Abstract
Introduction: Dental caries is a preventable, multifactorial, biofilm-mediated, diet-modulated and dynamic disease. This non-communicable disease results in a net-mineral loss of dental hard tissue which affects most of the population across their lifespan. According to the Global Burden of Disease Study 2019, untreated dental caries in permanent teeth is the most prevalent health condition. The 12-year-old is the most common indicator age group used by the World Health Organization (WHO) to assess oral health status. The National Oral Health Survey of Schoolchildren 2017 (NOHSS 2017) reported caries prevalence and caries experience (mean DMFT) of 12-year-olds in Sarawak state were 49.7% and 1.35 respectively. However, oral health status of each administrative division and district in Sarawak was not reported. This data is important for evidence-informed planning of school oral health services for the biggest state in Malaysia, Sarawak. The land size of Sarawak is comparable with the Peninsular Malaysia. Based on the NOHSS 2017 findings, it can be inferred that the oral health status of school children in Sarikei Division was poor compared to districts in more developed states. The objectives of this study were to determine the trend of caries prevalence, caries severity and treatment needs of 12-year-old school children in Sarikei Division, Sarawak from 2015 to 2019.
Methods: This was a cross-sectional study involving 12-year-old school children enrolled in 110 primary schools under the purview of Ministry of Education Malaysia (MOE) from 2015 to 2019 who were covered under the MOH comprehensive incremental oral health care. Data was extracted from the Health Information Management System (HIMS) - Oral Health Sub-System. The diagnosis and reporting of dental caries status were in accordance with the WHO criteria using the decayed-missing-filled teeth (DMFT) index.
Results: This study involved 9736 12-year-old school children. There was a slight downward trend of dental caries prevalence of 12-year-old school children over a five-year period, from 38.3% (2015) to 35.8% (2019), despite a sharp increase in 2016 (51.3%). However, dental caries experience demonstrated an increasing trend from 0.89 in 2015 to 0.98 in 2018 before a marked decline to 0.86 in 2019. Dental caries treatment needs based on mean decayed teeth (mean D) showed static trend from 0.20 (2015) to 0.19 (2019).
Discussion / Conclusion: Despite nearly all school children in Sarikei Division were rendered comprehensive incremental oral healthcare annually since enrolment to primary education at 6-year-old, almost half of them did not remain caries free. The analysis of dental caries prevalence and dental caries severity is crucial in restrategizing the preventive and curative approach of comprehensive incremental oral health care among school children in Sarikei division. The oral health status among 12-year-old is important as a baseline for future projection of prevalence of dental caries among the adult population. In conclusion, future 'upstream ' action and multisectoral collaboration are needed to reduce the dental caries burden and improving the oral health status to a higher level to get the best buys for oral health.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-O-61.pdf
- https://apcph.cphm.my/events/oral-session-3-ballroom-C/
BibTeX (Download)
@proceedings{APCPH2022-O-61,
title = {Trends of Dental Caries Status of 12-Year-Old School Children in Sarikei Division, Sarawak 2015-2019},
author = {Bibiana Yong Hui Ying and Hwang Yew Lang and Hassmah Morsili and Emmanuel Joseph Fong Tsung and Wong Siong Ting},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-O-61.pdf
https://apcph.cphm.my/events/oral-session-3-ballroom-C/},
year = {2022},
date = {2022-08-01},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: Dental caries is a preventable, multifactorial, biofilm-mediated, diet-modulated and dynamic disease. This non-communicable disease results in a net-mineral loss of dental hard tissue which affects most of the population across their lifespan. According to the Global Burden of Disease Study 2019, untreated dental caries in permanent teeth is the most prevalent health condition. The 12-year-old is the most common indicator age group used by the World Health Organization (WHO) to assess oral health status. The National Oral Health Survey of Schoolchildren 2017 (NOHSS 2017) reported caries prevalence and caries experience (mean DMFT) of 12-year-olds in Sarawak state were 49.7% and 1.35 respectively. However, oral health status of each administrative division and district in Sarawak was not reported. This data is important for evidence-informed planning of school oral health services for the biggest state in Malaysia, Sarawak. The land size of Sarawak is comparable with the Peninsular Malaysia. Based on the NOHSS 2017 findings, it can be inferred that the oral health status of school children in Sarikei Division was poor compared to districts in more developed states. The objectives of this study were to determine the trend of caries prevalence, caries severity and treatment needs of 12-year-old school children in Sarikei Division, Sarawak from 2015 to 2019.
Methods: This was a cross-sectional study involving 12-year-old school children enrolled in 110 primary schools under the purview of Ministry of Education Malaysia (MOE) from 2015 to 2019 who were covered under the MOH comprehensive incremental oral health care. Data was extracted from the Health Information Management System (HIMS) - Oral Health Sub-System. The diagnosis and reporting of dental caries status were in accordance with the WHO criteria using the decayed-missing-filled teeth (DMFT) index.
Results: This study involved 9736 12-year-old school children. There was a slight downward trend of dental caries prevalence of 12-year-old school children over a five-year period, from 38.3% (2015) to 35.8% (2019), despite a sharp increase in 2016 (51.3%). However, dental caries experience demonstrated an increasing trend from 0.89 in 2015 to 0.98 in 2018 before a marked decline to 0.86 in 2019. Dental caries treatment needs based on mean decayed teeth (mean D) showed static trend from 0.20 (2015) to 0.19 (2019).
Discussion / Conclusion: Despite nearly all school children in Sarikei Division were rendered comprehensive incremental oral healthcare annually since enrolment to primary education at 6-year-old, almost half of them did not remain caries free. The analysis of dental caries prevalence and dental caries severity is crucial in restrategizing the preventive and curative approach of comprehensive incremental oral health care among school children in Sarikei division. The oral health status among 12-year-old is important as a baseline for future projection of prevalence of dental caries among the adult population. In conclusion, future 'upstream ' action and multisectoral collaboration are needed to reduce the dental caries burden and improving the oral health status to a higher level to get the best buys for oral health.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: ORAL PRESENTATION; Organisation: Sarikei Divisional Dental Office, Ministry of Health Malaysia; Sarikei Divisional Health Office, MInistry of Health Malaysia; Sibu Divisional Dental Office, Ministry of Health Malaysia},
keywords = {},
pubstate = {published},
tppubtype = {proceedings}
}