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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
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Introduction
Region of Caucasus69 700 km 2
Part of the Soviet Union from1921 until 1991Republic of Georgia
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Introduction
Population is 4 632 23052.21% are female and 47.79% are male55.25% is in urban and 44.75% in rural areas
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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
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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
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Dental Workforce
8423 dentists (2012 data)Ratio of population per dentist is 55065% female and 35% male
Margvelashvili M et al. 2013
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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
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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
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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
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Caries Experience
1052 children were examined
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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%)
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Perio Status
314 tenth grade (15 years old) children were examined
- Plaque - Calculus - Bleeding on prbing
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Perio Status
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Perio Status
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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.
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Georgian Stomatological Association
Working in direction of preventive dentistry
GSA annual dental congress since 2005FDI continuing education program dental
conference “Dental Tbilisoba” since 2007
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Thank you