Socio-Dental and Family Living Condition Approach for Planning Dental Care: A Cross-sectional Study among Indonesian Students

Burhanuddin Daeng Pasiga, Rasmidar Samad, Rini Pratiwi


Objective: To know the planning of dental care with a socio-dental approach. Material and Methods: Cross-sectional study has been conducted on Baubau Junior High School students, Southeast Sulawesi. The sample consisted of 209 subjects randomly selected. The social approach is known for filling out questionnaires with Family Development Index (FDI), Quality of life with OHRQoL-index using Child-OIDP (specific and generic). Family data were: family income, housing conditions (material used in the construction of the house and access to drinking water) and financial governmental support. Family income was classified into three groups. Severity status dental caries was assessed using the DMFT index. Participants were categorized into two groups: severe caries and not severe caries. Descriptive statistics were used to calculate the absolute and relative frequencies. Results: The most frequent FDI category was very severe (52.6%), while for category Child-OIDP > 1, has a value of FDI category very severe 53.1%. Normative need on FDI not severe was 71.4% with severe caries 33.3% and not severe caries 38.1%. The approach in socio-dental and family condition can be used in dental health services planning. The result of grouping of society based on index of FDI hence group of society with severe condition is equal to 83.3%. Conclusion: The living conditions of poor families in need of dental health care are normative higher and worse, and has a tendency to be more bad behavior.


Quality of Life; Dental Caries; Family Characteristics

Full Text:



Nurelhuda NM, Ahmed MF, Trovik TA, Åstrøm AN. Evaluation of oral health-related quality of life among Sudanese schoolchildren using Child-OIDP inventory. Health Qual Life Outcomes 2010;8:152. doi:10.1186/1477-7525-8-152.

Paula JS, Meneghim MC, Pereira AC, Mialhe FL. Oral health, socio-economic and home environmental factors associated with general and oral-health related quality of life and convergent validity of two instruments. BMC Oral Health 2015;15:26. doi:10.1186/s12903-015-0009-7.

Mashoto KO, Åstrøm AN, Skeie MS, Masalu JR. Changes in the quality of life of Tanzanian school children after treatment interventions using the Child-OIDP. Eur J Oral Sci 2010;118:626–34. doi:10.1111/j.1600-0722.2010.00776.x.

Castro R AL, Cortes MI, Leão AT, Portela MC, Souza IP, Tsakos G, et al. Child-OIDP index in Brazil: Cross-cultural adaptation and validation. Health Qual Life Outcomes 2008;6:68. doi:10.1186/1477-7525-6-68.

Alves FNM, de Andrade CLT, Vettore MV. Planning oral health care using the sociodental approach and the index of family living conditions: a cross-sectional study in Brazilian adolescents. BMC Res Notes 2015;8:588. doi:10.1186/s13104-015-1564-3.

Worsley DJ, Marshman Z, Robinson PG, Jones K. Evaluation of the telephone and clinical NHS urgent dental service in Sheffield. Community Dent Health 2016;33:9–14. doi:10.1922/CDH.

Mbawalla HS, Mtaya M, Masalu JR, Brudvik P, Astrom AN. Discriminative ability of the generic and condition-specific Child-Oral Impacts on Daily Performances (Child-OIDP) by the Limpopo-Arusha School Health (LASH) Project: A cross-sectional study. BMC Pediatr 2011;11:45. doi:10.1186/1471-2431-11-45.

Gherunpong S, Sheiham A, Tsakos G. A sociodental approach to assessing children’s oral health needs: Integrating an oral health-related quality of life (OHRQoL) measure into oral health service planning. Bull World Health Organ 2006;84:36–42. doi:10.2471/BLT.05.022517.

Lee JY, Divaris K, Baker AD, Rozier RG, Vann WF. The relationship of oral health literacy and self-efficacy with oral health status and dental neglect. Am J Public Health 2012;102:923–9. doi:10.2105/AJPH.2011.300291.

Bakhtiar M, Malek Mohammadi T, Hajizamani A, Vossoughi M, Mohammadi MT. Quality-of-life related to oral health and oral health indicators … Bakhtiar M et al Association of Oral Health Indicators with Quality-of-Life Related to Oral Health among Iranian Adolescent. J Int Oral Heal 2014;6:5–9.

Tubert-Jeannin S, Pegon-Machat E, Gremeau-Richard C, Lecuyer MM, Tsakos G. Validation of a French version of the Child-OIDP index. Eur J Oral Sci 2005;113:355–62. doi:10.1111/j.1600-0722.2005.00230.x.

Bordoni N, Ciaravino O, Zambrano O, Villena R, Beltran-Aguilar E, Squassi A. Early Childhood Oral Health Impact Scale (ECOHIS). Translation and validation in Spanish language. Acta Odontol Latinoam 2012;25:270–8.

