AANNNNUUAALL RREEPPOORRTT 22001177ohd.moh.gov.my/images/pdf/annual_rpt/annual_rpt17.pdf · six (6)...

AANNNNUUAALL RREEPPOORRTT

22001177

ORAL HEALTH PROGRAMME

MINISTRY OF HEALTH

MALAYSIA

OKTOBER 2019

MOH/K/GIG/8.2019 (GU)

ANNUAL REPORT

2017

ORAL HEALTH PROGRAMME

MINISTRY OF HEALTH MALAYSIA

Oktober 2019

ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017

CONTENTS

Foreword i

Highlights 2017 iii

Organisational Structure v

Management and Professional Staff vi

Vision and Mission of the Ministry of Health Malaysia ix

Mission of the Oral Health Programme x

1 RESOURCE MANAGEMENT 1

Financial Resource Management 2

Human Resource Management 5

Oral Health Facility Development 10

2 ORAL HEALTH POLICY & STRATEGIC PLANNING 14

Oral Health Professional Development 15

Oral Health Epidemiology & Research 26

Oral Health Information Management 32

Oral Health Technology 35

3 ORAL HEALTHCARE 37

Community Oral Healthcare 38

Primary Oral Healthcare 62

Specialist Oral Healthcare 80

Oral Health Promotion 91

4 ORAL HEALTH PRACTICE & DEVELOPMENT 93

Accreditation and Globalisation 94

Legislation and Enforcement 99

Quality Improvement Initiatives 110

Challenges and Future Directions 114

Oral Health Programme Events 2017 115

Editorial Committee & Acknowledgement 118


i

to human capital and ICT development, the capacity for specialist care and improving clinical

governance with continuous focus on oral health promotion, prevention and control of oral disease.

The programme continues to inspire the community towards making better health choices through

educating and empowering thems on the importance of oral health and encouraging healthier way

of life. Improving the knowledge on oral health was continuously undertaken so as to support the

community in taking control over risk factors and enabling them making important decisions on

health. Collaboration with various stakeholders and engagement with the public were made

throughout the year by participating in various health campaigns, the use of media channels and

involving members of the community as Ikon Gigi of the various community groups.

Recognising the importance of oral health messages and imparting positive values towards good oral

health the ‘Effective Dental Hygiene Education Workshop’ was organised in April 2017.A more tech-

savvy initiatives directed towards regular oral hygiene practice and the needs for annual dental

examination was adopted. A creative way to disseminate oral healthcare messages as infotainment

with the formation of Dental Buskers ‘When Words Fail, Music Speaks’ was well accepted and often

invited to perform at various events. ‘Transformation with 1 Smile Together’ (TW1ST) is a

collaborative effort with the Community College Education Department, Ministry of Higher

Education Malaysia, targeting students and staff of Community Colleges aimed to enhance

knowledge and awareness on the importance of oral health. Launched on 16 September 2017 in

Bagan Datoh Perak by YAB Dato’ Seri Dr Ahmad Zahid Hamidi, Deputy Prime Minister of Malaysia,

the ‘Memorandum of Understanding’ (MoU) was signed to symbolise the collaborative efforts

between the two ministries.

Oral healthcare service delivery stays as the main thrust of the Oral Health Programme. Efforts were

focus towards providing best practice in oral healthcare services in line with the theme “Feel Good

Factor” where the government focuses on public satisfaction on care provided. Reviews and

development of new guidelines such as Endodontic Care, Guidelines Oral Healthcare for Young

Adults, Standard Operating Procedures on Management of Periodontal Conditions at Primary Oral

Healthcare Facilities and Oral Health Promoting Clinics concept were developed in 2017.

Collaboration with Family Health Development Division on Enhanced Primary Care initiatives were

undertaken and piloted in several Dental Clinics alongside Health Clinics in the effort to screen for

unknown Non-Communicable Disease (NCD) cases and supporting the management of cases at all

Foreword

PRINCIPAL DIRECTOR OF ORAL HEALTH MINISTRY OF HEALTH MALAYSIA

I take this opportunity to thank all personnel of the Oral Health

Programme for their contribution and commitment towards improving

the oral health status of the nation. It has been a fruitful 2017 where

much emphasis has been directed towards enhancing accessibility to

oral healthcare through the outreach services. Attention was also given


ii

levels of care. A total of 8,208,374 people had utilised the oral healthcare services in 2017. For the

first time, the programme was involved in the Cabinet Away Day 2017 ‘Denture for the Elderly’

where the Honorable Prime Minister has allocated a sum of RM 262,500 in providing dentures to

375 elderly from identified elderly institutions throughout Malaysia.

In 2017, there was a total of 16,634 posts of oral health personnel, of which 92.5% were filled. A new

grade 56 was created for the Medical and Dental. A total of 1,329 first intake of contract dental

officers had started the one-year compulsory service on 9 January 2017. Meanwhile the placement

of 41 Dental Officers with master in the various specialities was conducted based on needs and the

first cohort of 13 male trainees began their training as Dental Therapists in July 2017.

Once again, I convey my heartfelt gratitude to all in the oral healthcare network of the MoH for

being dedicated and provided tremendous support towards the smooth delivery of oral healthcare

services for the rakyat. Let’s us all forge ahead to achieve our vision and towards greater success

ahead.

YBHG. DATUK DR ALIYAH BINTI ISMAIL

PRINCIPAL DIRECTOR OF ORAL HEALTH

MINISTRY OF HEALTH

MALAYSIA


iii

HIGHLIGHTS 2017

First Meeting of the Technical Working Group on ASEAN Dental Education (TWG-ADE), 11-12 July 2017

One of the strategies in ASEAN Economic Community Blue Print 2026 Strategic Action Plans is to facilitate mobility of dental practitioners across ASEAN Member States (AMS) through the development of Minimum Common Competency Standards for Dental Undergraduate Education. For that purpose, the Technical Working Group on ASEAN Dental Education (TWG-ADE) was created. The first meeting of TWG-ADE was held on 11-12 July 2017 in Putrajaya, Malaysia. The meeting was attended by representatives from six (6) AMS, namely Brunei Darussalam, Indonesia, Malaysia, Myanmar, Singapore and Thailand as well as the Chairperson of ASEAN Joint Coordinating Committee on Dental Practitioners (AJCCD) from Malaysia.

Effective Dental Health Education Workshop, 10-12 April 2017

Dental Health Education (DHE) is one of the many approaches in delivering oral health messages and imparting positive values towards good oral health. With the evolution of people are getting more tech-savvy, new initiatives are needed to engage them to practice regular oral hygiene practice and the need for annual dental examination. As such the “Effective DHE Workshop” was held at Crystal Crown Hotel, Klang on the 10-12 April 2017. A total of 16 Dental Officers and 26 Dental Therapists representing the states had attended the workshop. The event aimed to provide a platform for participants to work on ideas and also sharing their thoughts with others participants. The closing of the workshop was graced by the Principal Director of Oral Health and presented the certificate of attendance to all participants.

The Launching of ‘Transformation with 1 Smile Together’ (TW1ST) Programme, 16 September 2017

TW1ST is a collaborative effort between the Oral Health Programme and the Department of Community College, Ministry of Higher Education. TW1ST targets the young adult group enrolled in 92 Community Colleges throughout Malaysia. The opening ceremony was graced by YAB Dato' Seri Diraja Dr Ahmad Zahid Hamidi, Deputy Prime Minister cum MP Bagan Datuk, Perak on 16 September 2017 at Sekolah Menengah Sains Bagan Datoh, Perak. The event was also attended by VIPs namely Deputy Health Minister, Dato’ Seri Hilmi bin Hj. Yahaya representing the Health Minister, representatives from the Department of Community College, Oral Health Programme personnel and Community College students. TW1ST is part of the oral healthcare services initiatives to the young adult group. TW1ST will benefit the students and ultimately improve their oral health status.


iv

The Launching of Kolaborasi Oral dan Agama (KOA) Buddhist, 21 May 2017

The National KOA Buddhist was successfully launched on 21 March 2017 in Seremban, Negeri Sembilan by YB Dato' Seri Dr Hilmi bin Hj Yahaya, Deputy Health Minister. This is a continuation of the initiative to the first KOA Islam which was launched on the 17 March 2017. This is a collaborative effort between the Oral Health Programme, Ministry of Health and San Kau Tong Deity Society, Seremban, Negeri Sembilan. The objective of this programme is to increase the awareness and inculcate positive oral health behaviour among the community through religious institution. Several activities were conducted on that day which includes oral health talk, dental exhibition, free dental screening and live demonstration on the correct techniques and practices in oral healthcare.

National Health and Morbidity Survey 2017: National Oral Health Survey of Schoolchildren 2017 (NHMS 2017: NOHSS 2017)

NHMS 2017:NOHSS 2017 was the third national survey of schoolchildren conducted in Malaysia. The objective of the survey was to determine the oral health status and treatment need of schoolchildren in Malaysia. This cross-sectional study was conducted among 12 years old schoolchildren attending government and government assisted schools under the Ministry of Education and registered private school in Malaysia. A total of 11,511 schoolchildren enrolled in this survey with a response rate of 95.8%. Almost all children had gingival bleeding on probing [99.8% (95%CI: 99.57-99.91). About 33.3% of schoolchildren had dental caries experience with mean DMFT of 0.78. About 7.2% of them had traumatized anterior teeth. Meanwhile, 19 schoolchildren had denture(s) and 0.16% needed denture(s). Overall. 99.8% of schoolchildren needed at least one type of oral healthcare.

Tele Primary Care and Oral Health Clinical Information System (TPC-OHCIS)

Tele Primary Care and Oral Health Clinical Information System (TPC-OHCIS) is an integrated electronic clinical information system that enable clinicians to view patients’ relevant medical and oral health information. It was rolled out across 13 pilot sites including six (6) health clinics and seven (7) dental clinics in Negeri Sembilan on 1 June 2017. As of December 2017, a total of 51,743 dental patients had been registered and 111,990 visits were recorded at these sites through the TPC-OHCIS system. This system is also used in the outreach services namely the mobile dental service to preschool, primary schools, secondary schools and community services.

v

ORGANISATION STRUCTURE

ORAL HEALTH PROGRAMME, MINISTRY OF HEALTH MALAYSIA

Childrens’ Dental Centre and MoH Training Institute

(Dental) Georgetown

Director of Oral Healthcare Division

Director of Oral Health Policy and Strategic Planning Division

Oral Health

Epidemiology and Research

Accreditation and Globalisation

Oral Health Professional

Development

Oral Health Technology

Oral Health Facility Development

Oral Health Professional and Auxiliary Practice

Principal Director of Oral Health

Oral Health Information

Management

Community Oral Healthcare

Oral Health Promotion

Primary Oral Healthcare

Specialist Oral Healthcare

State Oral Health Divisions

Oral Health Quality

Legislation and Enforcement

Director of Oral Health Practice and Development Division

Malaysian Dental Council


vi

PRINCIPAL DIRECTOR OF ORAL HEALTH’S OFFICE

Principal Director of Oral Health YBhg. Datuk Dr Noor Aliyah Ismail

MANAGEMENT AND PROFESSIONAL STAFF (as of 1 JULY 2017)

Director of Oral Health Policy & Strategic Planning Division

YBhg. Datin Dr Rohani Embong

Director of Oral Healthcare Division Dr Nomah Taharim

Personal Assistant Pn Nur Aisyah Rutel Abdullah, Pn Suriyanti Sudin, Pn Azlina Linggam

Director of Oral Health Practice & Development Division

Dr Norliza Mohamed

Policy Unit Dr Nurul Syakirin Abdul Shukor


vii

ORAL HEALTH POLICY & STRATEGIC PLANNING DIVISION

ORAL HEALTHCARE DIVISION

ORAL HEALTH PRMOTION Dr Sharol Lail Sujak, Dr Nor Fatimah Syahraz Abdul Razakek, Dr Muhamad Faris

Muhamed Noor, Pn Zainah Bachik, Cik Umi Khairul Abdul Kadir, Pn Azirah Muhammad

ORAL HEALTH INFORMATION & MANAGEMENT Dr Chu Geok Theng, Dr Tuan Yuswana Tuan Soh, Dr Lily Laura Azmi, Cik Norjanah

Mohd Nawi, En Gauthama Dasa Edwin, Pn Julaiha Mohd Sarif

ORAL HEALTH EPIDEMIOLOGY AND RESEARCH

Dr Yaw Siew Lian, Dr Natifah Che Salleh, Dr Nurrul Ashikin Abdullah, Pn Haziah Hassan, Pn Nurulliyana Mohd Don, En Ganesan a/l Karrupiah

ORAL HEALTH FACILITY DEVELOPMENT Dr Norlida Abdullah, Dr Faizah Kamaruddin, Dr Suhana

Ismail, Pn Sulhana Ismail, En Zainudin Abdul Majid

ORAL HEALTH PROFESSIONAL DEVELOPMENT Dr Azlina Abu Bakar, Dr Azura Abdullah, Dr Azizi Ab

Malik, Dr Nurul Salwa Che Abdul Rahim

ORAL HEALTH TECHNOLOGY Dr Salleh Zakaria,

Dr Noor Hasmin Mokthar

PRIMARY ORAL HEALTHCARE Dr Zainab Shamdol, Dr Maryana Musa, Dr Nurul Izzati Mohamad Ali,

Cik Hayati Mohd Yasin, Pn Jeyandra Ghandi Chelliah

SPECIALIST ORAL HEALTHCARE Dr Mazlina Mat Desa, Dr Nazita Yaacob, Dr Noor Syahidah Hisamuddin, Pn Norliza Jamalludin

COMMUNITY ORAL HEALTHCARE Dr Cheng Lai Choo, Dr Mazura Mahat, Pn Normala Omar


viii

ORAL HEALTH PRACTICE & DEVELOPMENT DIVISION

MANAGEMENT AND ADMINISTRATIVE

En Hidzer Harun, En Norazlan Ithnin, Pn Jamillah Sha’ari, Pn Wan Ismawati Wan Yusof, En Mohd Razwin Safudin, Pn Norulhuda Ghazali, En Ahmad Razaidi Mohd Othman,

Pn Atika Wahid, En Mustafar An Nor Abdul Ghani, Pn Nurul Asyikin Muhamad, Pn Rahanah Mad Nor, Cik Azimah Abd Manab, Pn Maznah Sa’at, En Raymond Rengas, En Shahrul Naim Saad, Pn Dura Aziqa Mazlan, En Raszali Mahmud, En Mohd Fairus Arshad, En Yusree Mahiyar, En Lockman Hakim, En Shamshul Kamar

QUALITY IMPROVEMENT Dr Leslie Sushil Kumar D. Geoffrey, Dr Norliza Ismail,

Dr Nur Diana Ab Latif, Pn Zabidah Othman

LEGISLATION & ENFORCEMENT Dr Elise Monerasinghe, Dr Haznita Zainal Abidin

ACCREDITATION & GLOBALIZATION Dr Savithri a/p Vengadasalam, Dr Norashikin Mustapa Yahya

PROFESSIONAL & AUXILIARY ORAL HEALTH PRACTICE Dr Che Noor Aini Che Omar, Dr Rohayati Mohd Noor,

Pn Fatimah Rahman, En Abd Rahaman Jaafar, Pn Arbiah Basri, Pn Sarina Othman


ix

Vision of the Ministry of Health

A nation working together for better health

Mission of the Ministry of Health

To lead and work in partnership

To facilitate and support the people to:

attain fully their potential in health

appreciate health as a valuable asset

take individual responsibility and positive action for their health To ensure a high quality system that is:

equitable

affordable

efficient

technologically appropriate

environmentally adaptable

customer centred

innovative With emphasis on:

professionalism, caring and teamwork value

respect for human dignity

community participation


x

Mission of the Oral Health Programme

To enhance the quality of life of the population through the promotion of oral health

with emphasis on patient-centered care and the building of partnerships for health


1

RESOURCE MANAGEMENT


2

FINANCIAL RESOURCE MANAGEMENT

FINANCIAL MANAGEMENT AT PROGRAMME LEVEL

The Oral Health Programme (OHP) has received increasing allocation of operational budget over the

years. In 2017, the OHP received a total adjusted operational allocation of RM914,130,528.00 which

was 5.63% above that of 2016 and 13.32% above that of 2015 (Table 1).

