Clinical Effectiveness and Cost-Effectiveness of Oral-Health Promotion in Dental Caries Prevention among Children: Systematic Review and Meta-Analysis

Fraihat, Nadine; Madae’en, Saba; Bencze, Zsuzsa; Herczeg, Adrienn; Varga, Orsolya

doi:10.3390/ijerph16152668

Cited by 66 publications

(68 citation statements)

References 28 publications

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“…La promoción de la salud mejora la calidad de vida pero requiere un compromiso en aras de poner práctica conductas más saludables, esto sólo se puede lograr cuando la promoción de la salud oral se implementa a nivel comunitario incorporando a varios actores (32) . Estudios recientes han demostrado que la educación desde edades tempranas tiene un impacto en la creación de estas conductas protectoras (8,10) .…”

Section: Discussionunclassified

Tendencia y factores asociados a la frecuencia de cepillado dental en menores de doce años, Perú 2013-2018

Solis

Pesaressi

Mormontoy

2019

Rev Peru Med Exp Salud Publica

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Objetivos. Determinar la tendencia y factores asociados al cepillado de dos o más veces por día en niños menores de doce años entre el 2013 y 2018 en Perú. Materiales y métodos. Se realizó un estudio transversal mediante análisis secundario de datos reportados por la Encuesta Demográfica y de Salud Familiar. Se consideró la información de niños con al menos un cepillado al día, considerando como «Adecuada Frecuencia de Cepillado Dental» (AFC) para quienes reportaban de dos a más; se generaron medidas porcentuales por ámbito geográfico, características sanitarias, de vivienda y hogar. Se determinaron los factores asociados a la AFC mediante regresión logística binaria para encuestas complejas, la variabilidad de la tendencia se identificó mediante regresión joinpoint con un 95% de confianza. Resultados. En el 2013, la AFC fue del 79,0% con un aumento a 83,9% para el 2018; se identificó que cuatro de 25 espacios geográficos se mantuvieron sin variación de AFC, y otros cuatro disminuyeron. Todas las características sanitarias mostraron favorecer el cepillado, destacándose que el no compartir el cepillo generó un OR de 2,30, IC 95%: 1,46 a 3,60. La región natural, el tipo de lugar de residencia y el quintil de riqueza afectaron la AFC; la AFC fue mayor según se incrementa el grupo etario. Conclusiones. El porcentaje de AFC ha aumentado en los últimos años, siendo influenciado favorablemente por los aspectos sanitarios; a nivel rural este porcentaje es significativamente menor, algo que también se evidencia en la región sierra.

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Section: Discussionunclassified

Tendencia y factores asociados a la frecuencia de cepillado dental en menores de doce años, Perú 2013-2018

Solis

Pesaressi

Mormontoy

2019

Rev Peru Med Exp Salud Publica

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“…However, we observed that the majority of these facilities do not operate any form of health insurance. The National Health Insurance Scheme (NHIS) which is mandatory social health insurance scheme, is expected to provide additional funding for oral healthcare (13). However because dental care is not under primary healthcare, dental clinics do not benefit from capitation.…”

Section: Discussionmentioning

confidence: 99%

“…However, this has not really been actualized in Nigeria (1). The reason for this being that the little resources assigned to the health sector are mainly directed towards life-threatening conditions such as HIV/AIDS, tuberculosis, and malaria rather than dental caries and other oral diseases (12,13). In addition the strategies to improve access documented in the countries oral health policy is yet to be fully implemented (1,13,14).…”

Section: Introductionmentioning

confidence: 99%

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Access to Oral Health Care: A Focus on Dental Caries Treatment Provision in Enugu Nigeria

Uguru

Onwujekwe

Ogu

et al. 2020

Preprint

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Background Dental caries, despite improvement in oral health across the globe, is still a large contributor to the global burden of oral diseases and a major public health concern. In Enugu state Nigeria, there is minimal access to adequate and proper oral health care. This study examined the determinants of dental caries treatment provision and the challenges of providing equitable access to oral health care. Method This was a descriptive cross-sectional study conducted in three local government areas in Enugu state Nigeria. The study was conducted using both qualitative and quantitative research methods. The determinants of supply of dental caries treatment services were explored with a focus on provider behaviour, cost of dental services, human resource availability and availability of dental equipment. Results Five factors determine what dental caries treatment service is provided viz: cost of raw materials (100%), human resources (98.1%), geographical location (98.1), Government policies (88%) and price of other goods (80.8%). Inadequate awareness and knowledge, high cost of treatment services, inadequately skilled staff, poor government funding and policy for oral health, limited primary healthcare facilities offering dental treatment services and poor knowledge of dental caries treatment options are factors that determine dental service provision and equally influence access to oral health care. There are still a limited number of dental facilities in the country with a growing need for dental caries treatment/services and other dental issues. Conclusion Adequate access to oral health care services is a major concern that affects all aspects of healthcare and a determining factor in the country’s drive to achieve universal health coverage. In order to address this, there is a need to incorporate oral health into the general health care system. Dental health facilities need to be strategically located and properly equipped with materials, equipment and adequate skilled staff.

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“…Identifying the economic implications of dental caries prevention and treatment provides valuable information to decision makers in allocating scarce resources across healthcare systems 6,7 . Sound decision‐making relies on the careful analysis of the programme costs relative to the effects on health outcomes with a comparable alternate 8 .…”

Section: Introductionmentioning

confidence: 99%

A scoping review of cost‐effectiveness analyses of school‐based interventions for caries

Amilani

Carter

Senanayake

et al. 2020

Comm Dent Oral Epid

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Objectives The aims of this study were to: identify the evidence on cost‐effectiveness of school‐based interventions for caries prevention globally up to 2019; summarize key characteristics of interventions applied within this setting; summarize the reporting quality of previous studies; and to identify and analyse knowledge gaps. Methods A scoping review of published literature on the cost‐effectiveness of school‐based interventions to prevent child tooth decay was conducted. A search in Medline, Cinahl and Embase was performed with no date restriction. Reporting quality of the included studies was assessed against Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Results Of the 738 records identified in the initial search, 15 studies met the pre‐specified inclusion criteria. The majority were published after 2011 (n = 9,) and applied to high‐income countries (n = 12). Nearly 80% of the studies assessed the cost‐effectiveness of the interventions based on topical fluoride therapies and fissure sealants at school premises. Although, the outcome measures differed across the studies, almost all the caries preventive interventions were cost‐saving or cost‐effective when compared with usual care. Compliance with the CHEERS checklist differed. Conclusions There is evidence to suggest that school‐based caries preventive interventions are cost‐effective, and in some cases cost‐saving. Further evidence is required from low‐ to middle‐income countries to confirm the generalizability of these findings. Future studies should consider adopting Quality Adjusted Life Years as a generic outcome measure that would enable the cost‐effectiveness findings to be compared across different types of interventions and diseases. Improved standardization and quality of reporting are also required.

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Clinical Effectiveness and Cost-Effectiveness of Oral-Health Promotion in Dental Caries Prevention among Children: Systematic Review and Meta-Analysis

Cited by 66 publications

References 28 publications

Tendencia y factores asociados a la frecuencia de cepillado dental en menores de doce años, Perú 2013-2018

Tendencia y factores asociados a la frecuencia de cepillado dental en menores de doce años, Perú 2013-2018

Access to Oral Health Care: A Focus on Dental Caries Treatment Provision in Enugu Nigeria

A scoping review of cost‐effectiveness analyses of school‐based interventions for caries

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