Reducing tooth extractions cases at Remera Rukoma DH, dental clinic

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.