Table 1: Adjusted Operational Allocation OHP, 2010-2017

Year Emolument (RM) Services (RM) Asset (RM) Total (RM)

2010 365,771,400.00 72,337,947.00 1,649,159.00 439,758,506.00

2011 425,297,450.00 92,502,300.00 3,350,000.00 521,149,750.00

2012 433,309,400.00 92,914,975.00 5,952,027.00 532,176,402.00

2013 517,050,700.00 94,499,420.00 5,678,281.00 617,228,401.00

2014 591,410,587.00 99,517,656.00 40,868,344.00 731,796,587.00

2015 664,549,726.00 105,619,709.00 36,521,728.00 806,691,163.00

2016 764,288,702.00 101,138,772.00 - 865,427,474.00

2017 815,182,671.00 98,947,857.00 - 914,130,528.00

Source: OHP MoH, 2017

Expenditures covered the following:

a. Dasar Sedia Ada

b. Dasar Baru

c. One-off

d. Latihan Dalam Perkhidmatan (In-service training), and

e. MS ISO 9001 activities

The final expenditure of RM914,130,525.00 showed spending of 100% above the final adjusted

allocation received for the year (Table 2). Expenditures under Dasar Sedia Ada included

Administration (Financial Code 030100), Primary Oral Healthcare (Financial Code 030200),

Community Oral Healthcare (Financial Code 03030) and Specialist Oral Healthcare (Financial Code

030400).

Table 2: Adjusted Budget Allocation and Expenditures OHP MoH, 2017

Activity Programme

Code

Final Adjusted Allocation

(RM)

Final Expenditures

(RM)

% Final Expenditures

Dasar Sedia Ada 030000 914,130,528.00 914,130,525.00 100

Dasar Baru 100500 0.00 0.00 -

One-off (Assets) 110100 0.00 0.00 -

TOTAL - 914,130,528.00 914,130,525.00 100

Source: OHP MoH 2017


3

FINANCIAL MANAGEMENT

In 2017, the office of OHP received RM12,407,496.00 of which RM12,342,086.69 (99.47%) was spent

on the following activities (Table 3):

a) Management of Oral Health

b) Primary Oral Healthcare

c) MoH Management (Innovation Award)

d) In-service training

e) Research and Development

f) ICT Facility

The operating budget under Financial Codes 030100 and 030200 included the operating costs for the

Programme, the Malaysian Dental Council (MDC) and other activities at ministry level. The OHP

office also received RM93,000.00 from MoH Management for the National Innovation Award annual

event in 2017.

Table 3: Adjusted Budget Allocations and Expenditures OHP MoH, 2017

Activity

Activity

Code

Adjusted

Allocation

(RM)

Final Expenditures

(RM)

% Final

Expenditures to

Initial Allocations

Management of Oral Health 050100 1,786,600.00 1,730,722.10 96.87%

Primary Oral Healthcare 050200 455,754.00 455,320.56 99.90%

MoH Management (Innovation Award) 010100 93,000.00 89,611.14 96.36%

In-service Training 00105 707,082.00 706,992.60 99.99%

Research and Development 00500 50,000.00 50,000.00 100.00%

ICT Facility 00800 9,315,060.00 9,309,440.29 99.94%

TOTAL - 12,407,496.00 12,342,086.69 99.47%


FUNDS FOR LATIHAN DALAM PERKHIDMATAN (LDP)

The OHP also received RM707,082.00 for LDP, of which 99.99% (RM706,992.60) was spent.

MONITORING STATE FINANCES

The OHP also monitored allocation and expenditure at state level. In 2017, under Dasar Sedia Ada,

Sarawak received the highest allocation, followed by Selangor and Sabah. A total of 11 states or

institutions spent more than their initial allocation due to the increase in emoluments (Table 4).


4

Table 4: Adjusted Budget Allocations and Expenditures under Existing Policies by State and Institution, 2017

State Adjusted Allocation

(RM)

Final Expenditure

(RM)

% Final Expenditure to Initial

Allocation

Perlis 20,100,314 17,940,643 89.26%

Kedah 60,202,433 59,862,772 99.44%

Pulau Pinang 47,758,731 50,915,260 106.61%

Perak 76,029,514 79,225,457 104.20%

Selangor 88,110,951 85,524,979 97.07%

N.Sembilan 44,579,215 43,892,315 98.46%

Melaka 33,384,270 37,633,774 112.73%

Johor 75,613,086 75,648,021 100.05%

Pahang 59,347,978 68,314,191 115.11%

Terengganu 49,791,451 58,263,237 117.01%

Kelantan 59,986,574 68,602,624 114.36%

Sabah 79,356,591 82,124,366 103.49%

Sarawak 92,363,467 94,372,260 102.17%

FT KL & Putrajaya 54,082,410 51,269,181 94.80%

FT Labuan 3,481,459 3,998,397 114.85%

OHP, MoH 2,335,354 2,275,654 97.44%

PPKK** & ILKKM*** 437,400 432,767 98.94%

HKL 9,192,511 8,920,873 97.05%

IMR 1,126,960 819,904 72.75%

TOTAL 857,188,486 890,764,965 103.92%


** PPKK: Pusat Pergigian Kanak-Kanak

***ILKKM: Institut Latihan Kementerian Kesihatan Malaysia


5

HUMAN RESOURCE MANAGEMENT

The oral health workforce in the Ministry of Health (MoH) consists of dental officers (including

dental specialists), dental auxiliaries (dental nurses, dental technologists and dental surgery

assistants), training staff (tutors) and support staff (attendants, administrative staff and drivers).

COMPOSITION OF THE ORAL HEALTH WORKFORCE

There were 16,634 posts for oral health personnel in the MoH in 2017, reduction of 0.2% from

16,667 in 2016. Out of 16,634 posts, 4,177 (25.1%) were dental officers’ posts, of which 90.2% were

filled. A total of 1,329 new Contract Dental Officers were appointed in 2017 (Table 5).

Table 5: Oral Health Personnel in MoH, 2015 – 2017

CATEGORY 2015 2016 2017

Post Filled % vac Post Filled % vac Post Filled % vac

Dental Officer 3,692 3,492 5.4 4,177 3,969 4.97 4,177 3,769 9.77

Contract Dental Officer - - - - - - - 1,329 -

Dental Therapist 2,972 2,716 8.58 2,951 2,774 6.0 2,951 2,836 4.0

Dental Nurse (Tutor) 43 10 76.7 38 8 78.9 36 19 47.2

Dental Technologist 1,003 945 5.68 1,003 924 7.87 1,003 941 6.18

Dental Technologist

(Tutor) 19 4 78.9 18 3 83.3 18 9 50.0

Dental Surgery

Assistant 3,978 3,731 6.0 3,978 3,761 5.38 3,978 3,842 3.41

Others 4,511 4,190 7.0 4,502 4,005 11.0 4,471 3,978 11.0

TOTAL 16,218 15,088 6.96 16,667 15,444 7.33 16,634 15,394 9.76


vac= vacant

Distribution of Dental Officers and Dental Specialists

In 2017, 244 posts were allocated for clinical dental specialists, and 261 (107%) were filled. The posts

for clinical dental specialists are flexible as posts are often ‘borrowed’ between disciplines to cater

for new postgraduates re-joining the workforce (Table 6).

Table 6: Dental Officers and Clinical Dental Specialists in MoH, 2017

State Dental Officers Clinical Dental Specialists Dental Public Health Specialists

Post Filled % vac Post Filled % vac Post Filled % vac

West Malaysia 3218 2921 9.23 210 227 0 85 83 2.35

Sabah 280 216 22.86 15 19 0 5 4 20

Sarawak 328 272 17.07 19 15 21.05 4 3 25

FT Labuan 13 9 30.77 0 0 0 0 0 0

Total 3839 3418 10.97 244 261 0 94 90 4.26


Vac= vacant


6

New Posts Approved

There was no new post approved in 2017. However, 1,329 posts has been allocated for the intake of

Contract Dental Officers.

Table 7: New Posts Approved, 2017

Category of Personnel No. of Post Approved

Dental Specialist

Grade UG41/44/48/52/54 0

Dental Officer (Contract)

Grade UG41 1,329

ICT Officers (Pegawai Teknologi Maklumat)

Grade F44 0

Dental Therapist

Grade U29/32

Grade U32

Grade U36

Grade U38

Grade U40

0

0

0

0

0

Dental Technologist

Grade U29/U32

Grade U32

Grade U36

Grade U40

0

0

0

0

Dental Surgery Assistant

Grade U17/U22

Grade U22

Grade U24

0

0

0

Support Staff

Assistant Executive Officer (Penolong Pegawai Tadbir) 0

Administrative Assistant (PembantuTadbir N17/N22) 0

Attendants (Pembantu Perawatan Kesihatan U3/U12) 0

Drivers (Pemandu Kenderaan Bermotor R3/R6) 0

TOTAL 1,329


PROMOTION EXERCISES

In 2017, a total of 1,218 dental officers from various grades were promoted; 140 dental specialists

were promoted to grade UG56 (Table 8).


7

Table 8: Promotion Exercise for Dental Specialist and Dental Officer, 2017

Category

Grade

Total Khas

A

Khas

B

Khas

C

JUSA

A

JUSA

B

JUSA

C UG56 UG54 UG52 UG48 UG44

Dental Specialist - 2 4 - - - 140 29 5 - - 180

Dental officer - - - - - - - 74 129 332 683 1218

Total - 2 4 - - - 140 103 134 332 683 1398


For dental auxiliaries, 258 from various schemes were also promoted (Table 9).

Table 9: Promotion Exercises for Dental Auxiliaries, 2017

Category Grade

Total U40 U38 U36 U32 KUP U32 U29 U24 U22

Dental Therapist 10 13 0 0 54 134 0 0 211

Dental Technologist 0 3 2 14 14 0 0 0 33

Dental Surgery Assistant 0 0 0 0 0 0 14 0 14

Total 10 16 2 14 68 134 14 0 258


DENTAL SPECIALTIES IN THE MOH

There are nine (9) dental specialty disciplines recognised under the OHP. These are Oral and

Maxillofacial Surgery (OMFS), Orthodontics, Periodontics, Paediatric Dentistry, Oral Pathology and

Oral Medicine (OPOM), Restorative Dentistry, Special Needs Dentistry (SND), Forensic Dentistry and

Dental Public Health (DPH).

Number of Dental Specialists

The number of dental specialists in MoH increased from 322 in 2016 to 351 in 2017, including 90

Dental Public Health Specialists (DPHS) in MoH. There was a decline in the number of DPHS due to

retirements and there has a small number of entry of dental specialist graduates (Table 10).

Table 10: Number of Dental Specialists in MoH, 2017

Discipline

OM

FS

Ort

ho

do

nti

c

Pe

rio

do

nti

c

Pae

dia

tric

De

nti

stry

Ora

l Pat

ho

logy

and

Ora

l

Me

dic

ine

Re

sto

rati

ve

De

nti

stry

Spe

cia

l Ne

ed

s

De

nti

stry

Fore

nsi

c

De

nti

stry

De

nta

l Pu

blic

He

alth

Total

2013 54 38 24 33 9 19 2 1 111 291

2014 56 48 29 35 10 20 3 1 114 302

2015 60 47 34 39 11 20 3 1 109 324

2016 64 52 34 39 11 24 4 1 93 322

2017 75 64 36 38 15 28 4 1 90 351


(Excluded Specialists under Gazettement)


8

NETT GAIN / LOSS OF DENTAL OFFICERS

In 2017, a total of 1,329 contract dental officers joined the MoH, while 267 left the service for

various reasons, with a nett gain of 1,062 in the MoH. There was a steady nett gain of dental officers

from 2005 to 2014. However a decrease was recorded in 2015 when the compulsory service was

further reduced to one (1) year (Table 11).

Table 11: Nett Gain/Loss of Dental Officers in MoH, 2005-2017

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

Joined MoH 145 179 232 215 222 297 415 514 693 604 504 880 1,329

Left MoH 56 78 107 84 81 104 105 96 129 219 281 270 267

Retired

(Compulsory ) 7 10 20 9 2 10 13 3 1 16 12 7 16

Retired (Optional) 9 5 2 0 2 5 2 3 5 4 9 9 13

Resigned 32 48 73 54 54 72 82 89 122 198 260 252 237

Released with

Permission 6 14 10 20 23 16 7 0 0 0 0 0 0

Other Reasons 2 1 2 1 0 1 1 1 1 1 0 2 0

Nett Gain/Loss 89 101 125 131 141 193 310 418 564 385 223 610 1,062


DENTAL OFFICERS ON CONTRACT WITH THE MINISTRY

Generally, MoH has stop the intake of contract dental officers (Malaysian Retiree and Non-citizens)

(Table 12).

Table 12: Recruitment of Contract Dental Officers in MoH, 2010 - 2017

YEAR

MALAYSIANS NON - CITIZENS

Retiree Non-spouse Spouse

Posts Filled %

Filled Posts Filled

%

Filled Posts Filled

%

Filled

2010 80 39 48.7 80 43 53.7 20 15 75

2011 80 37 46.2 80 35 43.7 20 12 60

2012 80 36 45.0 80 24 30.0 20 10 50

2013 80 15 18.7 80 2 2.5 20 10 50

2014 80 14 17.5 80 1 1.3 20 11 55

2015 80 17 21.2 80 1 1.2 20 14 70

2016 80 11 13.7 80 0 0.0 20 9 45

2017 80 4 5.0 80 0 0.0 20 0 0.0



9

New Development – Human Resource Activity

Activities related to career advancements and welfare of dental professionals and auxiliaries in 2017

were as below:

1. First intake of Contract Dental Officers on 9 January 2017. A total of 1,329 new dental officers

were appointed in 2017 for a maximum of three-year (3) contract.

2. New Grade 56 was created for Medical Specialists and Dental Specialists that has been gazetted

and was at Grade 54 for five (5) years and above.

