Page 36 - FINAL COMPENDIUM 2020-2021 27.2.2022

EVALUATION ON THE IMPLEMENTATION OF MODIFIED MOH ICDAS IN PROMOTING
ORAL HEALTH CLINICAL PREVENTION AS PART OF INCREMENTAL SCHOOL DENTAL
SERVICE, KELANTAN

Badariah TC, Nurul Ima M, Nurul Azirah MR, Nazuha AF, Asmani AR
Introduction: Dental caries is a known multifactorial disease and has a very high
prevalence in Kelantan since long-ago. Modified MOH ICDAS was adapted by the Oral
Health Programme (OHP), Ministry of Health, Malaysia from the International Caries
Detection and Assessment System and implemented since the year 2017 for 2 districts (4
pilot schools), and expanded in 2018 to all the primary schools in Kelantan. School children
who need dental preventive care would be given either fluoride varnish application,
fissure sealant, preventive resin restorations or combinations during the Incremental
Dental Service (IDC). National standard targets were set by the OHP, MOH. Materials and
methods: This was an evaluation study based on the secondary data collected by the state
for both pilot schools as compared to the cohort schools children between 2018 – 2020.
Data for each schools/children/teams/districts were recorded in the EZ-RIF format which
was innovated and updated for the needs of this new index. Study evaluation was also
conducted on the clinical audit findings on the students’ dental records as compared to
the intra-oral examinations. Results: The pilot schools showed a higher detection of initial
caries (53.8%) as compared to the other schools (29.1%). Findings from clincal reports
showed that the dental therapists likely to be under-charted and have not been able to
adapt to the new index whereby the dental care were focusing on conservative
restorations rather than preventive treatments by detecting initial caries. Conclusion:
This study suggested that more training is needed for the dental therapists and further
study should be conducted to explore their barriers in implementing the new index.

Keywords: Clinical prevention, Incremental Dental Care (IDC), Initial caries, International Caries
Detection and Assessment System (ICDAS), Modified MOH ICDAS

Virtual poster presentation at the 22 NIH Scientific Conference (virtual) on 21-23 September 2021
nd
Badariah binti Tambi Chek
Nurul Ima binti Mohamad
Nurul Azirah binti Mohd Roni
Tanah Merah District Dental Office
Kelantan

Nazuha binti Ahmad Fikri
Jeli District Dental Office
Kelantan

Asmani binti Abd Razak
Oral Health State Office
Kelantan

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