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Browsing by Author "Medina-Solis, Carlo E."
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Item Ecological study on needs and cost of treatment for dental caries in schoolchildren aged 6, 12, and 15 years: Data from a national survey in Mexico(Wolters Kluwer, 2020) Medina-Solis, Carlo E.; Avila-Burgos, Leticia; Borges-Yanez, Socorro A.; Irigoyen-Camacho, Maria E.; Sanchez-Perez, Leonor; Zepeda-Zepeda, Marco A.; Lucas-Rincon, Salvador E.; Medina-Solis, June J.; Marquez-Corona, Maria de L.; Islas-Granillo, Horacio; Casanova-Rosado, Juan F.; Casanova-Rosado, Alejandro J.; Minaya-Sanchez, Mirna; Villalobos-Rodelo, Juan J.; Patino-Marin, Nuria; Mendoza-Rodriguez, Martha; Pontigo-Loyola, America P.; Rosa-Santillana, Ruben de la; Escoffie-Ramierz, Mauricio; Fernandez-Barrera, Miguel A.; Maupome, GerardoTo determine the treatment needs and the care index for dental caries in the primary dentition and permanent dentition of schoolchildren and to quantify the cost of care that would represent the treatment of dental caries in Mexico. A secondary analysis of data from the First National Caries Survey was conducted, which was a cross-sectional study conducted in the 32 states of Mexico. Based on dmft (average number of decayed, extracted, and filled teeth in the primary dentition) and DMFT (average number of decayed, extracted, and filled teeth in permanent dentition) information, a treatment needs index (TNI) and a caries care index (CI) were calculated. At age 6, the TNI for the primary dentition ranged from 81.7% to 99.5% and the CI ranged from 0.5% to 17.6%. In the permanent dentition, the TNI ranged from 58.8% to 100%, and the CI ranged from 0.0% to 41.2%. At age 12, the TNI ranged from 55.4% to 93.4%, and the CI ranged from 6.5% to 43.4%. At age 15, the TNI ranged from 50.4% to 98.4%, and the CI ranged from 1.4% to 48.3%. The total cost of treatment at 6 years of age was estimated to range from a purchasing power parity (PPP) of USD $49.1 to 287.7 million in the primary dentition, and from a PPP of USD $3.7 to 24 million in the permanent dentition. For the treatment of the permanent dentition of 12-year-olds, the PPP ranged from USD $13.3 to 85.4 million. The estimated cost of treatment of the permanent dentition of the 15-year-olds ranged from a PPP of USD $10.9 to 70.3 million. The total estimated cost of caries treatment ranged from a PPP of USD $77.1 to 499.6 million, depending on the type of treatment and provider (public or private). High percentages of TNI for dental caries and low CI values were observed. The estimated costs associated with the treatment for caries have an impact because they represent a considerable percentage of the total health expenditure in Mexico.Item Experience, Prevalence, Need for Treatment and Cost of Care for Caries: A Multicenter Study in a Developing Country(FDI World Dental Press Ltd., 2022-05-27) Lucas-Rincón, Salvador E.; Lara-Carrillo, Edith; Robles-Bermeo, Norma Leticia; Rueda-Ibarra, Vicente; Alonso-Sánchez, Carmen C.; Vázquez-Rodríguez, Sandra B.; Ávila-Burgos, Leticia; Medina-Solis, Carlo E.; Maupomé, GerardoObjective: To assess the experience, prevalence, need for treatment and economic impact of caries among students 6-12 years old in four cities in Mexico. Basic research design: Cross-sectional clinical study. Setting: Elementary public schools. Participants: 500 schoolchildren aged 6 to 12 years. Method: Oral clinical examinations using WHO criteria for caries in the primary (dmft) and permanent (DMFT) dentitions. Main outcome measures: Indicators of caries in the primary and permanent dentitions: experience, prevalence, severity and the Significant Caries Index. In addition, we calculated the treatment needs, dental care rate and cost of care. Results: dmft in the primary dentition was 2.59±2.83, and DMFT was 0.82±1.44 in the permanent dentition. Caries prevalence reached 67.7% in the primary and 34.1% in permanent dentition. The treatment needs index was 85.9% and 91.3% in the primary and permanent dentitions, respectively; the dental care index was 13.9% and 8.5%, respectively. The cost of care for caries in the primary dentition was estimated at $22.087 millions of international dollars (PPP US$) when amalgam was the restorative material used, and PPP US$19.107 millions for glass ionomer. For the permanent dentition, the cost was PPP US$7.431 millions when amalgam was used and PPP US$7.985 millions when resin/composite was used as restorative material. Conclusions: The prevalence and experience of caries in the primary dentition were 50% greater than those of other studies carried out in Mexico. In the permanent dentition they were less. There is considerable need for the treatment of caries and minimal experience with restorative care. The cost of care for caries may be assumed to be high for a health system such as Mexico's.