1. COUNTRY REPORT SRI LANKA
A Fulfilment of the Report for Application for
ORAL HEALTH SCIENCE EDUCATION, JFY 2008 Training Course in Japan
Type: Trainers Training No. J
From April 23,2008 to August 9, 2008
By Dr. S.I. Bangamuarachchi
Sri Lanka Ministry of Health

2. Country Report - Sri Lanka
Date th May 2008
Name of the Training Course - Oral Health Science Education
Name of the Applicant - Senadhi Indrajith Bangamuarachchi
BDS (Sri Lanka) , DHDP (Colombo)
Home Address /A , New Kandy Road,
Kothalawala, Kaduwela
Phone No (0)
Office Address Community Dental Clinic
Central Dispensary
Waga

3. General Information 1.1 Basic facts
Sri lanka is an island in the Indian Ocean with
approximately 65,654 square km, which starch
maximum 435km length and 225km width.
Agricultural country, rich with natural beauty
, cultural heritage and sandy beaches.
The per capita GDP was 1,355 US $ with growth
rate of 6% .
Official Currency Rupee (Rs.) and govern by
Parliamentary democratic system while Colombo
remains as capital.

4. 1.2 Population
Total population 21.1 million with an annual growth rate of 1.7 .
72.2% of the population live in rural areas while 21.5% live in urban areas.

5. 1.3 Vital Statistics ( According to the Annual Health Bulletin )
Crude birth rate % (rate per 1000)
Crude death rate - 6% (rate per 1000)
Maternal mortality rate % (rate per 1000 births)
Infant mortality rate % (rate per 1000 births)
Life expectancy at birth years (male)
75.4 years (Female)
Literacy rate % (age 5yrs and above)

6. 1.4 Health Service
Health care service provide by both public sector which
covers the 60% of the population and privet sector.
95% of in-patient care given by public sector , through the network of Teaching, Provincial, Base, District, Peripheral Unit, Rural Hospital, Central Dispensaries & Maternity Home throughout the Island.
The Board aim of Health policy of Sri Lanka, Increase life expectancy and improvement in quality of life.
5.6% of the national expenditure accounted for health services and funded by Sri Lanka
Government and NGO’s (WHO, UNICEF, JICA etc..).

7. 1.4 Health Service (cont..) Doctor : Population ratio 1 : 2739
Medical officers and dental surgeons trained through University curriculum leading to a bachelor degree and the post graduate institute of medicine provides specialist training.
Department of health provide various in-service training and refresher courses for other health care workers.
In addition international establishments offer
training courses off shore.

8. Leading Causes of Hospitalization
Cases per 100,000 population
Excludes single spontaneous delivery, false labour and those admitted and discharged before delivery.
Annual Health Bulletin – Source : Medical Statistics Unit

9. Leading Causes of Hospital Deaths
Deaths per 100,000 population
* Includes details reported (not classified by type of neoplasm) from Cancer Institute, Maharagama.
Annual Health Bulletin – Source : Medical Statistics Unit

10. 1.5 Dental Services Dental health man power
Dental services are provide through both public and
privet sector.
National level coordinated by Deputy Director General Dental Services and each
district by a regional dental surgeon.
Dental health man power
Dentist population ration - 1 : 22,000
Operator population ratio - 1 : 15,725

11. 1.5 Dental Services (Cont..)
Dental health man power
Consultant Dental & Maxillotacial surgeons - 20
Consultant orthodontics
Consultant in restorative dentistry - 03
Dental public health consultants
Dental surgeons in public sector
Dental surgeons in private sector
School Dental therapists
Dental technician in the public sector - 38
Dental technician in the private sector - 40
Unqualified practitioners

12. 1.5 Dental Services (cont..)
Dental Health care providing institution in Sri Lanka
(A) Hospital dental services -
Services mainly curative and free except for nominal fee for orthodontic and prosthetic appliances.
(B) School dental services -
Completely free and mainly focus on preventive care.
(C) Community dental services -
Provide both curative and preventive care.
(D) Dental services in armed forces -
Free dental care to service personal and
their immediate families.
(E) University dental services
(F) Private dental services

13. 1.6 Present situation and trend of the dental diseases
In year 1983/84 and 1994/95 respectively first and second national oral health surveys had
been conducted with aid of WHO.
Periodontal Disease - Escalate toward major dental health problem in Sri Lanka.
Dental Caries nd most common problem in Sri Lanka.
Oral Cancer Is the commonest cancer seen among the Sri Lankan Population.
Dental Fluorosis Mild to severe types were seen
2.5% years olds
5.6% years olds
0.7% years olds
Dentotacial Anomalies - Emerging problem in Sri Lanka
Traumatic Dental Injuries Very common among children and
young adults groups

14. Age group/Type of teeth
Table I years old Periodontal Status
1983/84
1994/95
Health Gums
12 %
13.4 %
Those who with Periodontitits
% with bleeding gums only
9 %
29.7 %
% with bleeding & calculus only
75.5 %
54.1 %
% with bleeding calculus & pocketing
3.5 %
2.9 %
Table II
Comparison of prevalence and DMFT in different age groups in two national surveys.
Age group/Type of teeth
Prevalence 83/84
Prevalence 94/95
DMFT 83/84
DMFT 94/95
6 year old/deciduous teeth
78 %
76.42 %
4.4
4.1
6 year old/permanent teeth
14 %
9.61 %
0.2
0.17
12 year old/permanent teeth
67 %
53.17 %
1.9
1.4
15 year old -
69.71 %
2.5
35-44 year old
92 %
91.16 %
9.2
10.1
65-74 year old
64.65 %
22.5

15. Fig 1 : Prevalence of Periodontal Disease % of various indicators
in Sri Lanka
% Prevalence

16. Fig 2 : Treatment Needs for Periodontal Disease
% Requiring Treatment

17. Fig 3 : Distribution of Treated & Active Caries Percentage of Persons
in Sri Lanka
% Distribution

18. Fig 4 : DMFT of Subjects in Sri Lanka

19. Distribution curve of incidence of traumatized anterior teeth according to their ages.

20. Distribution of types of accidents
This chart clearly illustrated the distribution of type of accidents in traumatic dental injuries.

21. Organization Chart of The Ministry of Health

22. THANK YOU.
Dr. Senadhi I. Bangamuarachchi BDS (Sri Lanka), DHDP (Colombo)
Sri Lanka Ministry of Health