PROF. VLADIMER MARGVELASHVILI, DDS, MSC, PHD HEAD DEPARTMENT OF DENTISTRY AND MAXILLO- FACIAL...
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Transcript of PROF. VLADIMER MARGVELASHVILI, DDS, MSC, PHD HEAD DEPARTMENT OF DENTISTRY AND MAXILLO- FACIAL...
PROF. VLADIMER MARGVELASHVILI, DDS, MSC, PHD
HEADDEPARTMENT OF DENTISTRY AND MAXILLO-FACIAL
SURGERYTBILISI STATE UNIVERSITY
Oral Health Status and the challenges of preventive
measures in the country of Georgia
Introduction
Region of Caucasus69 700 km 2
Part of the Soviet Union from1921 until 1991Republic of Georgia
Introduction
Population is 4 632 23052.21% are female and 47.79% are male55.25% is in urban and 44.75% in rural areas
Health Insurance
Georgia oral health is almost exclusively provided on a private basis and is not funded by the State
Government covers only urgent medical services
- Children up to one year - people with disabilities - pregnant women - military personnel - pensioners
Oral Health Education
No state oral health education programsSince 2006 Colgate-Palmolive program
“Bright Smile Bright Future”
- 70 000 first and second grade (6 and 7 years old) school children
- Around 70% were from the capital, and 30% from the regions
Dental Workforce
8423 dentists (2012 data)Ratio of population per dentist is 55065% female and 35% male
Margvelashvili M et al. 2013
Dental Workforce
Sub-Specialty Number of Dentists
Pedodontics 328
Pedodontic surgical dentistry 125
Therapeutic dentistry (conservative dentistry,
endodontics, periodontology)
5781
Prosthetic dentistry 813
Surgical dentistry 1244
Orthodontics 97
Maxilla-facial surgery 35
Continuing education programs are not mandatory
Margvelashvili M et al. 2013
Dental Education
11 dental schools5 years of studies600 graduates per year (over production)Residency programs are mandatory450 graduated dentists enter residency
program per year
Margvelashvili M et al. 2013
Epidemiology
No comprehensive epidemiological studies 1985-2012
In 2012 a national epidemiological survey was conducted
Fourth edition of "Oral Health Surveys - Basic methods," Geneva 1997
Caries Experience
1052 children were examined
Caries Experience
Age Group dmf DMF Caries Free
First Grade (5-6 years)
4.4 0.04 68 (16.83%)
Seventh Grade (12 years)
1.81 113 (33.83%)
Tenth Grade (15 years)
3.19 64 (20.44%)
Perio Status
314 tenth grade (15 years old) children were examined
- Plaque - Calculus - Bleeding on prbing
Perio Status
Perio Status
Conclusion
Caries experience as well as periodontal diseases seem to be prevalent in Georgia
Assessment of potential associations with independent variables (diet, fluoride, oral hygiene, socio-economic status, dental treatment, etc.) are warranted
It is planned to start education and prevention programs in order to improve the oral health status of Georgian children.
Georgian Stomatological Association
Working in direction of preventive dentistry
GSA annual dental congress since 2005FDI continuing education program dental
conference “Dental Tbilisoba” since 2007
Thank you