3. The approval of kelonggaran syarat to Grade UG56 for 43 DPHS.

4. The placement for 41 Dental Officers with master degrees in various specialities was made

according to the needs.

5. The first cohort of 13 male trainees of Dental Therapists started in July 2017.

6. MoH involvement in:

a) Conference and exhibition of Malaysian International Dental Show 2017 for 30 Dental

Technologists on the 21 - 23 April 2017.

b) 3rd Malaysian Dental Therapists Conference 2017 on the 5-7 May 2017.


10

ORAL HEALTH FACILITY DEVELOPMENT

ORAL HEALTH FACILITIES

The OHP MoH has a comprehensive network of oral healthcare facilities located as standalone

clinics, within the health centres and clinics, at hospitals, primary and secondary schools and

institutions.

Under the National Blue Ocean Strategy (NBOS) initiatives, healthcare services were delivered

through the Urban Transformation Centres (UTCs) established by the Ministry of Finance (MoF) and

operationalized by MoH. The UTCs includes 1Malaysia Clinics provided Malaysians with access to

outpatient healthcare services, including the oral healthcare services. In addition, the Rural

Transformation Centres (RTCs) were also developed and funded by the MoF where services were

provided through the outreach programme.

The Mobile Dental Clinics comprised of buses, trailers, lorry, caravan and the mobile dental teams

were utilised in the outreach programme to provide oral healthcare services especially to

schoolchildren and the community in the sub-urban and interior areas of the country.

In 2017, there were 1,718 dental facilities equipped with 3,282 dental units in the MoH (Table 13).

Table 13: Oral Health Facilities in MoH, 2017

Facility Type Facilities Dental Units

Standalone Dental Clinics* 54 492

Dental Clinics in Health Centres 586 1,442

Dental Clinics in Hospitals 69 407

School Dental Clinics 923 832

Mobile Dental Clinics 35 53

Mobile Dental Laboratories 4 -

1Malaysia Mobile Dental Clinics

Bus

Boat

1

2

1

0

Dental Clinic in 1Malaysia Clinics

Urban Transformation Centres (UTC)

Rural Transformation Centres (RTC)

Klinik Pergigian di Klinik 1Malaysia (K1M)

18

6

0

33

5

0

Others:

Institute of Medical Research (IMR), prisons, Maktab Rendah Sains

MARA (MRSM) Pusat Serenti, Handicapped Children’s Centres, Children

Spastic Centres and Puspanita

20

17

Total 1,718 3,282

Source: Health Informatics Centre, MoH as of 31.12.2017

* Including Children Dental Centre and Malaysian Dental Training College, Pulau Pinang (ILKKM)


11

In addition, there were 603 mobile dental teams, with 1,747 dental units (Table 14).

Table 14: Mobile Dental Teams in MoH, 2017

Facility Type Facilities Dental Units

Mobile Dental Team

School Mobile Dental Teams

(Primary and Secondary Schools)

Pre-School Mobile Dental Teams

Elderly and Special Needs Mobile Dental Teams

461

137

5

1,747**

Total 603 1,747

Source: Health Informatics Centre, MoH as of 31.12.2017

**Total no. of dental units for mobile dental teams

ORAL HEALTH DEVELOPMENT PROJECTS UNDER THE MALAYSIA PLAN (MP)

Development Projects under the 11th Malaysia Plan (11th MP)

The 11th MP is the five-year (5) development plan for Malaysia which covers the year 2016-2020. The

MoH as the lead agency for health will continue to provide universal access to quality healthcare

through the development of healthcare facilities. In 2017, there are five (5) dedicated oral health

development projects as follows:

a) Standalone Dental Clinic:

Klinik Pergigian Daro, Mukah, Sarawak.

Klinik Pergigian Pasir Akar, Besut, Terengganu.

Upgrading of Klinik Pergigian Tronoh, Perak.

b) Health Clinic Type 3 and Dental Specialist Centre Precinct 6, Putrajaya.

c) Quarters at Klinik Pergigian Chiku 3, Gua Musang, Kelantan.

In addition, there were ten (10) development projects brought forward from 10th MP in various

states as follows:

a) Seven (7) Standalone Dental Clinic:

Klinik Pergigian Bukit Selambau, Kedah.

Klinik Pergigian Kluang, Johor.

Klinik Pergigian Beluran, Sabah.

Klinik Pergigian Tanjung Karang, Selangor.

Dental Block at Bukit Changgang, Kuala Langat, Selangor.

Dental Block at Klinik Kesihatan Sungai Tekam Utara, Jerantut, Pahang.

Dental Specialist Clinic Kota Setar, Kedah.


12

b) Non-Hospital-Based Dental Specialist Centre Jalan Zaaba, Seremban, Negeri Sembilan.

c) Dental Specialist Centre Sabah.

d) Upgrading dental facilities in hospital - Department of Paediatric Dentistry, Hospital Melaka,

Melaka.

Development of Norms and Guidelines for New Facilities

The Brief of Requirements (BOR), standard list of equipment and specification of other requirements

for new dental facilities were reviewed and updated periodically:

a) Redevelopment of Klinik Pergigian Dato’ Keramat, Federal Teritory (FT) Kuala Lumpur.

b) Redevelopment of Klinik Pergigian Cahaya Suria, FT Kuala Lumpur (FT KL).

c) Brief of Standalone Dental Clinic for 11th MP.

d) Standard Brief for Klinik Pergigian di Klinik Kesihatan Type 1 11th MP.

e) Standard Brief for Klinik Pergigian di Klinik Kesihatan Type 2 11th MP.

f) Standard Brief for Klinik Pergigian di Klinik Kesihatan Type 3 11th MP.

PRIVATISATION OF HEALTH CLINIC SUPPORT SERVICES: BIOMEDICAL EQUIPMENT MANAGEMENT

SERVICES (BEMS) UNDER MEDICAL EQUIPMENT ENHANCEMENT TENURE (MEET) PROGRAMME

The monitoring of MEET programme delivered by Quantum Medical Solutions (QMS) company was

conducted at Health and Dental Clinics by the Technical Audit organised by Engineering Services

Division, MoH. Clinics involved were:

a) Klinik Kesihatan dan Klinik Pergigian Setapak, FT KL and Putrajaya.

b) Klinik Kesihatan dan Klinik Pergigian Putrajaya Precinct 9, FT KL and Putrajaya.

c) Klinik Kesihatan dan Klinik Pergigian Salak, Selangor.

d) Klinik Kesihatan dan Klinik Pergigian Kuarters KLIA, Negeri Sembilan.

e) Klinik Kesihatan dan Klinik Pergigian Pokok Assam, Perak.

f) Klinik Kesihatan dan Klinik Pergigian Masjid Tanah, Melaka.

g) Klinik Kesihatan dan Klinik Pergigian Tanah Puteh, Sarawak.

h) Klinik Pergigian Tuaran, Sabah.

The Internal Audit Section of MoH has also audited the MEET programme for Klinik Kesihatan and

Klinik Pergigian Penampang, Sabah.

Meanwhile the OHP received a total of 2,680 units of Biomedical Equipment (Batch 2 to 5) for the

duration of January until December 2017.


13

PRIVATISATION OF HEALTH CLINIC SUPPORT SERVICES: FACILITIES ENGINEERING

MANAGEMENT SERVICES (FEMS), CLEANING SERVICES (CLS) AND CLINICAL WASTE

MANAGEMENT SERVICES (CWMS) UNDER PERKHIDMATAN SOKONGAN KLINIKAL (PSK)

The privatisation of support services which includes FEMS, CLS and CWMS in health clinics involving

dental facilities continues in 2017. Monitoring of projects, issues and other related activities were

coordinated by the Clinic Operation Section, Engineering Services Division, MoH.

OHP has submitted the application for PSK service expansion for new facilities including 14

Standalone Dental Clinics under the PSK Expansion Project in 11 states and PSK in Pahang. The task

of monitoring PSK implementation at Health and Dental Clinics was done through technical

inspection visits, head by the Clinic Operation Section, Engineering Services Division, MoH. The

clinics involved were:

a) Klinik Kesihatan dan Klinik Pergigian Jalan Perak, Pulau Pinang.

b) Klinik Kesihatan dan Klinik Pergigian Pekan, Pahang.

c) Klinik Kesihatan dan Klinik Pergigian Bandar Jengka, Pahang.

d) Klinik Kesihatan dan Klinik Pergigian Maran, Pahang.

The PSK services were also implemented in Health and Dental Clinics in Sarawak in accordance with

the agreement contract. Meanwhile in Sabah, the PSK contract has ended on 14 April 2017 and MoH

had planned for the provision of new contract.

PROCUREMENT OF MEDICAL AND NON-MEDICAL EQUIPMENT AND NON-AMBULANCE

VEHICLES

In 2017, the OHP received RM1.09 million under the Development Funds for procurement of new,

replacement and upgrading of non-ambulance vehicles, medical and also non-medical equipment.

TRAINING

The Oral Health Facility Development and Management course was carried out at Acapella Hotel,

Shah Alam from 27 to 29 September 2017. The course aimed to improve the draft of Medical Brief

Requirements and Standard List of Equipment for various types of oral healthcare facilities including

dental primary care clinics and specialist clinics. Relevant stakeholders were invited to provide input

and feedback during this course.


14

ORAL HEALTH POLICY & STRATEGIC PLANNING


15

ORAL HEALTH PROFESSIONAL DEVELOPMENT

GAZETTEMENT OF DENTAL SPECIALISTS

In 2017, the Dental Specialist Gazettement and Evaluation Committee or Jawatankuasa Penilaian

Pewartaan Pakar Pergigian (JPPPP) held three (3) meetings to assess and make recommendations to

the Jawatankuasa Khas Perubatan (JKP) for the gazettement of Dental Specialists in the MoH.

Gazettement of Dental Public Health Specialists (DPHS)

Five (5) DPHS were gazetted in 2017 (Table 15).

Table 15: Dental Public Health Specialists Gazetted, 2017


Gazettement of Clinical Dental Specialists

A total of 46 Clinical Dental Specialists were gazetted throughout the year 2017 which includes nine

(9) Clinical Dental Specialist were gazetted in 2016 and 37 were gazetted in 2017 (Table 16).

