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Updated: Jan 14, 2026

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Systems Sciences in Dentistry: A Critical Review.

N Dritsch1,2, C Bedos3, J-N Vergnes1,2,3

  • 1Toulouse University / Dental Department & Toulouse Dental Hospital, Toulouse, France.

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Summary

Systems sciences offer new ways to integrate dentistry into broader health systems, moving beyond isolated views of oral health. This approach helps address population needs and upstream determinants for better public health outcomes.

Keywords:
dental health serviceshealth policyinterdisciplinary communicationoral medicinepublic health dentistrysystems theory

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Area of Science:

  • Public Health
  • Systems Science
  • Dental Research

Background:

  • Global oral disease burdens remain high despite biomedical advances.
  • Current models often lack integration and context-sensitivity.
  • Systems thinking offers a novel approach to dental research and policy.

Purpose of the Study:

  • To assess the relevance of systems sciences in addressing dental health challenges.
  • To analyze the impact of systems approaches on dental science and practice.
  • To identify emerging frameworks and applications in dentistry.

Main Methods:

  • Thematic analysis of existing literature on systems sciences in dentistry.
  • Distinguishing between predictive and relational systems paradigms.
  • Reviewing applications across public health, clinical planning, education, and patient care.

Main Results:

  • Identified emerging conceptual frameworks and practical applications of systems sciences in dentistry.
  • Demonstrated applications in public health, clinical planning, education, environmental strategy, and patient care.
  • Challenged assumptions about oral health as an isolated outcome, the prevention-treatment dichotomy, and the notion of "preventable" oral diseases.

Conclusions:

  • Systems sciences provide tools to reposition dentistry as a contributor to broader health goals.
  • Emphasizes systemic approaches for effective resource allocation and population health improvement.
  • Advocates for integrating systems sciences to achieve coherent, evidence-based, and socially relevant dental health outcomes.