Evaluation of Demands and Needs For Dental Care in a Sample of the Turkish Population

Objectives: To evaluate the demands and needs for dental care and to identify the level of dental and periodontal status in patients of different age groups visiting the Faculty of Dentistry, Marmara University, Istanbul, Turkey.

Methods: A total of 1000 first-visit patients (517 female and 483 male) were examined and questioned. The main complaint of each patient was recorded and considered to be a measure of demand for dental care. The World Health Organization’s (WHO) basic methods were used to determine the tooth-based and orthodontic normative treatment needs. Periodontal status was determined by using the Community Periodontal Index of Treatment Needs (CPITN). In addition, prosthetic normative needs were assessed.

Results: This study showed that patients in different age groups required different treatments and had different main complaints. In total, 89.3, 74.1 and 57.7% of the patients named periodontal, restorative and prosthetic care as their main complaint, respectively. Approximately 21% of the total did not need restorations and extractions, and only 12% of the sample did not have a normative periodontal treatment need. About half of subjects needed fixed partial dentures.

Conclusions: Normative treatment needs of patients were very high. Therefore, a new national strategy for oral health must be devised for Turkey. This study can assist in setting the baseline for that strategy. (Eur J Dent 2010;4:143-149)

Keywords

Oral hygiene - Periodontal status - Dental treatment demands - Treatment needs

• References

• 1 Montal S, Tramini P, Triay JA, Valcarcel J. Oral hygiene and the need for treatment of the dependent institutionalised elderly. Gerodontology 2006; 23: 67-72
• 2 Hawkins RJ, Main PA, Locker D. Oral health status and needs of Canadian adults aged 85 years and over. Spec Care Dentist 1998; 18: 164-169
• 3 Petersen PE, Razanamihaja N. Oral health status of children and adults in Madagascar. Int Dent J 1996; 46: 41-47
• 4 Petersen PE, Kjøller M, Christensen LB, Krustrup U. Changing dentate status of adults, use of dental services, and achievement of national dental health goals in Denmark by the year 2000. J Public Health Dent 2004; 64: 127-135
• 5 Krustrup U, Erik Petersen P. Periodontal conditions in 35-44 and 65-74-year-old adults in Denmark. Acta Odontol Scand 2006; 64: 65-73
• 6 Carter G, Lee M, McKelvey V, Sourial A, Halliwell R, Livingston M. Oral health status and oral treatment needs of dependent elderly people in Christchurch. N Z Med J 2004; 21 1194 117 U892. (Abst)
• 7 Lin HC, Wong MC, Wang ZJ, Lo EC. Oral health knowledge, attitudes and practices of Chinese adults. J Dent Res 2001; 80: 1466-1470
• 8 Petersen PE, Aleksejuniene J, Christensen LB, Eriksen HM, Kalo I. Oral health behavior and attitudes of adults in Lithuania. Acta Odontol Scand 2000; 58: 243-248
• 9 Heft MW, Gilbert GH, Shelton BJ, Duncan RP. Relationship of dental status, sociodemographic status, and oral symptoms to perceived need for dental care. Community Dent Oral Epidemiol 2003; 31: 351-360
• 10 Kulak-Ozkan Y, Ozkan Y, Kazazoglu E, Arikan A. Dental caries prevalence, tooth brushing and periodontal status in 150 young people in Istanbul: A pilot study. Int Dent J 2001; 51: 451-456
• 11 Saydam G, Oktay I, Moller I. Oral health in Turkey-Situation analysis. Report sponsored by Minister of Health and WHO Regional Office for Europe. Seçil Ofset; Istanbul: 1990
• 12 Saydam G, Oktay I. Periodontal health status and treatment needs for index age groups in Turkey based on CPITN values. J Nihon Univ Sch Dent 1991; 33: 147-151
• 13 Pekiner FN, Erçalýk Þ, Dumlu A, Fiþekçioðlu E, Çanakçý E, Gümrü B. A comparison of treatments applied before and treatments required in groups of different ages. J Selcuk Univ Dent Fac 2001; 11: 98-101
• 14 Ekanayake L, Weerasekare C, Ekanayake N. Needs and demands for dental care in patients attending the University Dental Hospital in Sri Lanka. Int Dent J 2001; 51: 67-72
• 15 Bradshaw JS. A taxonomy of social need. In: Problems and progress in medical care. McLachlan G. Editor London: Oxford University Press; 1972: p. 69-82 (Series 7)
• 16 World Health Organization. Oral Health Surveys, Basic Methods. 4th ed. Geneva: WHO; 1997
• 17 Cutress TW, Ainamo J, Sardo-Infirri J. The community periodontal index of treatment needs (CPITN) procedure for population groups and individuals. Int Dent J 1987; 37: 222-233
• 18 Kayser AF, Witter DJ. Oral functional needs and its consequences for dentulous older people. Community Dent Health 1985; 2: 285-291
• 19 Razak IA, Jaafar N. Dental needs, demands and patterns of service utilization in a selected Malaysian urban population. Community Dent Oral Epidemiol 1987; 15: 188-191
• 20 Warnakulasuriya S. Demand for dental care in Sri Lanka. Community Dent Oral Epidemiol 1985; 13: 68-69
• 21 Matee M, Nquvumali H, Lembariti B, Kalyanyama B, Shubi F, Scheutz F. HIV infection, dental treatment demands and needs among patients seeking dental services at the Muhimbili Medical Centre in Dar-es-Salaam, Tanzania. Int Dent J 1999; 49: 153-158
• 22 Robinson PG, Nadanovsky P, Sheiham A. Can questionnaires replace clinical surveys to assess dental treatment needs of adults?. J Public Health Dent 1998; 58: 250-253
• 23 Paik DI, Moon HS, Horowitz AM, Gift HC, Jeong KL, Suh SS. Knowledge of and practices related to caries prevention among Koreans. J Public Health Dent 1994; 54: 205-210