the SDM was simulated to estimate the lifelong dental caries outcome under interventions: supervised toothbrushing, fluoride varnish, combined supervised toothbrushing and fluoride varnish, dental sealant, combined supervised toothbrushing, and sealant, and oral health examination by comparing base case (no intervention was provided). Results: it is found that at the age of 5 years old, the population with caries in deciduous teeth was the lowest in combined supervised toothbrushing and fluoride varnish, 258,876 (38.17 %) followed by supervised toothbrushing, 266,049 (39.23%), fluoride varnish, 276,703 (40.79 %), and base case, 290,829 (42.88 %). All these interventions can reduce the caries population until above 15 years old compared to the base case. The caries population was lowest under combined supervised toothbrushing and sealant, 257,655 (37.99%), followed by a sealant, 264,507 (38.99%) at 15 years old. From above 23 years old, the caries population under all of the above interventions and the oral health examination were not different from the base case. Conclusion: according to SDM simulation, it is considered that combined interventions are more effective than other interventions provided separately. Each intervention could reduce the caries population by above 15 years from they started compared to the base case. If the interventions have better effective rates and coverage rates, the caries population could be reduced by more than the estimated result from the model. 2023-07-19T02:34:08Z 2023-07-19T02:34:08Z 2022 Thesis http://kb.psu.ac.th/psukb/handle/2016/18189 en Attribution-NonCommercial-NoDerivs 3.0 Thailand http://creativecommons.org/licenses/by-nc-nd/3.0/th/ application/pdf application/pdf Prince of Songkla University
institution Prince of Songkhla University
building Khunying Long Athakravi Sunthorn Learning Resources Center
continent Asia
country Thailand
Thailand
content_provider Khunying Long Athakravi Sunthorn Learning Resources Center
collection PSU Knowledge Bank
language English
topic System Dynamics Model
Lifelong Effectiveness
Caries Prevention
Dental caries
spellingShingle System Dynamics Model
Lifelong Effectiveness
Caries Prevention
Dental caries
Tin Htet Oo
Lifelong Effectiveness of Caries Prevention Programs by System Dynamics Model
description Doctor of Philosophy in Oral Health Sciences, 2022
author2 Sukanya Tianviwat
author_facet Sukanya Tianviwat
Tin Htet Oo
format Theses and Dissertations
author Tin Htet Oo
author_sort Tin Htet Oo
title Lifelong Effectiveness of Caries Prevention Programs by System Dynamics Model
title_short Lifelong Effectiveness of Caries Prevention Programs by System Dynamics Model
title_full Lifelong Effectiveness of Caries Prevention Programs by System Dynamics Model
title_fullStr Lifelong Effectiveness of Caries Prevention Programs by System Dynamics Model
title_full_unstemmed Lifelong Effectiveness of Caries Prevention Programs by System Dynamics Model
title_sort lifelong effectiveness of caries prevention programs by system dynamics model
publisher Prince of Songkla University
publishDate 2023
url http://kb.psu.ac.th/psukb/handle/2016/18189
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