Oral Health Status of elementary school aged children in Rawalpindi, Islamabad, Pakistan: Oral Health Status of Elementary School Aged Children

Muhammad  Farrukh Habib; Ayesha  Pervaiz; Muhammad  Shanzar Butt; Asad  Ali Khan; Hafiz  Muhammad Numan; Rizwana  Rafique

doi:10.54393/pjhs.v4i03.610

Authors

Muhammad Farrukh Habib Department of Public Health, Al Hamd Islamic University, Islamabad, Pakistan
Ayesha Pervaiz Armed Forces Institute of Dentistry, Rawalpindi, Pakistan
Muhammad Shanzar Butt Islamic International Dental Hospital, Islamabad, Pakistan
Asad Ali Khan Armed Forces Institute of Pathology, Rawalpindi, Pakistan
Hafiz Muhammad Numan Government Allied Hospital, Faisalabad, Pakistan
Rizwana Rafique THQ Hospital, Chichawatni, District Sahiwal, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i03.610

Keywords:

Oral Health Status, Oral Health Practices, Elementary School Children, DMFT Index, CPITN Index

Abstract

Dental caries among Pakistani’s school children continue to increase. To identify treatment needs, current epidemiologic data are needed. Such statistics are currently not available for elementary school children. Objectives: To determine the oral status of school children using Decayed, Missed, Filled, Teeth index. To identify treatment need by using Community Periodontal Index of Treatment Needs index. Methods: An analytical cross-sectional study was performed on 385 elementary school children aged between 13 to 17 years. A simple random sampling method was performed. The participants were both from government and private schools of Rawalpindi, Islamabad, Pakistan. Data were collected by modified WHO questionnaire. Oral examinations were performed in accordance to WHO guidelines. After taking permission from school, informed consent from parents, and assent from students, oral examinations were done by undergraduate and DMFT and CPITN index were assessed. Results: Mean DMFT and CPITN score among school children came 1.17±2.182 and 1.04±0.910 respectively. More than a one-third of the elementary school students needed high level dental care. Conclusions: Oral health status of elementary school aged children is relatively unsatisfactory. There is a need to introduce dental camps and oral hygiene awareness programs in educational settings.

References

Worldometer. Pakistan Population. 2022. [Last cited: 20th Nov 2022]. Available at: https://www.worldometers.info/world-population/pakistan-population/.

Khan AA, Sharea I, Ayma S, Ambreena Q, Inayatullah P, Sofia S. Oral health in Pakistan: a situation analysis. Developmental Dentistry. 2004 Feb; 5(2): 35-44.

World Health Organization. Global Burden of Diseases, Oral Health. 2019. [Last cited: 20th Nov 2022]. Available at: https://www.who.int/health-topics/oral-health/#tab=tab_1.

Central Asia Institute. Pakistan Facts and Figures. 2018. [Last cited: 20th Nov 2022]. Available at: https://centralasiainstitute.org/pakistan-facts-and-figures/.

Ahmed S, Haider SM, Bokhari S. Prevalence of oral diseases in pediatric population in Karachi, Pakistan-a cross-sectional survey. Journal of Dental Health, Oral Disorders & Therapy. 2017 Jan; 6(1): 00189. doi: 10.15406/jdhodt.2017.06.00189.

Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bulletin of the World Health Organization. 2005 Sep; 83(9): 661-9.

Haleem A, Khan MK, Sufia S, Chaudhry S, Siddiqui MI, Khan AA. The role of repetition and reinforcement in school-based oral health education-a cluster randomized controlled trial. BMC Public Health. 2015 Dec; 16(1): 1-10. doi: 10.1186/s12889-015-2676-3.

Chowdary V and Padmavathi K. Oral Health Education in Schools. Annals and Essences of Dentistry. 2010 Oct; 2(4): 144-7. doi: 10.5368/aedj.2010.2.4.144-147.pdf.

Almas K, Bulman JS, Newman HN. Assessment of periodontal status with CPITN and conventional periodontal indices. Journal of Clinical Periodontology. 1991 Oct; 18(9): 654-9. doi: 10.1111/j.1600-051X.1991.tb00106.x.

