Reducing the Percentage of Fissure-Filled Teeth Failure among Primary Schoolchildren in Perlis

  • Nuranida Hani Ruslan Kuala Sanglang Dental Clinic, Perlis State Health Department, Ministry of Health Malaysia
  • Nur Izanti Mohd Surat Kangar Dental Clinic, Perlis State Health Department, Ministry of Health Malaysia
  • Anis Ezrina Abdul Rahman Kangar Dental Clinic, Perlis State Health Department, Ministry of Health Malaysia
  • Amalina Mohamed Zakaria Kangar Dental Clinic, Perlis State Health Department, Ministry of Health Malaysia
  • Idham Hafize Supi Arau Dental Clinic, Perlis State Health Department, Ministry of Health Malaysia
  • Husna Hussain Arau Dental Clinic, Perlis State Health Department, Ministry of Health Malaysia
  • Sumaiyyah Md Shukri Arau Dental Clinic, Perlis State Health Department, Ministry of Health Malaysia
  • Mabel Yen Chi Mun State Deputy Director (Dental) Office, Perlis State Health Department, Ministry of Health Malaysia
  • Mohamad Hafizal Harudin Oral Maxillo-facial Surgery Department, Hospital Tuanku Fauziah, Perlis State Health Department, Ministry of Health Malaysia

Abstract

Fissure sealant covers tooth fissures to prevent caries in children. A verification study showed that 84.4% of fissure-filled teeth were failed after six months of application among primary schoolchildren in Perlis. Failure of fissure sealant leads to caries of vulnerable teeth and worsening clinical outcomes. The key indicator for improvement was measured using the percentage of fissure-filled teeth failure after six months of application among primary schoolchildren. A standard of 15% was set based on expert consensus. Data were collected from January 2018 to December 2020 involving three phases: i) verification study, ii) implementation of remedial measures (two cycles) and iii) re-evaluation post-intervention (two cycles). The study population includes primary schoolchildren in Perlis. Data were collated from clinical oral examination and patient records. The pre-remedial study showed that 84.4% of fissure-filled teeth failed after six months of application. Potential contributing factors include improper isolation technique (30.8%), improper material mixing (81.5%), two -handed dentistry practice (30.8%) and incorrect tooth selection (49.2%). Remedial measures include a checklist designed for fissure sealant application procedure, conducting continuous dental education (CDE) with chair-side training on proper sealant application techniques, redistribution of portable suction to the dental school team, and the introduction of our innovative product – a dental suction anchorage instrument (Suction Anchorage Utility Holder – SAUH) to aid in two handed dentistry in a limited-resource setting. The first cycle of evaluation observed a reduction in percentage of fissure-filled teeth failure to 43.1%. Upon implementing the SAUH project and redistribution of portable suction, further reduction to 10.8% was achieved, exceeding the standard set of ≤ 15%. We aim to have our SAUH project replicated at the national level to benefit facilities with limited resources in providing high-quality dental care.

Published
2023-11-20
How to Cite
RUSLAN, Nuranida Hani et al. Reducing the Percentage of Fissure-Filled Teeth Failure among Primary Schoolchildren in Perlis. Q Bulletin, [S.l.], v. 1, n. 32, p. 20-33, nov. 2023. ISSN 2716-6554. Available at: <https://myjms.mohe.gov.my/index.php/qbulletin/article/view/Q%20Bulletin%20Volume%201%2C%20No%2032%2C%20Jan-Dec%202023%2C%20Article%202>. Date accessed: 17 apr. 2024.
Section
Articles

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