{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T18:03:46Z","timestamp":1788977026739,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Paed Dentistry"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Supervised toothbrushing (STB) significantly reduces the incidence and progression of dental caries. School years present a favorable age for introducing such healthy habits for a lifetime.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To estimate the cost\u2010effectiveness of implementing a STB program in India in preventing dental caries incidence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An operational framework of a national STB program was devised. A mathematical model was then developed to evaluate this program's clinical effectiveness and economic impact in the Indian scenario. This study considered a hypothetical cohort of the Indian population aged from 6 to 75\u2009years. Two groups were compared: no intervention and STB in government schools. The health outcomes assessed were a number of tooth caries incidences averted and quality\u2010adjusted life years gained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The STB program in the government schools of India would prevent at least one tooth from developing caries in an individual's lifetime. Considering the current treatment\u2010seeking behavior, the STB program saves INR 153 (US$ 1.95) per carious tooth incidence averted and INR 22\u2009202 (US$ 283) per QALY gained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In India, the school\u2010based STB program is expected to be a cost\u2010effective strategy for reducing the dental caries burden and its associated treatment costs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ipd.13214","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T03:58:49Z","timestamp":1716955129000},"page":"136-144","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Modeling the cost\u2010effectiveness of school\u2010based supervised toothbrushing program in reducing the dental caries burden in India"],"prefix":"10.1111","volume":"35","author":[{"given":"Shweta","family":"Sharda","sequence":"first","affiliation":[{"name":"Department of Community Medicine and School of Public Health Postgraduate Institute of Medical Education &amp; Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6115-8878","authenticated-orcid":false,"given":"Arpit","family":"Gupta","sequence":"additional","affiliation":[{"name":"Unit of Public Health &amp; Preventive Dentistry, Oral Health Sciences CentreI National Resource Centre for Oral Healthcare of Children &amp; Elderly Postgraduate Institute of Medical Education &amp; Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3787-2446","authenticated-orcid":false,"given":"Gaurav","family":"Jyani","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and School of Public Health Postgraduate Institute of Medical Education &amp; Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7719-6986","authenticated-orcid":false,"given":"Shankar","family":"Prinja","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and School of Public Health Postgraduate Institute of Medical Education &amp; Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashima","family":"Goyal","sequence":"additional","affiliation":[{"name":"Head, Oral Health Sciences Centre Postgraduate Institute of Medical Education &amp; Research  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520908533"},{"issue":"3","key":"e_1_2_10_3_1","first-page":"246","article-title":"Evidence of effectiveness of current therapies to prevent and treat early childhood caries","volume":"37","author":"Twetman S","year":"2015","journal-title":"Pediatr Dent"},{"key":"e_1_2_10_4_1","unstructured":"NicholsZ.Issues of dental health in India.2020. 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