Table 16: Dental Clinical Specialists Gazetted, 2017

No. Name Gazettement

Date

Pre-Gazettement

Period Posting

1. Dr Mustaffa bin Jaapar 30.3.2017 6 months Pejabat Kesihatan Pergigian Daerah Kuala

Terengganu, Jalan Air Jernih, Terengganu

2. Dr Azliza bt Zabha 30.3.2017 6 months Pejabat Kesihatan Pergigian Daerah Kinta,

Ipoh, Perak

3. Dr Azhani bt Ismail 17.4.2017 6 months Pejabat Kesihatan Pergigian Daerah Klang,

Klang, Selangor

4. Dr Enny Esdayantey bt

Abdul Manab

3.11.2016 6 months Pejabat Timbalan Pengarah Kesihatan Negeri

(Pergigian) Pulau Pinang

5. Dr Nurulasmak bt

Mohamed

1.3.2017 6 months Pejabat Kesihatan Pergigian Daerah

Seberang Perai Tengah, Pulau Pinang

No. Name Gazettement

Date

Pre-Gazettement

Period Posting Place

1. Dr Siti Aishah bt Salim 9.6.2016 18 months KP Pakar Ortodontik, Alor Setar, Kedah

2. Dr Siti Suria bt Abu Hajia 15.6.2016 18 months Unit Ortodontik, KP Lanang, Sibu,

Sarawak

3. Dr Emy Haniza Zuriani bt

Mamat Ariffin

15.6.2016 18 months Unit Ortodontik, KP Sg Besar, Tanjung

Karang, Selangor

4. Dr Mohd Zambri bin Mohamed

Makhbul

5.7.2016 18 months Unit Ortodontik, KP Cahaya Suria,

Kuala Lumpur

5. Dr Marhamah bt Manan @

Sa'adun

25.8.2016 6 months Klinik Pakar Pergigian, Seremban,

Negeri Sembilan


16

6. Dr Nur Auliana bt Zainul Ariff 17.6.2016 6 months KP Tanah Puteh, Kuching, Sarawak

7. Dr Nurliza bt Abdul Razak 1.3.2017 6 months Jabatan Bedah Mulut dan

Maksilofasial, Hospital Raja

Perempuan Bainun, Ipoh, Perak

8. Dr Syed Yusoff Alzawawi bin

Syed Abdul Fattah

1.3.2017 6 months Jabatan Bedah Mulut dan

Maksilofasial, Hospital Sultan Haji

Ahmad Shah, Temerloh, Pahang

9. Dr Tengku Aszraf bt Tengku

Shaeran


Maksilofasial, Hospital Kuala Lumpur

10. Dr Tan Mei Nee 5.6.2016 6 months Jabatan Bedah Mulut dan

Maksilofasial, Hospital Raja

Perempuan Zainab II, Kota Bharu,

Kelantan

11. Dr Saridah bt Mahdah 1.3.2017 6 months Jabatan Bedah Mulut dan

Maksilofasial, Hospital Queen

Elizabeth, Kota Kinabalu, Sabah

12. Dr Jaswinder Singh a/l

Mukhwant Singh


Maksilofasial, Hospital Serdang,

Selangor

13. Dr Aida Shafiza bt Che' Azmi 8.2.2017 6 months Jabatan Pergigian Pediatrik, Hospital

Shah Alam, Selangor

14. Dr Nurulnazra bt Mohd Areffin 1.3.2017 6 months Jabatan Pergigian Pediatrik, Hospital

Raja Perempuan Zainab II, Kota Bharu,

Kelantan

15. Dr Katherine Kong Loh Seu 5.3.2017 6 months Jabatan Pergigian Pediatrik, Hospital

Melaka, Melaka

16. Dr Norma bt Jamaludin 1.3.2017 6 months Unit Pakar Periodontik, Klinik Pergigian

Peringgit, Melaka

17. Dr Lau Guat Syin 3.2.2017 18 months Klinik Pergigian Jalan Mahmoodiah,

Johor Bharu

18. Dr Zuhrah bt Mohd Sood 25.9.2016 6 months Pusat Pakar Pergigian Seremban,

Seremban, Negeri Sembilan

19. Dr Izni Iwani bt Majid 7.12.2016 6 months Klinik Pergigian Pasir Mas, Kelantan

20. Dr Nurmawarnis bt Mat Hussin 2.3.2017 6 months Unit Stomatologi (CaRC), Institut

Penyelidikan Perubatan, Kuala Lumpur

21. Dr Salina bt Din 1.3.2017 6 months Klinik Pergigian Pakar (Patologi Mulut

dan Perubatan Mulut) Hospital Queen

Elizabeth, Kota Kinabalu, Sabah

22. Dr Zarina bt A.Karim 7.2.2017 6 months Klinik Bedah Mulut (Patologi Mulut dan

Perubatan Mulut) Hospital Sultan

Abdul Halim, Sg. Petani, Kedah

23. Dr Sarvambika a/p

Kazakydasan


Maksilofasial, Hospital Kuala Lumpur

24. Dr Woon See Choong 14.3.2017 18 months Klinik Pergigian Jalan Putra, Teluk

Intan, Perak

25. Dr Oh Pei Ying 14.3.2017 18 months Klinik Pergigian Alor Setar (Ortodontik),

Alor Setar, Kedah

26. Dr Tan Siew Cheh 29.3.2017 18 months Klinik Pergigian Senggarang, Batu

Pahat, Johor


17


27. Dr Yang Rafidah bt Hassan 16.6.2017 18 months Unit Ortodontik, Klinik Pergigian

Taiping, Perak

28. Dr Koay Woei Li 16.6.2017 18 months Klinik Pakar Pergigian (Ortodontik),

Hospital Keningau, Sabah

29. Dr Chin Siew Yee 12.4.2017 18 months Unit Pakar Ortodontik, Klinik Pergigian

Sandakan, Sabah

30. Dr Lin Cze Yin 23.6.2017 18 months Klinik Pergigian Kuala Berang, Kuala

Berang, Terengganu

31. Dr Lu Ting Yin 1.3.2017 6 months Jabatan Bedah Mulut & Maksilofasial,

Hospital Sungai Buloh, Selangor

32. Dr Han Fong Siew 14.3.2017 18 months Jabatan Bedah Mulut & Maksilofasial,

Hospital Queen Elizabeth, Kota

Kinabalu, Sabah

33. Dr Bernard Lau Sie Ming 1.3.2017 6 months Klinik Pakar Pergigian Bedah Mulut dan

Maksilofasial, Hospital Sibu, Sarawak

34. Dr Dionetta Delitta Dionysius 2.6.2017 18 months Jabatan Bedah Mulut dan

Maksilofasial, Hospital Tengku

Ampuan Rahimah, Klang, Selangor

35. Dr Siti Nurqissa bt Mustafa 9.3.2017 6 months Unit Periodontik, Klinik Pergigian Pokok

Assam, Taiping, Perak

36. Dr Intan Azimah bt Azman 14.3.2017 6 months Unik Pakar Restoratif, Klinik Pergigian

Jinjang, Kuala Lumpur

37. Dr Norazia bt Majid 9.3.2017 6 months Klinik Pergigian Pakar Restoratif

Tanjung Lalang, Temerloh, Pahang

38. Dr Siti Salwa bt Idris 17.3.2017 18 months Unit Pakar Restoratif, Klinik Pergigian

Bukit Payung, Marang, Terengganu

39. Dr Farah Amimah Abdul Raof 1.4.2017 18 months Unit Pakar Restoratif, Klinik Pergigian

Putatan, Kota Kinabalu Sabah

40. Dr Tiu Szu Hui 17.3.2017 18 months Klinik Pakar Ortodontik Bukit Minyak,

Bukit Mertajam, Pulau Pinang

41. Dr Soh Chen Loong 29.1.2017 18 months Jabatan Bedah Mulut dan

Maksilofasial, Hospital Selayang,

Selangor

42. Dr Khor Swee Ting 6.4.2017 18 months Jabatan Pergigian Pediatrik, Hospital

Tengku Ampuan Rahimah (HTAR),

Klang, Selangor

43. Dr Jane Lim Wei Huei 11.7.2017 18 months Jabatan Pergigian Pediatrik, Hospital

Tawau, Sabah

44. Dr Siti Norhazlin bt Mohd Said 5.8.2017 18 months Jabatan Pergigian Pediatrik, Hospital

Sultanah Bahiyah, Alor Setar, Kedah

45. Dr Wan Syasliza bt Mohamed

Thani

16.6.2017 6 months Jabatan Pergigian Keperluan Khas,

Hospital Kajang, Selangor

46. Dr Ong Hwei Sze, Jillian 26.7.2017 18 months Klinik Pakar Periodontik Mak Mandin,

Pulau Pinang


18

POST-GRADUATE TRAINING FOR DENTAL PROFESSIONALS

In 2017, a total of 212 dental officers applied for post graduate training, of which 44 (21%) were

offered Federal Scholarships and seven (7) were offered study leave without the Federal Scholarship

(Figure 1).

Figure 1: Dental Officers Pursuing Post-graduate Training, 2012-2017


In 2017, a total number of 48 dental officers pursued post-graduate training at local universities,

while three (3) went abroad (Table 17). Meanwhile, 42 dental officers completed their post-

graduate training (Table 18).

Table 17: Dental Officers Pursuing Post-graduate Training by Discipline, 2017

Discipline On Scholarship Self-Sponsored Total

Local Abroad Local Abroad

1. Oral and Maxillofacial Surgery 10 0 1 0 11

2. Orthodontics 6 0 2 2 10

3. Periodontics 7 0 0 0 7

4. Paediatric Dentistry 7 0 1 0 8

5. Restorative Dentistry 4 0 0 0 4

6. Oral Pathology and Oral Medicine 2 0 0 0 2

7. Special Needs Dentistry 0 0 0 0 0

8. Dental Public Health 8 0 0 0 8

9. Forensic Dentistry 0 0 0 0 0

10. Area of Special Interest 0 0 0 1 1

TOTAL 44 0 4 3 51



19

Table 18: Dental Officers Completed Post-graduate Training, 2017

Discipline Local

Universities

Institutions

Abroad

1. Oral Maxillofacial and Surgery 5 0

2. Orthodontics 10 4

3. Periodontics 5 1

4. Paediatric Dentistry 4 1

5. Restorative Dentistry 4 4

6. Oral Pathology and Oral Medicine 0 0

7. Special Needs Dentistry 0 0

8. Dental Public Health 2 0

9. Forensic Dentistry 0 2

TOTAL 30 12


IN-SERVICE TRAINING FOR DENTAL PERSONNEL (LATIHAN DALAM PERKHIDMATAN)

RM1.5 million was received in 2017 and allocated for in-service training in the country and none

allocated for training abroad (Table 19).

Table 19: Funds for In-Service Training under 9th, 10th and 11th Malaysia Plans

Year In-Service

Training Allocation (RM)

No. of Dental

Professionals and

Auxiliaries Trained

Expenses (RM) % Expenditure

9th Malaysia Plan (2006-2010)

2006 Local 290,000.00 645 272,817.45 97.2

Overseas 417,190.00 15 383,876.00 92.0

2007 Local 1,070,000.00 4,756 1,067,638.10 99.8

Overseas 708,801.00 30 688,870.00 97.2

2008 Local 1,199,533.00 5,424 1,192,942.16 99.8

Overseas 733,800.00 23 711,252.12 96.9

2009 Local 1,253,000.00 3,434 1,246,149.28 99.5

Overseas 1,047,000.00 27 850,000.00 81.2

2010 Local 1,825,000.00 12,433 1,822,130.00 99.8

Overseas 1,175,000.00 32 1,100,000.00 93.6


2011 Local 2,015,000.00 14,929 2,014,731.00 99.9

Overseas 985,000.00 23 960,000.00 97.5

2012 Local 2,660,000.00 17,294 2,571,992.00 96.7

Overseas 340,000.00 10 340,000.00 100.0

2013 Local 2,914,660.00 20,450 2,913,067.29 99.9

Overseas 35,340.00 2 35,340.00 100.0

2014 Local 2,870,000.00 19,460 2,847,701.57 99.2

Overseas 130,000.00 8 129,080.00 99.3


20

Year In-Service

Training Allocation (RM)

No. of Dental

Professionals and

Auxiliaries Trained

Expenses (RM) % Expenditure

2015 Local 2,724,940.00 38,011 2,996,629.83 99.89

Overseas 275,060.00 13 275,060.00 100.0


2016 Local 2,741,960.00 20,691 2,672,385.62 97.5

Overseas 258,040.00 13 188,602.61 73.1

2017 Local 1,500,000.00 27,157 1,500,000.00 100

Overseas 0.00 0 0.00 0.0


Local In-Service Training

By December 2017, a total of 57 consultancy trainings and courses were conducted and attended by

2,997 Dental Specialists, Dental Officers and Dental Auxiliaries (Table 20).

Table 20: Consultancy Trainings and Courses for Specialties, 2017

Area

Training Topic

Consultant &

Participants Date Expenses Venue

Dental Public

Health

Specialists

(DPHS)

24th MDA Scientific

Convention & Trade

Exhibition (SCATE 2017)

97 DPHS and Dental

Officers, 39 Dental

Auxiliaries

13-15 January

2017

RM 69,642.00 PWTC, KL

Bengkel Training of Trainers

Penyelaras TW1ST

48 Dental Auxiliaries 8-10 February

2017

RM 20,550.00 Hotel Pudu Plaza, KL

ISO 9001 : 2015 Internal Audit

Transition Training

31 DPHS and Dental

Officers, 10 Dental

Auxiliaries

7-8 March 2017 RM 6,031.40 OHP MoH

Bengkel Pemantapan Dental

Buskers untuk Promosi

Kesihatan Pergigian

33 DPHS and Dental

Officers, 55 Dental

Auxiliaries

9-11 March 2017 RM 27,030.00 Hotel Goldcourse,

Klang, Selangor

8th MADPHS Scientific

Meeting & AGM 2017

73 DPHS and Dental

Officers

10-11 March

2017

RM 34,310.00 Hotel Geno, Subang

Jaya, Selangor

Persidangan Penyelidikan

Tahunan ke-16, International

Association for Dental

Research (IADR) Malaysian

Section

5 DPHS 18 March 2017 RM 1,150.00 Hotel Armada,

Petaling Jaya

Bengkel Penyediaan Kertas

Siasatan

30 Dental Officers 21-23 March

2017

RM 10,560.00 Hotel Taiping Perdana,

Perak

Global Transformation Forum

2017

3 DPSH 22-23 March

2017

RM 10,200.00 KLCC

CPD : MES - UiTM Joint

Meeting 2017

20 Dental Officers 2 April 2017 RM 5,000.00 UiTM Sungai Buloh

Bengkel Tatacara Serbuan

37 Dental Officers and

21 Dental Auxiliaries

3-6 April 2017 RM 6,160.00 Akademi Imigresen

Malaysia, NS

Effecive Dental Health

Education Workshop



10-12 April 2017 RM 15,060.00 Hotel Crystal Crown,

Klang, Selangor

Bengkel Teknik ‘Copy Denture

: Mudah, Tepat dan Ringkas’

3 Dental Auxiliaries 13 April 2017 RM 600.00 Fakulti Pergigian USIM


21

Area

Training Topic

Consultant &


Malaysia International

Dental Show 2017 (MIDS

2017)

30 Dental Auxiliaries 21-23 April 2017 RM 7,170.00 Sunway Pyramid

Convention Centre

Dental Public

Health

Specialists

(DPHS)

Kursus Risikan Asas dan

Lanjutan

3 Dental Officers 25-28 April 2017 RM 1,530.00 Ancasa Residence,

Port Dickson, NS

Kursus Serbuan Asas dan

Lanjutan

3 Dental Officers 5-7 May 2017 RM 1,530.00 Ancasa Residence,

Port Dickson, NS

Kursus Pakar dalam

Perwartaan

30 Dental Officers

(Gazettment Officers)

2-4 May 2017 RM 18,800.00 Hotel Grand Bluewave,

Shah Alam, Selangor

Kursus Pengurusan Aset Alih

dan Sistem Pemantauan

Pengurusan Aset


18 Dental Auxiliaries,

Supporting Staff

3 May 2017 RM 885.00 OHP MoH

Kursus Pembantu Perawatan

Kesihatan Pergigian Peringkat

Kebangsaan

11 Dental Officers and 54

Dental Auxiliaries

17-19 May 2017 RM 14,510.00 Hotel Impian Morib,

Banting, Selangor

Bengkel Halatuju

Penyampaian Perkhidmatan

Pergigian

67 DPHS 23-24 May 2017 RM 18,760.00 Hotel Geno, Shah

Alam, Selangor

Workshop on Data Analysis

for NHMS 2017 : National

Oral Health Schoolchildren

Survey 2017 (NOHSS 2017)

Sesi 1

15 DPHS 10-13 July 2017 RM 11,100.00 Hotel Summit, Subang

USJ

Workshop on Data Analysis




Sesi 2

15 DPHS 17-20 July 2017 RM 13,350.00 Hotel Eastin, PJ

Workshop on Report Writing




15 DPHS 24-27 July RM 10,950.00 Hotel Best Western,

Shah Alam, Selangor

Conference in Cariology 2017 10 DPHS 20 July 2017 RM 5,500.00 Bangsar South City, KL

Professional Lecture Series :

Bridging Research and

Practice

1 Dental Officer 25 July 2017 RM 50.00 UiTM Sungai Buloh

Malaysia - International

Dental Exhibition and

Conference (MIDEC) 2017



28-30 July 2017 RM 64,024.00 KLCC

Sesi Latihan Modul Billing &

Service


Dental Auxiliaries

1 August 2017 RM 450.00 KK Seremban

Latihan Sistem myCPD V2.0

2017

30 Dental Officers 10 August 2017 RM 930.00 OHP MoH

Kursus Pengurusan Pejabat

dan Organisasi Efektif

30 Supporting Staff 11-13 August

2017

RM 16,213.10 Hotel Ancasa

Residences, NS

International Conference on

Radiation Safety & Security in

Healthcare Services

5 DPHS and Dental

Officers

19-20 August

2017

RM 1,187.50 Dewan Budaya, USM

Pulau Pinang

International Forum on

Quality & Safety in

Healthcare

1 DPHS 24-26 August

2017

RM 3.407.00 KLCC


22

Area

Training Topic

Consultant &


5th Asia Pacific Conference on

Public Health

3 DPHS 10-13 September

2017

RM 1,950.00 Hotel Riverside

Majestic, Kuching

Sarawak

Medico-Legal Conference

2017

5 Dental Officers 19-20 September

2017

RM 4,250.00 Hotel Istana, Kl

11th National Conference for

Clinical Research (NCCR 2017)

1 Dental Officer 27-29 September

2017

RM 954.00 PICC

Kursus Pembangunan &

Perkembangan Fasiliti

Kesihatan Pergigian



27-29 September

2017

RM 17,297.00 Hotel Acapella Suite,

Shah Alam, Selangor

Bengkel Penyelarasan Senarai

Prosedur bagi Caj Rawatan

Pergigian

30 Dental Officers 1-3 October

2017

RM 14,595.00 Hotel Concorde Shah

Alam, Selangor

Dental Public

Health

Specialists

(DPHS)

International College of

Dentist (ICD) Scientific

Congress & Induction Section

XV 2017

10 DPHS 7-8 October

2017

RM 4,300.00 UiTM Sungai Buloh

5th Questionnaire Validation

Workshop 2017


2017

RM 350.00 USM

Sesi Latihan Pemantapan

Pentadbir Sistem


Dental Auxiliaries

12-13 October

2017

RM 900.00 KK Seremban

Good Clinical Practice

Workshop

5 Clinical Specialists 10-12 October

2017

RM 4,240.00 UM

Sesi Latihan Pemantapan

Pengguna Sistem


Dental Auxiliaries

19-20 October

2017

RM 1,440.00 JKN NS

Basic Life Support (BLS)