Mohiuddin S, Nisar N, Dawani N. Dental caries status among 6 and 12 years old school children of Karachi city. Journal of Pakistan Dental Association. 2015 Jan; 24(1): 39-45.

Haleem A and Khan AA. Dental caries and oral hygiene status of 12 years old school children in Pakistan. Pakistan Journal of Medical Research. 2001 Dec; 40(4): 138-42.

Batra M, Pirvani M, Shah AF, Gupta M. Oral Health Disparities among 12–15 Years Children of India and Pakistan-A Cross Border Comparison. Journal of Pakistan Dental Association. 2014 Oct; 23(04): 170.

Skafida V and Chambers S. Positive association between sugar consumption and dental decay prevalence independent of oral hygiene in pre-school children: a longitudinal prospective study. Journal of Public Health. 2018 Sep; 40(3): e275-83. doi: 10.1093/pubmed/fdx184.

Simon C, Tesfaye F, Berhane Y. Assessment of the oral health status of school children in Addis Ababa. Ethiopian Medical Journal. 2003 Jul; 41(3): 245-56.

Soumya SG, Shashibhushan KK, Pradeep MC, Babaji P, Reddy VR. Evaluation of oral health status among 5-15-Year-old School Children in Shimoga City, Karnataka, India: a cross-sectional study. Journal of Clinical and Diagnostic Research: JCDR. 2017 Jul; 11(7): ZC42. doi: 10.7860/JCDR/2017/24879.10185.

Cheng YH, Liao Y, Chen DY, Wang Y, Wu Y. Prevalence of dental caries and its association with body mass index among school-age children in Shenzhen, China. BMC Oral Health. 2019 Dec; 19: 1-9. doi: 10.1186/s12903-019-0950-y.

Kuntz B, Rattay P, Poethko-Müller C, Thamm R, Hölling H, Lampert T. Social inequalities in health of children and adolescents in Germany. Results of the cross-sectional KiGGS Wave 2 study. Journal of Health Monitoring. 2018 Sep; 3(3): 17-32. doi: 10.17886/RKI-GBE-2018-083.

Lawal FB, Fagbule OF, Akinloye SJ, Lawal TA, Oke GA. Impact of oral hygiene habits on oral health-related quality of life of in-school adolescents in Ibadan, Nigeria. Frontiers in Oral Health. 2022 Sep; 3: 979674. doi: 10.3389/froh.2022.979674.

Farsi JM, Farghaly MM, Farsi N. Oral health knowledge, attitude and behaviour among Saudi school students in Jeddah city. Journal of Dentistry. 2004 Jan; 32(1): 47-53. doi: 10.1016/j.jdent.2003.08.002.

Osadolor OO and Iwuoha CE. Oral hygiene status of primary school children. International Journal of Dentistry Research. 2019; 4(3): 4104-7. doi: 10.31254/dentistry.2019.4304.

Abuhaloob L and Petersen PE. Oral health status among children and adolescents in governmental and private schools of the Palestinian territories. International Dental Journal. 2018 Apr; 68(2): 105-12. doi: 10.1111/idj.12345.

Gerreth K, Ari T, Bednarz W, Nowicki M, Borysewicz-Lewicka M. Dental health status and oral health care in nursery school-aged children and their parents living in Poznan (Poland). Medical Principles and Practice. 2019 Sep; 29(3): 211-8. doi: 10.1159/000503333.

Batwala B, Mulogo EM, Arubaku W. Oral health status of school children in Mbarara, Uganda. African Health Sciences. 2007 Dec; 7(4): 232-238.

de Almeida CM, Petersen PE, André SJ, Toscano A. Changing oral health status of 6-and 12-year-old schoolchildren in Portugal. Community Dental Health. 2003 Dec; 20(4): 211-6.

Oyedele TA, Folayan MO, Chukwumah NM, Onyejaka NK. Social predictors of oral hygiene status in school children from suburban Nigeria. Brazilian Oral Research. 2019 Jul; 33: 1-9. doi: 10.1590/1807-3107bor-2019.vol33.0022erratum.