Lesson Learned From Oral and Dental Health Care in Developed Countries: A Systematic Review

Yoan Christine Hutabarat1, Wahyu Sulistiadi2


1)Masters in Public Health, Faculty of Public Health, Universitas Indonesia

2)Department of Policy and Health Administration, Faculty of Public Health,  

Universitas Indonesia



Background: The results of 2018 Basic Health Research (Riskesdas) showed 93% of children aged 5-6 years had cavities and of the 57.6% of the Indonesian population who had dental and oral health problems, only 10.2% received treatment. The Dental and Oral Health System in the JKN era is still very young and still needs a lot of improve­ment. This study aimed to review the dental and oral health care systems in developed countries which can be learned for an improve­d dental and oral health care system in In­do­nesia.

Subjects and Method: This was a systematic review using the Preferred Reporting Items for Systematic Reviews & Meta-Analyses (PRISMA).  A total of 19 articles of 328 li­­te­­ratures was collected through 3 databases: Scopus, Google Scholar, and PubMed. The keywords used for this study were Oral Care AND Dental Health AND Dental Sys­em. The selection process was based on the literature published in the last of 10 years with full text forms, then re-selected based on the title and abstract according to the in­clu­sion and exclusion criteria of the study. The final results obtained 19 lite­ra­tu­res. The data had been carried out with data extraction and analysis of dental and oral health care systems in developed coun­tries.

Results: Developed countries had put the importance of oral and dental health as a unit with public health. The private sector took part in capitation financing that had been agreed with the local government. Public finance was in favour for schoolchildren with the main spotlight on prevention programs for children. A comprehensive dental and oral health care program was almost available in every school, including pro­phy­laxis, exa­minations and recommendation for dental care.

Conclusion: Prevention and education about dental and oral health should be the main spotlight compared to curative actions. The participation of all parties is needed to be able to achieve an optimal dental and oral health care system.

Keywords: oral care, dental health, dental system

Correspondence: Yoan Christine Hutabarat. Masters Program in Public Health, Faculty of Public Health, Universitas Indonesia. Email: yoan.christine@gmail.com. Mobile: 08158818825.

DOI: https://doi.org/10.26911/theicph.2019.05.27

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