2018

RM 3,750.00 Hospital Sungai Buloh

Bengkel Pemantapan

Program Kesihatan Pergigian

untuk Guru Pelatih


Dental Auxiliaries

25-27 October

2017

RM 27,980.00 Hotel Eastin, Kl

19th Annual Scientific

Conference IMAM 2017

10 Dental Officers 29 September –

1 October 2018

RM 4,500.00 Hotel Putra Regency,

Kangar, Perlis

2017 International Congress

on Forensic Medicine and

Science


2017

RM 900.00 Auditorium Pustaka

Negara

16th Penang Dental Congress 10 Dental Officers 28-29 October

2017

RM 3,710.00 Hotel Equatorial,

Pulau Pinang

Symposium on Oral Health

Related Quality of Life, Fakulti

Pergigian Universiti Malaya

(UM)

101 DPHS 3-4 November

2017

RM 1,500.00 UM

Oral and

Maxillofacial

Surgery

21th MAOMS ASM & AGM

13 Oral and Maxillofacial

Surgeons

24-26 March

2017

RM 11,800.00 UM

6th Microsurgery Training

Course

12 Oral and Maxillofacial

Surgeons

10-14 July 2017 RM 20,700.00 HKL and IMR

Oral Pathology

and Oral

Medicine

(OPOM)

East Asia Interventional Pain

Conference 2017

5 OPOM 13-15 January

2017

RM 4,000.00 The Federal, KL

Orthodontics

23rd Malaysian Association of

Orthodontists

International Scientific

Conference & Trade

Exhibition (MAOISCTE) 2017

14 Orthodontists 22-14 April 2017 RM 20,800.00 Hotel Renaissance, KL


23

Area

Training Topic

Consultant &


Periodontics

Periodontal Screening and

Referral Seminar

6 Periodontists and

Dental Officers

13 July 2017 RM 960.00 USIM

MSP: Formula for Successful

Implant Therapy

53 Periodontists 28 October 2017 RM 21,200.00 Hotel Istana, KL

Restorative

Dentistry

7th Malaysian Association for

Prosthodontics (MAP) Annual

Scientific Conference and

AGM

29 Restorative Dental

Specialists and Dental

Officers

5-8 October

2017

RM 18,880.00 UM

MAPD Scientific Meeting &

Annual General Meeting 2017

21 Paediatric Dental

Specialists

3-5 March 2017 RM 13,350.00 Hotel Primula Kuala

Terengganu

29th MES Annual Scientific

Meeting & AGM 2017

3 Restorative Dental

Specialists and Dental

Officers

25-26 November

2017

RM 1,350.00 Pullman Kuala Lumpur

City Centre,

Hotel and Residences,

Kuala Lumpur

Forensic

Dentistry

Forensic Odontology Disaster

Preparedness Workshop 2017

– Zon Tengah



8-9 May 2017 RM 12,030.00 RHR UNITEN

Special Needs

Dentistry

Geriatric Dentistry: Inter-

Collaboration Between

Primary & Specialist Care


Dental Auxiliaries

7-9 August 2017 RM 16,530.00 Avillion Admiral Cove

Hotel, Port Dickson, NS


One-off Overseas Courses

In 2017, there were ten (10) courses and trainings abroad attended by MoH dental professionals

which costed a sum of RM222,200.00 (Table 21).

Table 21: List of One-off Overseas Courses, 2017

No. Course Venue Date

1 Association of Orthodontists (Singapore) Congress

23rd International Conference on Oral and Maxillofacial

Surgery

Singapura 24-26 February 2017

2 39th Asia-Pacific Dental Congress Hong Kong 31 March - 3 April 2017

3 Meeting on Early Childhood Caries (ECC) Macau 22-25 May 2017

4 2017 China – Malaysia Conjoint Conference of Oral and

Maxillofacial Surgery

Bangkok, Thailand 7-8 June 2017

5 2017 FDI Annual World Dental Congress Beijing, China 18-19 August 2017

6 Asian Chief Dental Officer Meeting 2017 (ACDOM) Madrid, Spain 29 August - 1 September 2017

7 Association of Orthodontists (Singapore) Congress Beijing, China 18-20 September 2017

8 9th Asian Conference Oral Health Promotion for School

Children (ACOHPSC)

Siem Reap,

Cambodia

22-24 September 2017

9 5th International Conference of Dental Regulators dan

Lawatan Kerja Rasmi Pengarah Kanan (Kesihatan

Pergigian) ke United Kingdom

London 2-7 October 2017


24

No. Course Venue Date

10 International Association for the Scientific Study of

Intellectual and Developmental Disabilities (IASSIDD) :

Asia-Paciific 4th Regional Congress 2017

Bangkok, Thailand 13-16 November 2017


Continuing Professional Development (CPD)

The following CPD sessions were held at the OHP MoH (Table 22).

Table 22: List of CPD Conducted in the OHP, 2017

No. CPD Course

1 Dental Emergency Resuscitation Bag (AED)

2 Carta Fungsi Program Kesihatan Pergigian (PKP)

3 Pengenalan ISO kepada Anggota Baru di PKP

4 Ekosistem Kondusif Sektor Awam (EKSA)

5 Enhanced Primary Healthcare

6 Portable Dental Unit Dentalone

7 Latihan Sistem MyCPD versi 2.0 siri 1

8 Latihan Sistem MyCPD versi 2.0 siri 1

9 Updates on New Technology in Cleaning and Sterilising Instruments in Dental Clinic

10 Pembentangan Penemuan Kajiselidik National Health and Morbidity Survey 2017 : National Oral Health

Survey of School Children 2017 (NHMS 2017 : NOHSS 2017) and NHMS 2017 : Adolescent Health Survey

(Hygiene Module)

11 Pengenalan dan Demonstrasi Automatic Portable Treatment Chair - Stuhl


The CPD sessions comprise of three (3) areas of core competencies namely Clinical, Technical and

Generic (Figure 2).

0 1 2 3 4 5 6

technical

clinical

generic

Number of CPD Sessions

Co

re C

om

pet

enci

es

Number of CPD Sessions According to Areas of Core Competencies 2017

Figure 2: Number of CPD Sessions According to Areas of Core Competencies, 2017



25

PROFESSIONAL DEVELOPMENT OF DENTAL AUXILIARIES

Post-Basic Training

A total of 25 Dental Therapists have passed the post-basic training in Paediatric Dentistry in February

2017. Following which, the post-basic training in Periodontics for Dental Therapist was designated by

the OHP and conducted from 4 September 2017 to 28 February 2018 at the Children’s Dental Centre

and Training Institute MoH in Georgetown, Pulau Pinang [Pusat Pergigian Kanak-kanak dan Institut

Latihan Kementerian Kesihatan Malaysia (PPKK and ILKKMM)]. Among 31 applicants, 22 were

offered the training while nine (9) applicants had declined to be transferred from their present

states.

The previous post-basic training in Periodontics for Dental Therapist was conducted in 2013 with 22

candidates. Overall, there were 161 Dental Therapists and 38 Dental Technologists with post-basic

training from 2009 until 2017 (Table 23). By speciality discipline, there were 25 Dental Therapists

with post-basic training in Orthodontics, 48 Dental Therapists with post-basic training in Paediatric

Dentistry, 88 dental therapists with post-basic training in Periodontics, 24 Dental Technologists with

post-basic training in Orthodontics and 14 Dental Technologists with post-basic training in Oral and

Maxillofacial Surgery.

Table 23: Dental Auxiliaries Trained in Post-basic Courses, 2009-2017

Year Dental Therapist Dental Technologist

Post-basic No. Post-basic No.

2009 Periodontics 20 - -

2010 Paediatric Dentistry 23 - -

2011 - - Orthodontics 24



2014 - - Oral and Maxillofacial Surgery 14

2015 Orthodontics 25 - -

2016 Paediatric Dentistry 25 - -

2017 Periodontics 22



26

ORAL HEALTH EPIDEMIOLOGY AND RESEARCH

As in previous years, research efforts were concentrated at National and OHP levels in support of

evidence-based policy decisions for oral healthcare delivery. Thus several research projects initiated

in the previous year were continued in 2017.

NATIONAL LEVEL RESEARCH PROJECTS AND INITIATIVES

NHMS 2017: Adolescents Health Survey

The Adolescents Health Survey (AHS) 2017 was formerly known as the Global School Health Survey

(GSHS) and the last GSHS was conducted in 2012. AHS 2017 survey was aimed to obtain information

on the behavioral aspects in relation to health and oral health of schoolchildren aged 13-17. It is part

of the country surveys coordinated by the World Health Organisation. Data analysis for Hygiene

Module was completed in 2017 by the Institute for Public Health (IPH), MoH Malaysia.

The Hygiene Module OHP documentation was completed and submitted to the IPH, MoH. A total of

17 drafts reports were prepared for oral health hygiene module, which includes the Malaysia AHS:

Country Report (1 report) and 16 state reports. Presentation of the survey findings to Dental Officers

and Dental Therapists was carried out at the OHP MoH, Putrajaya on 8 November 2017.

NHMS 2016: Oral Health Module in Maternal and Child Health Survey

Report on Oral Health Module was completed and submitted to IPH MoH and manuscript for oral

health module was sent to co-authors for review. The survey findings were presented to Dental

Officers and Dental Therapists at the OHP MoH, Putrajaya on 8 November 2017.

NHMS 2018: Oral Health Module in Elderly Health Survey

The preparation of scope of survey inclusive of oral health module was led by the IPH MoH. Training

for Interviewers was conducted in 2017.

NHMS 2019: Healthcare Demand (Oral Health Module)

The preparation of questionnaire items inclusive of oral health module was led by the Institute for

Health Systems Research (IHSR), MoH. It was reviewed and finalised in 2017.


27

Dental Care Pathways for Geriatric Populations in ASEAN Countries: Clinicians’ Knowledge,

Perceptions and Barriers Faced

This collaborative study ‘Dental Care Pathways for Geriatric Populations in ASEAN Countries:

Clinicians’ Knowledge, Perceptions and Barriers Faced’ with University Malaya (UM), was started in

2014. Data collection for Phase II study was completed and data was analysed by UM statistician and

subsequently report writing was initiated by UM as the Principal Investigator.

National Oral Health Research Initiatives

Updating oral health research database at country level was completed.

PROGRAMME LEVEL RESEARCH PROJECTS

NHMS 2017: National Oral Health Survey of Schoolchildren (NOHSS 2017)

This national survey was previously carried out by the OHP MoH in 1997 and 2007. However, in

2015, decision was made to conduct the survey under the purview of NHMS 2017 by IPH MoH. The

Technical Advisory Committee was established with members from the OHP MoH, IPH MoH and

Ministry of Education (MoE).

The NHMS 2017: National Oral Health Survey of Schoolchildren (NOHSS 2017) statistical report is

scheduled to be completed in 2017, thus the preparation for dummy tables and draft report were

initiated by the National Analysis Core Team involving 13 officers from states and 3 officers from

Epidemiology and Oral Health Research Section, OHP in September and November 2016 at Summit

Hotel, Selangor.

Three (3) training sessions for standardisation and calibration were conducted for 36 state

examiners in the conduct of data collection (Image 1 to 3). Monitoring of the conduct of surveys in

the states were carried out as follows; field data collection progress, expenditure of survey

allocation, data entry and response rate. Two (2) reports were completed and submitted to the IPH,

MoH. The preparation of manuscript for publication was initiated and survey findings presentation

was made to all Oral Health States Deputy Directors, MoH during Mesyuarat Jawatankuasa Dasar

dan Perancangan Kesihatan Pergigian (JDPKP) Kementerian Kesihatan Malaysia (KKM) on 5

December 2017. The findings were also presented to Dental Officers and Dental Therapists at the

OHP MoH, Putrajaya on 8 November 2017.


28

National Oral Health Survey of Pre-school Children (NOHPS 2015)

In 2017, two (2) reports were completed and preparation of Fact Sheet for publication was initiated.

The survey findings were disseminated at conference/seminar/meeting and through journal

publication as follows:

Oral Presentation

Mesyuarat Jawatankuasa Pemandu NOHPS 2015, 12 January 2017.

3rd Malaysian Dental Therapists' Scientific Conference 2017, Berjaya Times Square,

Kuala Lumpur, 5-7 May 2017.

Mesyuarat Teknikal Bahagian Kesihatan Pergigian KKM Bil. 3/2017, 16 May 2017.

Seminar Pembentangan Penemuan Kajiselidik Peringkat Kebangsaan, Oral Health

Division, Perlis, 17 August 2017.

Seminar Pembentangan Penemuan Kajiselidik Peringkat Kebangsaan, Oral Health

Division, Pahang, 23 August 2017.

Bengkel Penemuan NOHPS 2015 dan Pencapaian Pra-sekolah/toddler 2017, Oral Health

Division, FTKL, 29-30 August 2017.

Poster presentation

At the 5th Asia Pacific Conference on Public Health, Kuching, Sarawak, on 10-13

September 2017, entitled ‘National Oral Health Survey of Preschool Children 2015:

Findings in Relation to Preschool Teachers and Preschool Environment’.

Publication

The Medical Journal Malaysia, Volume 72 Supplement, 1 August 2017 entitled 'Oral

Health Knowledge, Practice and Behaviour of Preschool Teachers: Findings in a National

Survey'.

MONITORING AND EVALUATION OF ORAL HEALTH RESEARCH

Research outside MoH Malaysia

A total of ten (10) research proposals from non-MoH agencies were reviewed between January to

October 2017. The proposals were as follows:

1. Prevalence, Symptom Severity and Risk Factors of Musculoskeletal Disorders among Dental

Therapist in Malaysia. Dr Faizah Abdul Karim, UM

2. Musculoskeletal Disorders among Dentists Working in MoH, Malaysia. Dr Ainon Natrah bt

Aminudin, UM

3. Utilisation of Toddlers’ Oral Healthcare Programme, An Exploratory Study. Dr Rokiah bt

Mamikutty, UM

4. Supportive Care Needs among Oral Cancer Patients: A Pilot Study. Dr Nur Fhatin bt Jasni, UM


29

5. The Efficacy of Oral Health and Nutrition Package for Cerebral Palsy (ON-CP) Package in

Improving Oral Health and Nutritional Status among Cerebral Palsy Children in Kelantan. Dr

Rathmawati bt Ahmad, Universiti Sains Malaysia (USM)

6. Cross-Cultural Adaptation and Validation of the Malaysian Version Patient Education Materials

Assessment Tool. Dr Wong Siong Ting, Universiti Sains Malaysia (USM)

7. Active Ageing: The Association between Awareness and Preparedness Level among Non-

professional Group of Pre-retirees in Johor. Dr Nor Hana bt Ahmad Bahuri, UM

8. Oral Health Status, Oral Health Behaviour and Oral Health related Quality of Life among

Autism Spectrum Disorder Children. Dr Noor Azhani bt Zakaria, UM

9. Outcome measures in Periodontal Management at Primary Care Clinics. Dr Nuryastri bt Md

Mustafa, UM

10. Utilisation of Early Childhood Oral Healthcare. Dr Rokiah bt Mamikutty, UM

The OHP MoH is a permanent member of the Medical Ethics Committee of Faculty of Dentistry,

University Malaya. The Head of the Epidemiology and Oral Health Research Section from OHP, MoH

is tasked to attend research ethics meetings convened by this Committee. In 2017, several meetings

were conducted and all were attended. Undergraduate and postgraduate research projects by the

university were reviewed during the meeting.

