Needs-led human resource planning for Sierra Leone in support of oral health

Table 2 Prediction of treatment required at child and tooth level in 6-,12- and 15-year-olds in Sierra Leone based on dental caries management informed by ICCMS

Dentition	ICCMS¹		Predicted treatment Procedure¹	15-year olds				12-year olds				6-year olds
Dentition	Decay description	Decay (D) code	Predicted treatment Procedure¹	% of children	Mean no. of decayed teeth	No. of children requiring treatment	No. of teeth requiring treatment	% of children	Mean no. of decayed teeth	No. of children requiring treatment	No. of teeth requiring treatment	% of children	Mean no. of decayed teeth	No. of children requiring treatment	No. of teeth requiring treatment
Primary	Extensive decay into dentine	D6	Tooth extraction									14%	2.02	31,044	62,709
	Distinct decay into dentine	D5	Tooth extraction									24%	1.99	53,218	105,904
	Underlying dentinalshadowing	D4	Atraumatic restorative treatment (ART)									50%	2.33	110,872	258,331
	Slight enamel breakdown	D3	Atraumatic restorative treatment (ART)									66%	3.03	146,350	443,442
Permanent	Extensive decay into dentine	D6	Tooth extraction	17%	1.76	29,703	52,277	11%	1.31	18,640	24,419	1%	1.2	2,217	2,661
	Distinct decay into dentine	D5	Tooth filling	19%	1.46	33,198	48,468	14%	1.5	23,724	35,824	2%	1.0	4,435	4,435
	Underlying dentinal shadowing	D4	Tooth filling	50%	2.40	87,362	209,669	40%	2.45	67,783	166,069	13%	1.46	28,827	42,087
	Slight enamel breakdown	D3	ART	75%	3.85	131,043	504,516	63%	3.78	106,759	403,548	45%	1.80	99,784	179,612
	Visual change in enamel	D2	Prevention (Fluoride varnish)	54%	–	–	–	51%	–	–	–	28%	–	–	–
	No decay	D0	Prevention (Fluoride varnish)	6%	–	–	–	9%	–	–	–	36%	–	–	–
Total						174,724⁴	814,930³			169,458⁴	629,860³			221,743⁴	1,099,180³

^{1, 2}Informed by an advisory panel on relevant care in LIC consisting of members from the ICCMS, KCL in the UK and COMAHS in SL; and Ref. [40]
³Total number of teeth requiring treatment with ICCMS decay codes from 3 to 6. Teeth with decay code 2 are excluded as treatment recommended is only preventative which is recommend for all children
⁴Total children in each of the three key age groups estimated from—Statistics Sierra Leone. 2015 Population and Housing Census. [Available from: https://www.statistics.sl/images/StatisticsSL/Documents/Census/2015/sl_2015_phc_thematic_report_on_pop_structure_and_pop_distribution.pdf. Accessed 15 Feb 2017]

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