Abstract:
1.Background
The teeth extraction rate is increasing globally, the common causes of teeth extraction include
dental caries, eruption problems, periodontal diseases, orthodontic treatments and accidents, In
Remera Rukoma DH most of the patients coming for dental services end up getting their teeth
extracted because they come at the latest stage when the possible treatment is teeth extraction, yet
no intervention has been conducted there to decrease such high rate. The rate of tooth extraction
at Remera_Rukoma district Hospital, dental clinic from January to June 2021 were 90% in Remera
Rukoma dh/dental clinic; this problem has been evidential during daily dental activities and data
reviewed in that period.
2.Methods
In the current dissertation, which sought to lower the rate of tooth extraction cases, a pre and post
intervention design was used. Baseline data on the size of the issue served as the basis for
conducting root cause analyses, which identified alternative solutions that were then compared
before interventions were chosen. Using SPSS, the chi-square test was utilized for the analysis
3.Root cause
The main root cause identified include: lack of sufficient knowledge /skills on oral hygiene
practice by patients and provision of oral hygiene /oral health education by health care providers
of health centers under Remera Rukoma DH and delay in transferring dental patients
4.Objective
To decrease tooth extraction rate at Remera- Rukoma District Dental Clinic from 90% to 40 %
from October 2022 to April 2023.
5.RESULTS
During the period of six months (from October 2022 to march 2023) of intervention the rate of
teeth extraction has decreased form 90% in pre_intervention to 67% after intervention. The oral
health education by health care providers has increased from 2% to 81% P-value =0.002 which is
statistically significant, increase of the recommended frequency of brushing among the
participants from 31% to 49% and it is also significant change with p value =0.002 which less than
0.005, consequently there is an increase from 1.4% to 15.6% in restorative treatment provision
with p value = 0.002 therefore it’s a significant change statistically.
6.CONCLUSION AND RECOMMENDATION
The oral health education we conducted in this study helped to reduce the rate of teeth from 90%
to 67%, Though we did not achieve the objective due to time period, we found that the compliance
to the oral health education provision and oral hygiene practices together with earlier transfer of
dental patients to the hospital decreased the rate of teeth extraction practices therefore the null
hypothesis is rejected, We recommend for a longitudinal study for teeth extraction rate at RR DH
after a certain period of time.