In addition, more than a dozen desktop reviews for research proposals which did not require the

committee meetings were also carried out by the Head of the Epidemiology and Oral Health

Research Section from OHP, MoH.

Oral Health Research within MoH Malaysia

In 2017, oral health research submissions seeking approval from the Director General of Health

for presentation (34) and publication (15) were reviewed and submitted accordingly.

Monitoring of Health System Research/projects (HSR) conducted by the oral health personnel

MoH at state level was undertaken by OHP, MoH in December 2017 (once a year) and the results

will be presented at Mesyuarat Kajisemula Sistem Pengurusan in 2018.

The Compendium of Abstracts 2016/2017 was finalised in November 2017 and to be printed and

distributed to authors/co-authors and relevant agencies in January 2018.

Preparation of Compendium of Abstracts 2018 was initiated in November 2017 and will continue

into 2018.


30

OTHER ORAL HEALTH RESEARCH ACTIVITIES

Two (2) Dental Officers from the Epidemiology and Oral Health Research Section attended

Symposium on Oral Health-Related Quality of Life at UM on 3-4 November 2017.

Senior Deputy Director of the Epidemiology and Oral Health Research Section also served as Jury

at the Research Day at Faculty of Dentistry, Melaka-Manipal University, Melaka held in May 2017.

HEALTH SYSTEMS RESEARCH (HSR) FOR ORAL HEALTH

Since 2016, HSR projects at state level were fully conducted by the states which includes review of

research proposals, approvals and monitoring. The national monitoring was carried out on data

submitted by the states as in Table 24.

In 2017, a total of 181 active projects were identified by the states and institutions. Of the identified

projects, 61 (33.7%) were presented and 21 (11.6%) were published, as in Table 25.

Table 24: Status Report for HSR Projects by State/Institution for year 2017*

State/Institution No. of Active Research Projects No. of Presentation (oral/poster) No. of Publication

State target = 3 State target = 3 State target = 1

Perlis 3 1 0

Kedah 30 8 2

Pulau Pinang 17 4 1

Perak 21 7 5

Selangor 12 1 0

FT KL & Putrajaya 10 3 3

N. Sembilan 8 1 2

Melaka 5 4 0

Johor 5 4 1

Pahang 10 4 0

Terengganu 14 1 1

Kelantan 5 4 2

Sabah 11 0 0

Sarawak 11 1 1

FT Labuan 0 0 0

PPKK & ILKKM 8 1 1

HKL / OMFS 3 10 2

HKL / Paediatric 8 8 0

ALL 181 61 21

Note: No. of Active Research Projects: refer to new/on-going/completed in current year

Source: OHP, MoH 2017


31

Table 25: Status Report for HSR Projects for Year 2017 - National Monitoring

No Indicator

National

Target Achievement

1 Number of active research project per year 10 181

2 Presentation (oral/poster) 10 61

3 Publication 3 21


Image 1:

Standardisation and Calibration of Examiners (Session 1)

for NHMS 2017: National Oral Health Survey of Schoolchildren 2017 SRJK (C) Chung Hua, Lukut, Negeri Sembilan, 6 - 9 February 2017

Image 2:

Standardisation and Calibration of Examiners (Session 2) for NHMS 2017: National Oral Health Survey of Schoolchildren 2017

SK Jalan Kebun, Shah Alam, Selangor, 13-16 February 2017

Image 3:

Standardisation and Calibration of Examiners (Session 3) for NHMS 2017: National Oral Health Survey of Schoolchildren 2017

SRJK (C) Pay Fong 2, Melaka, 20-23 February 2017


32

ORAL HEALTH INFORMATION MANAGEMENT

TELEPRIMARY CARE AND ORAL HEALTH CLINICAL INFORMATION SYSTEM (TPC-OHCIS)

PROJECT

Teleprimary Care and Oral Health Clinical Information System (TPC-OHCIS) is an integrated electronic

health clinical information system which enable clinicians to view patients’ relevant medical and oral

health information. This project was approved under the Public Service Delivery Transformation

(PSDT) Programme by PEMANDU, the government’s Performance and Delivery Management Unit of

the Prime Minister’s Department. A sum of RM30.9 million was allocated by the Ministry of Science,

Technology and Innovation (MOSTI) to develop an electronic health records at identified health and

dental clinics. It was rolled out across 13 pilot sites which includes (six (6) Health Clinics and seven

(7) Dental Clinics in Negeri Sembilan on 1 June 2017. By the end of 2017, a total of 51,743 dental

patients had been registered and 111,990 visits were recorded in the dental clinics through TPC-

OHCIS system. This system will also be used in the outreach services namely mobile dental services,

preschools, primary schools, secondary schools and community services (Image 4 and 5).

Image 4 and 5: Dental charting electronically done at outreach activities

ORAL HEALTH CLINICAL INFORMATION SYSTEM (OHCIS) AND EKL (DENTAL)

OHCIS is a client-based and patient centric integrated software solution that covers primary oral

healthcare, secondary oral healthcare and school oral healthcare services which was piloted at ten

(10) dental clinics in Johor and one (1) dental clinic in Selangor. The system was expanded to

Putrajaya Presint 18 Dental Clinic and Klinik Kesihatan Kuala Lumpur (KKKL) Dental Clinic, Jalan

Fletcher Kuala Lumpur on 1 March 2015 and 3 April 2017 respectively. A simulation tests was

conducted at Klinik Kesihatan Kuala Lumpur (KKKL), Jalan Fletcher Kuala Lumpur from 27 March

2017 to 1 April 2017 (Image 6 and 7).


33

Image 6 and 7: Simulation test and live registration at counter

The eKL (Dental) project was implemented in 2009 as part of the e-Government project which

includes patient registration and Short Messaging Services (SMS). Reminders to visit dental clinic will

be sent three (3) days before the appointment day to patients in Klang Valley via SMS. In year 2017,

the support and maintenance service for OHCIS and eKL (Dental) entered into a third year contract.

DEVELOPMENT OF DENTAL CHARTING MODULE IN CLINICAL DOCUMENTATION SISTEM

PENGURUSAN PESAKIT (CD SPP) PROJECT AND OPERATING THEATRE MANAGEMENT

SYSTEM (OTMS)

Towards the establishment of Lifetime Health Record (LHR) for individual, which is in line with the

mission and vision of Information and Communication Technology Strategic Plan in MoH (ISPMOH)

for year 2016-2020, a strategic core ‘Information and Communication Technology’ (ICT) support

team was developed by MoH. The OHP supports this effort by utilising a standard Dental Charting

Format in the clinical health information system. Dental Charting module which was incorporated

into TPC-OHCIS system will be used as prototypes for CD SPP and OTMS systems as well. The CD SPP,

OTMS and TPC-OHCIS project team collaboratively developed the Dental Charting modules in series

of discussions and meetings (Image 8).

Image 8: Sign-off session for System Design Documentation (SDD) of CD SPP


34

PROJECT HIS @ KKM FASA 1

The OHP was involved in the Hospital Information System (HIS) @ KKM Phase 1 Project which was

led by the Medical Development Division, MoH. HIS @ KKM Phase 1 consists of three (3) systems i.e

Laboratory Information System (LIS), Central Sterile Supply Services Information System (CenSSIS)

and Operating Theatre Management System (OTMS). OHP is not involved in LIS as there is no dental

laboratory devices that requires integration.

PROJECT OHCIS ROLL-OUT (PROJEK PELUASAN OHCIS)

The allocation for Roll-Out of OHCIS was granted in 2015 under the 10th MP and kicked off on 22

February 2016. The Roll-Out of OHCIS involves the upgrading of ICT infrastructure at 11 identified

dental clinics with OHCIS and readiness of ICT infrastructure for TPC-OHCIS at 54 dental clinics in four

(4) states namely Selangor, Negeri Sembilan, Johor and FT KL and Putrajaya (Image 9 and 10).

Image 9: Installation works for facility Local Area Network (LAN)

Image 10: User Acceptance Test (UAT) session


35

ORAL HEALTH TECHNOLOGY

CLINICAL PRACTICE GUIDELINES

As of December 2017, seven (7) Clinical Practice Guidelines (CPG) are current (less than five (5)

years), three (3) CPGs were successfully completed and published and three (3) other CPGs were

being reviewed. The CPGs are as listed in Table 26:

Table 26: List of CPGs as of 31 December 2017

Title of CPG Publication

(Year)

Edition Status

Management of Palatally Ectopic Canine 2016 2nd edition Published

Management of Periodontal Abscess 2016 2nd edition Published

Management of Acute Orofacial Infection of

Odontogenic Origin in Children

2016 1st edition Published

Management of Condylar Fracture of the Mandible 2005 1st edition Review in Progress

Management of Unerupted and Impacted Third Molar 2005 1st edition Review in Progress

Management of Avulsed Permanent Anterior Teeth in

Children

2010 2nd edition Review in Progress

Source: OHP MoH, 2017.

APPROVED PURCHASE PRICE LIST (APPL)

Activities in 2017 include attending meetings coordinated by the Procurement and Privatisation

Division MoH. This section gave input in finalising the companies, lists of products and price

negotiations for APPL 2017-2019 with Pharmaniaga Logistics Sdn. Bhd. In addition, technical

assessment for eight (8) dental products under the APPL List was conducted and subsequently the

Technical Evaluation Meeting was held on 7 April 2017. This section continues to monitor issues on

APPL including penalty on late delivery and product complaints.

ENQUIRIES RELATED TO DENTAL TECHNOLOGY

Literature search for scientific papers was conducted on technology related matters as below:

Stem cell technology and tooth regeneration

The usage of N95 mask

Tooth Whitening material

Amalgam Waste

Triclosan in dental toothpaste


36

MINAMATA CONVENTION ON MERCURY

Relevant dental input were provided in relation to Minamata Convention on Mercury and

continues to monitor on the use of amalgam fillings in MoH and the use of thermometers and

sphygmomanometers in government dental facilities.


37

ORAL HEALTHCARE


38

COMMUNITY ORAL HEALTHCARE

FLUORIDATION OF PUBLIC WATER SUPPLY

Population Coverage

The fluoridation of public water supplies is a safe, effective, economical, practical and socially

equitable public health measure for prevention and control of dental caries for people of all age

groups, ethnicity, income and educational levels. However, the coverage and maintenance of the

optimum level of fluoride at water treatment plants (WTP) and reticulation points (RP) still remain a

challenge for some states particularly Sabah, Sarawak, Kelantan and Pahang.

The trend on the estimated population receiving fluoridated water was generally on the increase

from 2005 - 2013. However, there was a drop in coverage in 2014 (from 79.5% to 76.2%) and in 2016

(from 76.3% to 75.7%) (Figure 3).

The drop was due to a decline in population coverage in Pahang caused by cessation of water

fluoridation in majority of the WTP in the state. The water authority in Pahang was corporatised in

2012. Since then, due to financial constraints, there has been no purchase of fluoride compounds.

Figure 3: Population Coverage for Water Fluoridation Programme, 2005-2017

Source: State Oral Health Division, 2017


39

Figure 4: Population Receiving Fluoridated Water by State, 2017


Two (2) states achieved less than 25% population coverage of fluoridated water - Sabah and Pahang,

with Pahang being the lowest at 1.4 % (Figure 4). In Sabah, the achievement for population coverage

was 6.9%. The Sabah State Cabinet Committee approved the re-activation of water fluoridation

programme on 6 October 2010. However, the implementation of the programme remains a

continuing challenge due to funding and technical issues in the state.

Water Treatment Plants (WTP)

In 2017, there were 496 WTP in Malaysia (Table 27). Majority (303 or 61.1%) of the plants were

privatised.

Table 27: Water Treatment Plant by Sector, 2017

State Government Water Board Private Total

Perlis 0 0 3 3

Kedah 0 0 35 35

Pulau Pinang 0 0 8 8

Perak 0 39 5 44

Selangor 0 0 28 28

FT KL and Putrajaya 0 0 3 3

N. Sembilan 0 0 23 23

Melaka 0 0 9 9

Johor 0 0 44 44

Pahang 0 0 80 80

Terengganu 0 0 12 12

Kelantan 0 0 33 33

Sabah 67 0 13 80

Sarawak 73 10 6 89

FT Labuan 4 0 1 5

MALAYSIA 144

(29.0%)

49

(9.9%)

303

(61.1%)

496

(100.0%)



40

A total of 313 (63.1%) WTPs have had fluoride feeders installed (Table 28). Among those with

feeders, 253 (80.8%) were active while 60 (19.2%) were inactive due to lack of resources to purchase

fluoride compound or technical problems such as fluoride feeders that require repairs or

replacement.

In 2017, all WTPs in Perlis, Pulau Pinang, Selangor, FT KL and Putrajaya, Melaka, Johor and

Terengganu were producing fluoridated water. However, less than 50% of WTP in Sarawak, Federal

Territory Labuan (FT Labuan), Kelantan, Sabah and Pahang produce fluoridated water (Table 28).

Table 28: WTP with Fluoride Feeders by State, 2017

State No. of

WTP

WTP with Fluoride

Feeder

WTP with Active

Fluoride Feeder

WTP

producing

fluoridated

water (%) No. % No. %

Perlis 3 3 100.0 3 100.0 100.0

Kedah 35 32 91.4 32 100.0 91.4

Pulau Pinang 8 8 100.0 8 100.0 100.0

Perak 44 43 97.7 41 95.3 93.2

Selangor 28 28 100.0 28 100.0 100.0

FT KL and Putrajaya 3 3 100.0 3 100.0 100.0

N. Sembilan 23 21 91.3 21 100.0 91.3

Melaka 9 9 100.0 9 100.0 100.0

Johor 44 43 97.7 43 100.0 100.0

Pahang 80 54 67.5 2 3.7 2.5

Terengganu 12 12 100.0 12 100.0 100.0

Kelantan 33 5 9.1 3 100.0 9.1

Sabah 80 11 15.2 10 90.9 12.5

Sarawak 89 37 41.6 37 100.0 41.6

FT Labuan 5 4 80.0 1 25.0 20.0

MALAYSIA 496 313 63.1 253 80.8 51.0


Maintaining Fluoride Levels in Public Water Supply

Maintenance of fluoride levels within the recommended range of 0.4-0.6 ppm is important to

achieve maximum benefit for control and prevention of dental caries while ensuring health and

safety. In general, there is an upward trend in conformance of readings to the recommended range

for the years 2005-2017 (Figure 5). In 2017, 85.7% of readings at reticulation points conformed to

the recommended range.


41

Figure 5: Conformance of Fluoride Level in Public Water Supplies to the Recommended Range (0.4-0.6ppm),

2005-2017 Source: State Oral Health Division, 2017

Nine (9) out of 15 states, namely Kedah, Pulau Pinang, Perak, Selangor, FT KL and Putrajaya, Negeri

Sembilan, Melaka, Johor and FT Labuan, complied with the National Indicator Approach (NIA)

standards for the lower limit (not more than 25% of the readings below 0.4 ppm) and the upper

limit (not more than 7% of readings exceeding 0.6 ppm) of fluoride level in public water supplies

(Table 29).

