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Teeth

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The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
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A Finite Element Approach for Locating the Center of Resistance of Maxillary Teeth

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Resource Allocation in a National Dental Service Using Program Budgeting Marginal Analysis.

C R Vernazza¹, K Carr¹, R D Holmes¹

¹School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK.

JDR Clinical and Translational Research

|November 30, 2021

Summary

This study applied program budgeting marginal analysis (PBMA) with public willingness to pay (WTP) values to dental resource allocation. Recommendations included investing in general dentistry access and disinvesting in orthodontics and routine scaling.

Keywords:

dental care health economics health policy oral health preference elicitation priority setting

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Area of Science:

Health Economics
Dental Public Health
Resource Allocation

Background:

Healthcare systems face scarce resources requiring strategic allocation.
Program Budgeting Marginal Analysis (PBMA) is an economic framework for resource allocation.
Incorporating patient and public values, like willingness to pay (WTP), into PBMA is novel, especially in dentistry.

Purpose of the Study:

To conduct a PBMA in a national dental setting, integrating public WTP values.
To explore the practical application of PBMA with WTP in dental resource allocation.
To inform decision-making for optimizing dental resource distribution.

Main Methods:

A panel of stakeholders (commissioners, dentists, public health staff, academics) conducted the PBMA.
Services were evaluated against weighted criteria, informed by a national WTP survey.
Decisions on service investment and disinvestment were made via anonymous electronic voting.

Main Results:

Recommended investment in general dentist access, care home dentistry, and dental public health support.
Recommended disinvestment in orthodontics and routine scaling and polishing.
The PBMA process successfully highlighted resource allocation challenges.

Conclusions:

The PBMA process, incorporating WTP, is a viable framework for dental resource allocation.
Implementation of recommendations requires operationalization by decision-makers.
This study provides practical insights for future dental PBMA initiatives.