1. PROF. VLADIMER MARGVELASHVILI, DDS, MSC, PHD HEAD DEPARTMENT OF DENTISTRY AND MAXILLO- FACIAL SURGERY TBILISI STATE UNIVERSITY Oral Health Status and the challenges of preventive measures in the country of Georgia

2. Introduction Region of Caucasus 69 700 km 2 Part of the Soviet Union from1921 until 1991 Republic of Georgia

3. Introduction Population is 4 632 230 52.21% are female and 47.79% are male 55.25% is in urban and 44.75% in rural areas

4. 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

5. Oral Health Education No state oral health education programs Since 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

6. Dental Workforce 8423 dentists (2012 data) Ratio of population per dentist is 550 65% female and 35% male Margvelashvili M et al. 2013

7. Dental Workforce Sub-Specialty Number of Dentists Pedodontics328 Pedodontic surgical dentistry125 Therapeutic dentistry (conservative dentistry, endodontics, periodontology) 5781 Prosthetic dentistry813 Surgical dentistry1244 Orthodontics97 Maxilla-facial surgery35 Continuing education programs are not mandatory Margvelashvili M et al. 2013

8. Dental Education 11 dental schools 5 years of studies 600 graduates per year (over production) Residency programs are mandatory 450 graduated dentists enter residency program per year Margvelashvili M et al. 2013

9. 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

10. Caries Experience 1052 children were examined

11. Caries Experience Age GroupdmfDMFCaries Free First Grade (5-6 years)4.40.0468 (16.83%) Seventh Grade (12 years)1.81113 (33.83%) Tenth Grade (15 years)3.1964 (20.44%)

12. Perio Status 314 tenth grade (15 years old) children were examined - Plaque - Calculus - Bleeding on prbing

13. Perio Status

15. 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.

16. Georgian Stomatological Association Working in direction of preventive dentistry GSA annual dental congress since 2005 FDI continuing education program dental conference “Dental Tbilisoba” since 2007

17. Thank you