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Oral Health Challenges from Saudi Arabia
Dr. Mohammad Al-Rafee
General Director of Dental ServicesMinistry of Health, Saudi Arabia
Outline:
• Demographic data • Trends in dental caries • Dental Services • Obstacles and Challenges• The way forward
KSA Demographic data (2012)*:
•Kingdom size: 2,250,000 sq. km.
• Population (2012): 29,195,895
• 0-14 years: (31.41 %)• 15-64 years : (65.73 %)• 65 years and over: (2.86 %)
• Annual growth rate : (3.19 %)
• Saudi: (68.4 %) Non-Saudi : (31.6%)
* Source: Central Department Of Statistics & Information, KSA, 2012
Trends in dental caries (KSA):
• 1980s:
- (6-9 years old):
dmft (boys)= 4.14 (girls)= 3.43
- (12 years old):
DMFT (boys)= 1.61 (girls)= 1.68
Source : Al-Shammery AR, Guile EE, el-Backly M. Community Dent Oral Epidemiol. 1990
Trends in dental caries (KSA):
• 1990s:
- (6-7 years old):
dmft = 4.3
- (12-13 years old):
DMFT (rural)= 2.65 (urban)= 2.69
Sources : Alshammery AR, J Public Health Dent. 1999 Oral Health Survey of Saudi Arabia, 1991-1994
Trends in dental caries (KSA):
• 2000s:
- (6-7 years old):
dmft (Riyadh)= 6.53 (Qassem)= 6.35
- (12-13 years old):
DMFT (Riyadh)= 5.06 (Qassem)= 4.53
• Source : Aldosari AM, Akapata ES, Wyne A, Khan N. Study’s Final Report, March 2001
Trends in dental caries (KSA):
• 2000s:
- (6-7 years old):
dmft (Riyadh)= 7.34 (Al Wazzan KA, Saudi Dent. J. 2004)
- (12-13 years old):
DMFT (Riyadh)= 5.94 (Al Sadhan SA, Saudi Dent. J. 2006)
Trends in dental caries (KSA):
0
1
2
3
4
5
6
7
Albaha Aseer Madinah Dammam Jizan Najran
dmft
dmft for 6-7 years old children in six regions of Saudi Arabia
Sugar consumption (per capita):
Country Per capita sugar consumption kilogrammes - raw value (2005)*
KSA 32.9 (was 28.8 in 1991)
*Figures above are for centrifugal sugars (cane and beet sugars) only.
Source: Sugar yearbook 2005, cited in: www.whocollab.od.mah.se/expl/globalsugar.html
Dental Services, MOH, KSA (cont.):
• Manpower (MOH only)
ManpowerYear
2000 2003 2005 2012Dentists 1,255 1,504 1,655 2524
Hygienists 160 248 257 316
Technicians 291 323 486 575
Assistants 238 630 755 1416
Dental Services, MOH, KSA (cont.):
• Total dentists in KSA 10150
• Dentist to population ratio in KSA 1: 2876
Strategic Plan for Dental Services in MOH for the next 10 years
Target Ratio 1 : 2000
Target Total Dentist No. in KSA 13569
Target Dentist No.In MOH (60%)
8141
Current No. of Dentist (MOH) 2524
Shortage in Dentist No.)MOH(
5617
• StaffShortage.
Educational background.
Attitude towards prevention.
Real participation and contribution in
preventive activities.
The way forward:
More investment in prevention.
Evidence-based (effective and efficient).
Thinking Institutionally.