Table 29: Fluoride Level at Reticulation Points by State, 2017

States

Total

Readings

Fluoride Readings

0.4 - 0.6 ppm

< 0.4 ppm

(Std. < 25%)

> 0.6 ppm

(Std. < 7%)

No. % No. % No. %

Perlis 151 113 74.8 38 25.2 0 0.0

Kedah 1,340 1,339 99.9 1 0.1 0 0.0

Pulau Pinang 384 384 100.0 0 0.0 0 0.0

Perak 1,019 841 82.5 173 17.0 5 0.5

Selangor 1,210 1,202 99.3 5 0.4 3 0.3

FT KL and Putrajaya 142 142 100.0 0 0.0 0 0.0

N. Sembilan 1,008 983 97.5 23 2.3 2 0.2

Melaka 300 250 83.4 46 15.3 4 1.3

Johor 2,061 2,032 98.6 22 1.1 7 0.3

Pahang 271 70 25.8 182 67.2 19 7.0

Terengganu 553 378 68.4 159 28.8 16 2.9

Kelantan 123 9 7.3 110 89.4 4 3.3

Sabah 409 264 64.5 145 35.5 0 0.0

Sarawak 561 161 28.7 380 67.7 20 3.6

FT Labuan 86 76 88.4 10 11.6 0 0.0

MALAYSIA 9,618 8,244 85.7 1,294 13.5 80 0.8



42

Six (6) states did not comply with the standard for the lower limit (not more than 25% of the

readings below 0.4 ppm) of fluoride level, highest in Kelantan with 89.4% non-compliance of

reticulation readings.

Annual Operating Budget for the Fluoridation Programme

Government funds only the government-operated WTPs. In 2017, nearly RM612,800.00 was spent

on three (3) states for this programme (Table 30). Perak, Sabah and Sarawak received operating

allocations up to the sum of RM985,000.00. For Sarawak, RM319,477.03 was used to buy clinical

preventive materials such as fluoride varnish. Meanwhile in Sabah, RM52,746.00 was used to

strengthen Clinical Preventive Programmes such as Fluoride Mouth Rinse, Fissure Sealant and

Flouride Varnish. Some government funds were used for monitoring fluoride levels at reticulation

points in all states.

Table 30: Government Funded Fluoridation Programme by State, 2017

State

Annual Operating Budget Dasar Baru (New Policy/One

Off

Development Fund

(10MP) Total

Allocation

(RM)

Total

Expenditure

(RM) Allocation

(RM)

Expenditure

(RM)

Allocation

(RM)

Expenditure

(RM)

Allocation

(RM)

Expenditure

(RM)

Perak 350,000.00 349.986.00 0.00 0.00 0.00 0.00 350,000.00 349,986.00

Sabah 200,000.00 147,254.00 0.00 0.00 0.00 0.00 200,000.00 147,254.00

Sarawak 435,000.00 115,522.97 0.00 0.00 0.00 0.00 435,000.00 115,522.97

MALAYSIA 985,000.00 612,762.97 0.00 0.00 0.00 0.00 985,000.00 612,762.97


Interagency Collaboration for Water Fluoridation

The OHP continues to collaborate with various agencies to strengthen and expand community water

fluoridation in the country. Visits to WTPs and meetings were conducted with relevant agencies at

national and state level in 2017. Various implementation issues were discussed and these included

fluoride levels in public water supplies, conformance of fluoride levels to the recommended range,

and the supply and storage of fluoride compounds.

Training and Public Awareness

Recognising that knowledge and understanding of water fluoridation is crucial, training is conducted

each year for the health personnel as well as personnel from WTPs. Nationwide, 71 training sessions

were conducted in 2017, including hands-on training on the use of colorimeters.

Research

Data collection for the study on ‘Fluoride Enamel Opacities among 16-Year-Old Schoolchildren’ was

completed in November 2013 and the report was published in June 2018. The report can be cited as


43

Oral Health Programme, Ministry of Health Malaysia. Fluoride Enamel Opacities in 16-year-old

Schoolchildren 2013. Ministry of Health Malaysia 2018.

CLINICAL PREVENTION

Fissure Sealant Programme

A school-based fissure sealant programme started in 1999, is part of a comprehensive approach to

caries prevention which focuses on primary schoolchildren.

A sealant is a professionally applied material to occlude the pits and fissures on occlusal, buccal and

lingual surfaces of posterior teeth to prevent caries initiation and to arrest caries progression by

providing a physical barrier that inhibits microorganisms and food particles from collecting in pits

and fissures.

In 2017, about 92.0% of schoolchildren needing fissure sealants (FS) were rendered fissure sealants

under the School-based Fissure Sealant Programme (Figure 6). Overall, there was an increasing

trend of subjects and teeth provided with fissure sealants from 2006 to 2017 (Figure 7).

Figure 6: Treatment Need and Fissure Sealants Rendered, 2006-2017



44

Figure 7: Subject/Teeth Rendered Fissure Sealants, 2006-2017


A total number of 468,670 teeth examined required fissure sealants. Of these, 90.6% were fissure-

sealed and more than half were in Year 1 and Year 2 primary schoolchildren (Figure 8).

Figure 8: Teeth Needed and Rendered Fissure Sealants among Year 1 to Year 6 Primary Schoolchildren


Over the last seven (7) years, the percentage of children in need of fissure sealant and those

rendered fissure sealant have increased from 92.3% in 2010 to 95.5% in 2016 but decreased to

92.0% in 2017 (Table 31). The percentage of teeth in need of fissure sealant and rendered fissure

sealant had increased from 90.7% in 2010 to 95.4% in 2016 and decreased to 90.6% in 2017. This is

below the target set, i.e. 95% of schoolchildren needing fissure sealants, received fissure sealants.

Provision of fissure sealant by state is shown in Table 32.


45

Table 31: Provision of Fissure Sealants, 2010-2017

Year No. of Children No. of Teeth

Needed FS Rendered FS Needed FS Rendered FS

n n % n n %

2010 183,142 169,065 92.3 391,115 354,625 90.7

2011 174,218 164,460 94.4 363,861 343,378 94.4

2012 197,095 186,435 94.6 409,923 387,949 94.6

2013 181,706 172,033 94.7 379,401 358,589 94.5

2014 185,385 177,175 95.6 391,867 374,377 95.5

2015 188,717 179,277 95.0 398,633 378,306 94.9

2016 198,805 189,942 95.5 415,933 396,737 95.4

2017 222,291 204,526 92.0 470,692 426,279 90.6


Table 32: Provision of Fissure Sealants by States, 2017

State

No. of Children No. of Teeth

Needed FS Rendered FS Needed FS Rendered FS

n n % n n %

Perlis 3,741 3,731 99.7 6,888 6,869 99.7

Kedah 6,418 6,403 100.0 11,683 11,653 98.2

Pulau Pinang 10,280 10,129 98.5 20,752 20,203 97.4

Perak 15,761 15,757 100.0 36,273 36,262 100.0

Selangor 10,489 10,085 96.1 17,899 17,214 96.2

FT KL and Putrajaya 2,875 2,808 97.7 4,194 4,090 97.5

N. Sembilan 4,468 4,374 97.9 9,410 9,274 98.6

Melaka 11,255 10,843 96.3 22,304 21,611 96.9

Johor 9,242 9,204 99.6 17,523 17,469 99.7

Pahang 27,503 16,882 61.4 68,561 37,790 55.1

Terengganu 13,280 13,228 99.6 25,060 24,964 99.6

Kelantan 41,734 39,891 95.6 84,213 80,857 96.0

Pen. Malaysia 157,046 143,335 91.3 324,760 288,256 88.8

Sabah 45,364 41,843 92.2 107,890 100,163 92.8

Sarawak 19,336 18,954 98.0 37,076 37,224 100.4

FT Labuan 545 394 72.3 966 636 65.8

MALAYSIA 222,291 204,526 92.0 470,692 426,279 90.6


The trend of decayed teeth among selected Year 6 schoolchildren from 2004 until 2017 was also

captured. The data shows that 66.0% to 73.3% caries experience were in posterior teeth of which

58.4% to 66.2% involved only the occlusal surface (Table 33).


46

Table 33: Trend Data of Decayed Teeth among Year 6 Schoolchildren, 2004-2017

Year

No. of

Teeth with

Caries

Experience

(* D + F )

No. of teeth with occlusal caries experience

( D + F ) Percentage of Caries

in Anterior Teeth All type

(** Class I and II ) Class I only

N n1 % n2 % N-n1 %

2004 436,840 288,382 66.0 255,270 58.4 148,458 34.0

2005 450,665 313,757 69.6 277,151 61.5 136,908 30.4

2006 455,964 323,174 70.9 291,583 63.9 132,790 29.1

2007 414,610 289,671 69.9 260,901 62.9 124,939 30.1

2008 430,798 292,397 67.9 256,954 59.6 138,401 32.1

2009 426,747 301,298 70.6 266,766 62.5 125,449 29.4

2010 409,324 287,626 70.3 258,963 63.3 121,698 29.7

2011 409,162 291,587 71.3 262,771 64.2 117,575 28.7

2012 441,440 297,460 67.4 284,107 64.4 143,980 32.6

2013 409,858 293,282 71.6 265,716 64.8 116,576 28.4

2014 362,116 265,286 73.3 234,934 64.8 96,830 26.7

2015 341,614 245,580 71.9 217,622 63.7 96,034 28.1

2016 326,614 238,989 73.2 216,141 66.2 87,625 26.8

2017 303,320 221,302 73.0 197,512 65.1 82,018 27.0


* D: Carious tooth; F: Filled tooth

** Class I : Caries involves only the occlusal surface of the posterior tooth

Class II : Caries involves other surfaces and/or occlusal of the posterior tooth

Evaluation on trend of occlusal caries further justifies the need for fissure sealants. Thus, it is

recommended that fissure sealant provision continues as an integral part of incremental care in

primary schoolchildren aimed to prevent pit and fissure caries. With limited resources, priority

should be given to high risk individuals and teeth.

Fluoride Varnish Programme

In order to further strengthen the Early Childhood Oral Healthcare Programme, fluoride varnish (FV)

programme was introduced for toddlers and piloted in Sabah, Kelantan, and Terengganu in 2011.

Additional funds were allocated for the purchase of fluoride varnish for the pilot project. Data

collection forms were further improved based on feedbacks from state coordinators. In 2017, a total

of 39,627 (83.59%) high risk toddlers were rendered fluoride varnish in Kelantan, Terengganu and

Sabah (Table 34).

Table 34: Fluoride Varnish Application, 2011-2017

Year

Kelantan Terengganu Sabah TOTAL

Need FV FV Applied Need FV FV Applied Need FV FV Applied Need FV FV Applied

No. No. % No. No. % No. No. % No. No. %

2011 4,337 1,650 38.04 6,141 5,612 91.39 2,989 2,975 99.53 13,467 10,237 76.02

2012 5,530 2,616 47.31 7,742 7,004 90.47 6,408 6,232 97.25 19,680 15,852 80.55

2013 5,816 2,875 49.43 11,269 10,333 91.69 12,147 11,380 93.69 29,232 24,588 84.11


47

Year

Kelantan Terengganu Sabah TOTAL

Need FV FV Applied Need FV FV Applied Need FV FV Applied Need FV FV Applied

No. No. % No. No. % No. No. % No. No. %

2014 8,037 3,656 45.49 14,720 13,659 92.79 11,018 10,245 92.98 33,775 27,560 81.60

2015 33,596 5,496 16.36 13,004 11,981 92.13 9,676 7,764 80.24 56,276 25,241 44.85

2016 9,506 7,032 73.97 16,704 15,662 93.76 10,101 9,509 94.13 36,311 32,203 88.69

2017 15,918 10,600 66.60 22,579 20,222 89.56 8,909 8,805 98.83 47,406 39,627 83.59


Compliance rates were low among children rendered FV in 2017, with only 31.68%, 23.33% and

12.16% in Sabah, Kelantan and Terengganu respectively completed two (2) times application (Table

35). None of the children completed the recommended four (4) times application in two (2) years.

Table 35: Compliance Rate for Fluoride Varnish Application Done for Cohort 2015-2017

State Need FV

Rendered

FV

With 2 times

application

With 3 times

application

With 4 times

application

Compliance to

six-monthly

application

(±1 month)

No. No. No. % No. % No. % No. %

Terengganu 22,579 20,222 2,460 12.16 0 0 0 0 0 0

Kelantan 15,918 10,600 2,473 23.33 1 0.04 0 0 0 0

Sabah 8,909 8,805 2,790 31.68 0 0 0 0 0 0

TOTAL 47,406 39,627 7,723 19.49 1 0.002 0 0 0 0


School-Based Fluoride Mouth Rinsing Programme

School-based fluoride mouth rinsing (FMR) activities have been carried out in Sabah, Sarawak and

Kelantan. In 2017, the programme was conducted for Year 2 to Year 6 children in selected schools in

non-fluoridated areas in Kelantan, Sabah and Sarawak. In total, 74 schools and 20,708 students

benefited from this programme (Table 36).

Table 36: Schools and Students Participating in FMR Programme, 2017

State No of Schools participated

Total No of student involved

Total Kelantan Sabah Sarawak Kelantan Sabah Sarawak

2010 7 44 25 76 1,204 21,641 5,585 28,430

2011 7 43 26 76 723 21,835 5,758 28,316

2012 7 46 30 83 765 23,835 5,077 29,677

2013 7 38 26 71 720 20,898 5,436 27,054

2014 7 47 24 78 557 27,579 4,076 32,212

2015 7 30 24 61 580 14,796 4,459 19,835

2016 6 54 23 83 673 18,029 4,173 22,875

2017 4 48 22 74 446 4,227 16,035 20,708



48

There was an increase in the number of schools and schoolchildren involved in FMR programme in

2016 but a slight decrease in 2017. It is recommended that FMR Programme would be continued in

communities with no water fluoridation programme with vigilant monitoring by the oral healthcare

professionals.

NATIONAL BLUE OCEAN STRATEGY (NBOS) 2016

NBOS is a government initiative to ensure that services can be delivered to the people at a low cost,

high impact and rapid execution. MoH is one of the leading agencies in ensuring the successful

delivery of services through NBOS initiatives. Thus, oral health services are also directly involved in

the activities outlined.

Type Description Year of Commence

NBOS 4 Rural Transformation Centre (RTC) 2012

NBOS 5 Urban Transformation Centre (UTC) 2012

NBOS 6 Organise Health Fairs for Sabah and Sarawak 2012

NBOS 7 1Malaysia Family Care 2013

NBOS 8 Mobile Community Transformation Centres (MCTC) 2014

NBOS 10 1Malaysia Civil Service Retirement Support 2014


NBOS 4: Rural Transformation Centre (RTC)

RTC aims to serve as one-stop centre to facilitate access by the rural population to services provided

by various government and non-governmental agencies.