Fernandes IB, Ramos-Jorge J, Ramos-Jorge ML, Bönecker M, Abanto J, Marques LS, et al. Correlation and comparative analysis of discriminative validity of the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5) and the Early Childhood Oral Health Impact Scale (ECOHIS) for dental caries. BMC Oral Health 2015;15:29. doi:10.1186/s12903-015-0021-y.

Abanto J, Tsakos G, Ardenghi T, Paiva S, Raggio D, Sheiham A, et al. Responsiveness to change for the Brazilian Scale of Oral Health Outcomes for 5-year-old children (SOHO-5). Health Qual Life Outcomes 2013;11:137. doi:10.1186/1477-7525-11-137.

Mota-Veloso I, Soares MEC, Alencar BM, Marques LS, Ramos-Jorge ML, Ramos-Jorge J. Impact of untreated dental caries and its clinical consequences on the oral health-related quality of life of schoolchildren aged 8???10??years. Qual Life Res 2016;25:193–9. doi:10.1007/s11136-015-1059-7.

Nagarajappa R, Batra M, Sanadhya S, Daryani H, Ramesh G. Relationship between oral clinical conditions and daily performances among young adults in India - A cross sectional study. J Epidemiol Glob Health 2015;5:347–57. doi:10.1016/j.jegh.2015.03.001.

Zucoloto ML, Maroco J, Campos JADB. Impact of oral health on health-related quality of life: a cross-sectional study. BMC Oral Health 2016;16:55. doi:10.1186/s12903-016-0211-2.

Khare V, Koshy A, Rani PJ, Srilatha S, Kapse SC, Agrawal A. Prevalence of dental caries and treatment needs among the orphan children and adolescents of Udaipur District, Rajasthan, India. J Contemp Dent Pract 2012;13:182–7. doi:10.5005/jp-journals-10024-1118.

Mohammadbeigi A, Hassanzadeh J, Eshrati B, Rezaianzadeh A. Socioeconomic inequity in health care utilization, Iran. J Epidemiol Glob Health 2013;3:139–46. doi:10.1016/j.jegh.2013.03.006.

Widström E, Seppälä T. Willingness and ability to pay for unexpected dental expenses by Finnish adults. BMC Oral Health 2012;12:35. doi:10.1186/1472-6831-12-35.

Obeidat SR, Alsa’di AG, Taani DS. Factors influencing dental care access in Jordanian adults. BMC Oral Health 2014;14:127. doi:10.1186/1472-6831-14-127.

Devaraj CG, Eswar P. Reasons for use and non-use of dental services among people visiting a dental college hospital in India: A descriptive cross-sectional study. Eur J Dent 2012;6:422–7.

Carlsson V, Hakeberg M, Wide Boman U. Associations between dental anxiety, sense of coherence, oral health-related quality of life and health behaviour – a national Swedish cross-sectional survey. BMC Oral Health 2015;15:100. doi:10.1186/s12903-015-0088-5.

Lisboa CM, de Paula JS, Ambrosano GMB, Pereira AC, Meneghim M de C, Cortellazzi KL, et al. Socioeconomic and family influences on dental treatment needs among Brazilian underprivileged schoolchildren participating in a dental health program. BMC Oral Health 2013;13:56. doi:10.1186/1472-6831-13-56.

Machry RV, Tuchtenhagen S, Agostini BA, da Silva Teixeira CR, Piovesan C, Mendes FM, et al. Socioeconomic and psychosocial predictors of dental healthcare use among Brazilian preschool children. BMC Oral Health 2013;13:60. doi:10.1186/1472-6831-13-60.

Munjal V, Garewal R, Gupta A, Kaur P. Dental caries prevalence and treatment needs in 12 and 15-year-old school children of Ludhiana city. Indian J Oral Sci 2013;4:27. doi:10.4103/0976-6944.118523.

Veiga NJ, Pereira CM, Ferreira PC, Correia IJ. Prevalence of dental caries and fissure sealants in a Portuguese sample of adolescents. PLoS One 2015;10:1–12. doi:10.1371/journal.pone.0121299.

Watt RG. Social determinants of oral health inequalities: implications for action. Community Dent Oral Epidemiol 2012;40:44–8. doi:10.1111/j.1600-0528.2012.00719.x.

Roncalli AG, Tsakos G, Sheiham A, de Souza GC, Watt RG. Social determinants of dental treatment needs in Brazilian adults. BMC Public Health 2014;14:1097. doi:10.1186/1471-2458-14-1097.

Brennan DS, Luzzi L, Roberts-Thomson KF. Dental service patterns among private and public adult patients in Australia. BMC Health Serv Res 2008;8:1. doi:10.1186/1472-6963-8-1.

Al D, Wagle M, Bc D, Manolescu B. Modeling the theory of planned behavior for intention to improve oral health behaviors: the impact of attitudes, knowledge, and current behavior. J Oral Sci Sep;53 2011;53:369–77. doi:10.2334/josnusd.53.369.