Isplativost prevencije karijesa u dječjoj dobi

professional thesis

• Title (english): Cost-effective analysis of caries preventionin children
• Author: Marina Adriana Ježina Bušelić
• Mentor: Ranko Stevanović (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2015-11-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Children's and Preventive Dental Medicine

Abstract

Karijes je kronična, višečimbenično uzrokovana bakterijska infekcija koja rezultira deterioracijom zuba. Najraširenija je bolest civilizacije kojom je zahvaćeno 90% stanovništva. Cilj rada je utvrditi razliku u oralnom zdravlju djece koja su uključena u preventivni stomatološki program i djece koja nisu uključena u preventivni program, te izraditi ekonomsku analizu troška i koristi prevencije postupka pečaćenja fisura.
U istraživanje je uključeno 220 djece dobi 3-6 godina, te 150 djece dobi 7-14 godina iz privatne stomatološke ordinacije koja provodi preventivni program, te 220 djece iz dječjih vrtića i 150 djece iz osnovne škole iste dobi koji su činili kontrolnu skupinu. Klinički pregled uključivao je evaluaciju karijesnog statusa prema standardima Svjetske zdravstvene organizacije i određivanje KEP indeksa.
Prosječni KEP indeks u istraživanoj skupini djece u dobi od 3-6 godina je 2,21; dok u kontrolnoj skupini iznosi 6,08. Prosječni KEP indeks u djece 7-14 godina je 1,86; dok u kontrolnoj skupini iznosi 4,81. Analiza isplativosti prevencije karijesa pokazuje da bi se na jednom mliječnom zubu djeteta stavljanjem pečata uštedjelo 63 kn i to u najjednostavnijem slučaju običnog ispuna (za vremensko razdoblje od 7 godina).
Pojavnost karijesa i KEP indeks značajno su niži u djece uključene u preventivni program. Ulaganja u preventivni postupak su višestruko isplativija od troška sanacije karijesa kod preventivno netretiranih zubi.

Abstract (english)

Dental caries is a chronic, multifactorial bacterial infection that results in deterioration of teeth. It is the most widespread disease of civilization which affects 90% of the population. The aim of this study was to determine the difference in the oral health of children who are involved in preventive dental programs and children who are not included in the prevention program, and to perform cost-benefit analysis of the fissure sealant procedure.
The study included 220 children aged 3-6 years and 150 children aged 7-14 years from a private dental practice which conducts prevention programs and 220 children from nursery schools and 150 primary school children of the same age as the control group. Clinical examination included the evaluation of caries status by the standards of the World Health Organization and calculation of DMFT index.
The mean DMFT index for children 3-6 years was 2.21, while in the control group was 6.08. Mean DMFT index for children 7-14 years was 1.86, while in the control group was 4.81. Caries prevention cost-benefit analysis shows that sealing of a deciduous tooth saved 63 HRK per tooth in its simplest and most common case of filling (for a period of 7 years).
The prevalence of dental caries and DMFT index were significantly lower in the children involved in the prevention program. Investments in prevention treatment are more cost effective than cost of treatment of caries on teeth that were untreated.

• Keywords: karijes; oralno zdravlje djece; preventivni program; KEP indeks
• Keywords (english): dental caries; oral health of children; prevention program; DMFT index
• Language: croatian
• URN:NBN: urn:nbn:hr:105:300858
• Study programme: Title: Leadership and management of health services; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra menadžmenta u zdravstvu (sveučilišni/a magistar/magistra menadžmenta u zdravstvu)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2020-08-21 07:59:16