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Oral Health Challenges from Saudi Arabia. Dr. Mohammad Al- Rafee General Director of Dental Services Ministry of Health, Saudi Arabia. Outline :. Demographic data Trends in dental caries Dental Services Obstacles and Challenges The way forward. KSA Demographic data (201 2 )* :.
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Oral Health Challenges from Saudi Arabia Dr. Mohammad Al-RafeeGeneral Director of Dental ServicesMinistry of Health, Saudi Arabia
Outline: Demographicdata Trends in dental caries Dental Services Obstacles and Challenges The wayforward
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 %) • Annualgrowth 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 yearsold): dmft (boys)= 4.14 (girls)= 3.43 - (12 yearsold): 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 yearsold): dmft = 4.3 - (12-13 yearsold): 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 yearsold): dmft (Riyadh)= 6.53 (Qassem)= 6.35 - (12-13 yearsold): 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 yearsold): dmft (Riyadh)= 7.34 (Al Wazzan KA, Saudi Dent. J. 2004) - (12-13 yearsold): DMFT (Riyadh)= 5.94 (Al Sadhan SA, Saudi Dent. J. 2006)
Trends in dental caries (KSA): dmft for 6-7 years old children in six regions of Saudi Arabia
Sugarconsumption (per capita): *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)
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
Nature of the problem: • Dental caries – Irrevesable damages • Prevention - Humanbehavior
Kingdomdiversity. 1400 Km 1800 Km
No. Of cities and villages 245 (> 5000 inhabitants)
Staff • Shortage. • Educational background. • Attitude towardsprevention. • Real participation and contribution in preventiveactivities.
Decisionmakers • THE NEGLECTED EPIDEMIC: Oral Diseases • Local and International Organisations
Funding: • (Towardprevention)
The wayforward: • More investment in prevention. • Evidence-based (effective and efficient). • Thinking Institutionally.
Water Fluoridation • School Programs • SealSaudiArabia!!