AVAILABILITY OF PREVENTIVE DENTAL SERVICES TO PRESCHOOL AND SCHOOL CHILDREN WITHIN THE PUBLIC HEALTH SECTOR IN THE CANTON OF SARAJEVO

DOSTUPNOST PREVENTIVNIH STOMATOLOŠKIH USLUGA ZA PREDŠKOLSKU I ŠKOLSKU DJECU U JAVNIM USTANOVAMA NA PODRUČJU KANTONA SARAJEVO

  • Amela Brčkalija Public institution Primary Healthcare Center of Canton Sarajevo, Organizational unit PHC Stari grad Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Amer Ovčina University of Sarajevo - Faculty of Health Studies Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Aida Ramić-Čatak University of Sarajevo - Faculty of Health Studies Sarajevo, Sarajevo, Bosnia and Herzegovina; Institute for Public Health of the Federation of Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina
  • Zarema Obradović University of Sarajevo - Faculty of Health Studies Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Šeila Cilović-Lagarija Institute for Public Health of the Federation of Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina
  • Adis Hrvačić Institute for Public Health of the Central Bosnian Canton, Travnik, Bosnia and Herzegovina
  • Maja Pločo "Vitez" University, Vitez, Bosnia and Herzegovina
Keywords: preventive dental services, preschool children, school children, Canton of Sarajevo

Abstract


Introduction: Oral health is a segment of general human health reflected in the condition of oral tissues, which contributes to overall physical, psychological and social well-being, enabling people to eat, communicate and participate in social life without discomfort, inconvenience or stress. This study aims to determine the frequency of conducting regular oral and dental examinations in early childhood, the practice of parents/guardians in the process of preserving children's oral health, as well as the satisfaction with the services provided.

Materials and methods: The study was conducted as a cross-sectional, descriptive and comparative study at the Primary Healthcare Center of the Canton of Sarajevo. Heads of dental services and service users were the respondents of the study. The study included five heads of dental services and 209 parents who participated via an online Google forms survey that was based on an original questionnaire designed by the study authors.

Results: The availability of dental health care is at a high level according to parents, and it is was determined to be available in 139 or 66.5% of cases. Only 24 or 11.7% of respondents stated that they do not have access to dental health care. Most parents stated that they did not have to wait for a dental examination for their children and that they were satisfied with the accessibility of the staff, giving a high score of 4.14±1.21 on a scale of 1 to 5.

Conclusion: Based on the results of the study, we were able to prove that quality and safe preventive dental care for preschool and school children in the public health sector is provided in the Canton of Sarajevo. Most parents stated that they were satisfied with the professionalism, work and accessibility of the staff.

References

Ahmić, A. Uvod u stomatologiju s historijom i etikom. Univerzitet u Sarajevu. Sarajevo. 2018.

Ivanković A, Rebac Z. Financing of dental health care in the Federation of Bosnia and Herzegovina. Croat Med J. 1999 Jun;40(2):166-74.

Bajrić E, Kobašlija S, Huseinbegović A, Zukanović A, Marković N, Selimović-Dragaš M, et al. Predictors of dental fear and anxiety in 9-12-year-old children in Bosnia and Herzegovina. Acta Stomatol Croat. 2022 Sep;56(3):246-56. doi: 10.15644/asc56/3/3.

Muratbegovic A, Markovic N, Ganibegovic Selimovic M. Molar incisor hypomineralisation in Bosnia and Herzegovina: aetiology and clinical consequences in medium caries activity population. Eur Arch Paediatr Dent. 2007 Dec;8(4):189-94. doi: 10.1007/BF03262595.

Bajrić E, Arslanagić A, Zukanović A, Duratbegović D, Šačić-Selmanović L, Katana E, et al. Dental caries experience in children in public kindergartens of Sarajevo, Bosnia and Herzegovina. Acta Stomatol Croat. 2023 Mar;57(1):32-42. doi: 10.15644/asc57/1/4.

Hraste J, Gržić R. Uvod u stomatologiju. Sveučilište u Rijeci. Medicinski fakultet. Rijeka. 2006.

Karamehmedovic E, Bajric E, Virtanen JI. Oral health behaviour of nine-year-old children and their parents in Sarajevo. Int J Environ Res Public Health. 2021 Mar 21;18(6):3235. doi: 10.3390/ijerph18063235.

Welbury RR, Duggal MS, Hosey MT. Paediatric Dentistry. Oxford: Oxford University Press. 2005.

Brčić Lj. Upravljanje kvalitetom u preventivnoj stomatološkoj djelatnosti na nivou Općine Livno. Završni rad. Sveučilište/Univerzitet „Vitez“ u Travniku. Vitez. 2021.

Vozza I, Capasso F, Calcagnile F, Anelli A, Corridore D, Ferrara C, et al. School-age dental screening: oral health and eating habits. Clin Ter. 2019 Jan-Feb;170(1):e36-40. doi: 10.7417/CT.2019.2105.

Khan MW, Cruz de Jesus V, Mittermuller BA, Sareen S, Lee V, Schroth RJ, et al. Role of socioeconomic factors and interkingdom crosstalk in the dental plaque microbiome in early childhood caries. Cell Rep. 2024 Aug 27;43(8):114635. doi: 10.1016/j.celrep.2024.114635.

Huebner CE, Milgrom P. Evaluation of a parent-designed programme to support tooth brushing of infants and young children. Int J Dent Hyg. 2015 Feb;13(1):65-73. doi: 10.1111/idh.12100.

Šačić L, Marković N, Arslanagić Muratbegović A, Zukanović A, Kobašlija S. The prevalence and severity of early childhood caries in preschool children in the Federation of Bosnia and Herzegovina. Acta Med Acad. 2016 May;45(1):19-25. doi: 10.5644/ama2006-124.152.

Heller LS, Pithavadian R, Micheal S, Chandio N, Sanagavarapu P, Parmar J, et al. Parental perceptions of an oral health promotion program in early childhood education and care settings: A qualitative study. J Public Health Dent. 2024 Dec;84(4):407-19. doi: 10.1111/jphd.12641.

Elsadek YE, Baker SR. Oral health promotion through health-promoting schools in developing countries: A scoping review. Community Dent Oral Epidemiol. 2023 Dec;51(6):1197-208. doi: 10.1111/cdoe.12864.

Geetha Priya PR, Asokan S, Janani RG, Kandaswamy D. Effectiveness of school dental health education on the oral health status and knowledge of children: A systematic review. Indian J Dent Res. 2019 May-Jun;30(3):437-49. doi: 10.4103/ijdr.IJDR_805_18.

Dimitrova M, Tankova H, Rashkova M. Individual program for health education and motivation for oral hygiene and nutrition in children aged 7 to 10 years. Problems of dental medicine. 2020;46(2):28-36.

Atif M, Tewari N, Saji S, Srivastav S, Rahul M. Effectiveness of various methods of educating children and adolescents for the maintenance of oral health: A systematic review of randomized controlled trials. Int J Paediatr Dent. 2024 May;34(3):229-45. doi: 10.1111/ipd.13125.

Published
2024/12/31
Section
Original articles