Dental Clinic is among the services available in RTC. It is implemented to deliver outpatient dental

care and at the same time to develop optimum oral healthcare among the rural population. In 2017,

there were eight (8) RTCs in the country, namely RTC Gopeng (Perak), RTC Wakaf Che Yeh

(Kelantan), RTC Sungai Rambai (Melaka), RTC Kuala Pahang, Pekan (Pahang) and RTC Napoh, Jitra

(Kedah), RTC Kulaijaya (Johor), RTC Sibuti (Sarawak) and RTC Mid Layar, Betong (Sarawak).

Services provided at the RTCs are dental examination and basic dental treatment such as dental

extraction, filling and scaling. A total of 11,338 patients visited dental clinics in RTCs in 2017 (Table

37).

Table 37: Oral health services in RTCs, year 2012-2017

Year Dental clinics at RTCs Patient

Attendances No. Location

2012 3 Gopeng, Linggi, Wakaf Che Yeh 912

2013 4 Gopeng, Linggi, Wakaf Che Yeh, Pekan 1, 621

2014 6 Gopeng, Linggi, Wakaf Che Yeh, Pekan, Jitra, Kulaijaya 2, 519


49

Year Dental clinics at RTCs Patient


2015 6 Gopeng, Wakaf Che Yeh, Pekan, Jitra, Kulaijaya, Sibuti 6,320

2016 8 Gopeng, Wakaf Che Yeh, Pekan, Jitra, Kulaijaya, Sibuti, Mid

Layar, Sungai Rambai

9,577

2017 8 Gopeng, Wakaf Che Yeh, Pekan, Jitra, Kulaijaya, Sibuti, Mid

Layar, Sungai Rambai

11,338


NBOS 5: Urban Transformation Centre (UTC)

In 2017, there were 20 dental clinics operating at UTCs in the country namely UTC Ayer Keroh

Melaka, UTC Pudu Sentral and UTC Mini Sentul in FT Kuala Lumpur, UTC Ipoh Perak, UTC Kuantan

Pahang, UTC Kompleks MBAS and UTC Sungai Petani Kedah, UTC Kota Bharu Kelantan, UTC Galeria

Johor, UTC Kuala Terengganu, UTC Labuan, UTC Kota Kinabalu, UTC Keningau and UTC Tawau in

Sabah, UTC Kuching, UTC Sibu and UTC Miri in Sarawak, UTC Kangar Perlis, UTC Seremban Negeri

Sembilan and UTC Pasir Gudang Johor. A total of 287,640 patients attended the dental clinics in

UTCs in 2017 compared to 157,966 in 2015 and 219,934 in 2016 (Table 38).

Table 38: Oral health services in UTCs, year 2012-2017

Year Dental clinics at UTCs Patient


2012 2 Ayer Keroh Melaka, Pudu Sentral 3,983

2013 7 Ayer Keroh Melaka, Pudu Sentral, Kompleks MBAS, Ipoh, Mini

Sentul, Kuantan

56, 889


Sentul, Kuantan, Kota Kinabalu

128,179


Sentul, Kuantan, Kota Kinabalu, Galeria Johor

157,966


Sentul, Kuantan, Kota Kinabalu, Galeria Johor, Kuching Sarawak,

Sungai Petani Kedah, Labuan, Sibu Sarawak, Miri Sarawak,

Terengganu, Tawau Sabah, Kota Bharu Kelantan, Keningau Sabah

219,934


Sentul, Kuantan, Kota Kinabalu, Galeria Johor, Kuching Sarawak,

Sungai Petani Kedah, Labuan, Sibu Sarawak, Miri Sarawak,

Terengganu, Tawau Sabah, Kota Bharu Kelantan, Keningau Sabah,

Kangar Perlis, Seremban Negeri Sembilan, Pasir Gudang Johor

287,640


The increasing trend of patients attending the UTCs was due to the increase in the number of UTCs

and also due to public awareness on the existence of these UTCs.


50

NBOS 6: Organise Health Fairs for Sabah and Sarawak

MoH is the lead agency for ‘Organise Health Fairs for Sabah and Sarawak’ initiative together with

Implementation Coordination Unit (ICU) of Prime Minister’s Department, Ministry of Education

(MOE), Ministry of Defense (MoD), Ministry of Finance (MOF) and the state government of Sabah

and Sarawak. This initiative aims at providing various services for the convenience of the people in

Sabah and Sarawak. Under NBOS 6, oral health services delivered were oral health examination,

screening for oral pre-cancer and cancer, filling, extraction, scaling and oral health promotion

activities.

Table 39: Oral health activities conducted during Organise Health Fair in Sabah and Sarawak, 2012-2017

Year Sabah Sarawak

No. of

Health

Fair

No. of

patients

attendance

No. of

participants

for Oral

Health Talks

No. of

Health

Fair

No. of

patients

attendance

No. of

participants

for Oral

Health Talks

2012 7 1,529 - 35 3,495 -

2013 3 273 80 12 857 -

2014 34 1,332 1,429 75 3,009 2,127

2015 74 5,189 615 176 10,174 4,369

2016 190 22,258 2,402 331 21,332 5,392

2017 106 13,814 2,102 73 15,250 4,789


In 2017, a total of 179 health fairs were organised in Sabah and Sarawak with 29,064 patients seen;

13,814 in Sabah and 15,250 in Sarawak (Table 39).

NBOS 7: 1Malaysia Family Care

NBOS 7 aims to provide holistic support in terms of health and social to identified groups through

collaboration with government and non-government agencies. One of the activities under this

initiative is the provision of outreach oral healthcare at elderly and special needs (PDK-Pusat

Pemulihan Dalam Komuniti) institutions through mobile dental teams/clinics.

A total of 330 institutions for the elderly were visited and 7,224 patients were seen in 2017. The

highest number of patients seen was in Perak (1,693) and the highest number of institutions visited

was also in Perak (71) (Table 40). There were 608 institutions for the special needs visited in 2017,

with highest coverage in Johor (89). A total of 13,422 patients were seen, highest was in Johor

(1,872) (Table 41).


51

Table 40: Number of Elderly Patients Seen in Institution in 2017

State

Government Instituition Private Institution Total

Patients

Seen No. of

Instituition

No. of

Instituition

Visited

No. of

Instituition

No. of

Instituition

Visited

Perlis 1 1 3 3 138

Kedah 3 3 17 17 355

Pulau Pinang 3 3 21 21 1,009

Perak 4 4 67 67 1,693

Selangor 6 6 51 51 996

FT KL and Putrajaya 3 3 7 7 178

N. Sembilan 0 0 22 22 330

Melaka 5 4 10 10 360

Johor 9 9 45 45 989

Pahang 3 3 21 21 331

Terengganu 5 5 1 1 217

Kelantan 1 1 7 7 148

Sabah 3 3 3 3 254

Sarawak 23 9 7 1 226

FT Labuan 0 0 0 0 0

MALAYSIA 69 54 282 276 7,224


Table 41: Number of Special Need Patients Seen in Institution in 2017

State

PDK Non PDK Total

Patients

Seen No. of

Institution

No. of

Institution

Visited

No. of

Institution

No. of

Institution

Visited

Perlis 7 7 1 1 190

Kedah 38 38 4 4 1,098

Pulau Pinang 22 22 7 7 845

Perak 41 41 23 22 1,178

Selangor 48 48 4 4 1,117

FT KL and Putrajaya 12 12 0 0 336

N. Sembilan 42 42 2 2 846

Melaka 16 16 8 8 569

Johor 73 73 16 16 1,872

Pahang 49 49 3 3 726

Terengganu 45 45 1 1 913

Kelantan 41 41 0 0 830

Sabah 34 33 23 23 1,788

Sarawak 48 40 9 7 1,072

FT Labuan 2 2 1 1 62

MALAYSIA 518 509 102 99 13,442



52

NBOS 8: Mobile Community Transformation Centres (MCTC)

MCTC initiative was introduced in May 2014 and was organised by the National Strategic Unit (NSU),

Ministry of Finance. The aim of this initiative is to assemble main services of various government

agencies according to local needs and at identified location based on the concept of UTC/RTC. OHP

was involved in this initiative through invitation by NSU. There were 85 activities conducted in 2017

with 7,046 attendances (Table 42).

Table 42: MCTC activities in 2017

Date Location

21.01.2017 Perkarangan Sekolah Kebangsaan Bertam Perdana, Kepala Batas, Pulau Pinang

22.01.2017 Vision Park Bandar Bertam Perdana, Kepala Batas, Pulau Pinang

23.01.2017 Dataran Bukit Bunga, Jeli, Kelantan

24.01.2017 Jalan Hulu Pasar Besar, Tanah Merah, Kelantan

25.01.2017 Pusat Khidmat Masyarakat DUN Pengkalan Kubor, Tumpat, Kelantan

26.01.2017 Perkarangan Masjid Beijing, Rantau Panjang, Kelantan

27.01.2017 Dataran Chintawangsa, Kuala Krai, Kelantan

04.02.2017 Dewan Orang Ramai Felda Kahang Barat, Johor

16.02.2017 Kampung Chapu, Hulu Telemong, Terengganu

17.02.2017 Kampung Pelong, Terengganu

18.02.2017 Tapak Pasar Tani Kuala Besut, Terengganu

25.02.2017 Padang Majlis Daerah Kampar, Bandar Baru Kampar, Perak

03.03.2017 Felda Jengka 14, Pahang

03-04.03.2017 Tapak Tamu, Pekan Papar, Sabah

16.03.2017 Grand Ballroom MITC, MITC Complex, Jalan Konvensyen, Hang Tuah Jaya, Ayer Keroh, Melaka

18.03.2017 Dataran Putrajaya, Presint 2, Putrajaya

25.03.2017 Dataran Penggaram, Batu Pahat, Johor

25.03.2017 Padang Bola Kg Tempinis, Besut, Terengganu

01- 02 .04.2017 Perkarangan Kompleks Sukan Tuanku Syed Putra, Kangar, Perlis

01.04.2017 Dewan Semai Bakti, Felda Lawin Selatan, Perak

06.04.2017 Dewan Orang Ramai Serampang, Segamat, Johor

08.04.2017 Perkarangan Sekolah Kebangsaan Seri Tasek, Simpang Ampat, Pulau Pinang

15.04.2017 Taman Kekal Pengeluaran Makanan, Degong, Perak

16.04.2017 Tapak Perumahan Idaman Rakyat, Kampung Santong, Dungun, Terengganu

23.04.2017 Dataran Kundur, Kampung Kundur Hulu, Rembau, Negeri Sembilan

26.04.2017 Dewan Semai Bakti Felda, Jengka 2, Pahang

05.05.2017 Menara Akabah, Pasir Gudang, Johor Bahru, Johor

06-07.05.2017 Perkarangan Bulatan Amanjaya, Ipoh, Perak

06.05.2017 Sekolah Menengah Agama Irshadiah Batu 26, Bagan Datuk, Perak

06.05.2017 Dewan Orang Ramai Felda Sungai Tengi Selatan, Hulu Selangor, Selangor

07.05.2017 Kolej Profesional MARA, Ayer Molek, Melaka

12.05.2017 Padang A, Plaza Angsana, Johor Bahru, Johor

14.05.2017 Padang Belia Felda Keratong 1, Rompin, Pahang

16.05.2017 Dewan Semai Bakti Felda Chuping, Perlis

20.05.2017 Arena Square, Dewan Merdeka Tapah, Perak

05.07.2017 Felda Kemahang 2, Tanah Merah, Kelantan

08.07.2017 Felda Chiku 5, Gua Musang, Kelantan

13.07.2017 Felda Bukit Puchong, Bera, Pahang


53

Date Location

16.07.2017 Menara Condong, Teluk Intan, Perak

22 – 23.07.2017 Berhadapan Istana Kehakiman, Presint 3, Putrajaya

28 – 29.07.2017 Dataran Labis, Johor

30 – 31.07.2017 Universiti Pendidikan Sultan Idris, Perak

04 – 05.08.2017 Econsave Simpang Renggam, Johor

05.08.2017 Kompleks Seri Bintang, Cheras, Wilayah Persekutuan Kuala Lumpur

10.08.2017 Felda Neram 1, Kemaman, Terengganu

15 -16.08.2017 Hari Perhimpunan 1Pesara Malaysia 2017, MAEPS Serdang, Selangor

19.08.2017 Bekenu, Sarawak

23.08.2017 Felda Taib Andak, Johor

24 – 27.08.2017 Program Karnival 4F di RTC Gopeng, Perak

09 -10.09.2017 Padang Jementah, Segamat, Johor

10.09.2017 Taman Yayasan, Segamat, Johor

10.09.2017 Dataran Rembau Negeri Sembilan

12.09.2017 Felda Lui Timur, Negeri Sembilan

23.09.2017 Kampung Salong Baru, Pekan, Pahang

24.09.2017 Dataran Telok Kemang, Port Dickson, Negeri Sembilan

26.09.2017 Dewan Semai Bakti Felda Keratong 3, Pahang

28.09.2017 Anak Bukit, Alor Setar, Kedah

28.09-01.10.2017 Laman Tiba 1, MAEPS, Serdang, Selangor

29.09 – 01.10.2017 Pantai Hiburan Kuala Rompin Sempena Rompin Fest 2017, Pahang

30.09 – 01.10.2017 Felda Sungai Tiang, Pendang, Kedah

30.09 – 01.10.2017 Perkampungan Asnaf Batu Bertangkup, Chuping, Perlis

07.10.2017 Taman Maluri, Wilayah Persekutuan Kuala Lumpur

09-10.10.2017 Padang Jementah Segamat, Johor

12-16.10.2017 NICE'17 Taman Teknologi Malaysia, Bukit Jalil, Kuala Lumpur

12-14.10.2017 Pantai Kerteh, Terengganu

14.10.2017 Saujana Utama, Kuala Selangor, Selangor

14.10.2017 Dataran Dewan Merdeka Dungun, Terengganu

14-15.10.2017 Rumah Austin Ekau, Song, Sarawak

21.10.2017 Felda Chiku 1, Gua Musang, Kelantan

22.10.2017 Balairaya Sebaruh, Bintulu, Sarawak

26-27.10.2017 Pekan Kecil Lekir, Manjung, Perak

27-29.10.2017 Muzium Adat Dataran Klawang, Jelebu, Negeri Sembilan

04.11.2017 Pekan Baru Tatau, Bintulu, Sarawak

05.11.2017 Balairaya Jepak, Bintulu, Sarawak

11.11.2017 Ladang Info Ternak, Sungai Siput, Perak

19.11.2017 Sekolah Menengah Hutan Melintang, Perak

17-19.11.2017 Universiti Malaysia Kelantan, Jeli, Kelantan

25.11.2017 Pekan Paloh, Kluang, Johor

25.11.2017 Stadium Malawati Shah Alam, Selangor

28.11.2017 Politeknik Sultan Azlan Shah, Behrang, Perak

02.12.2017 Felda Tersang 3, Raub, Pahang

13.12.2017 Sekolah Menengah Kebangsaan Kapit, Sarawak

21-23.12.2017 Rumah Pangsa Tampoi Utama, Johor Baharu, Johor

27.12.2017 Dataran Memorial Pengisytiharan Kemerdekaan, Banda Hilir Melaka, Melaka

30.12.2017 Pangsapuri Sandalwood, Bandar Tasik Puteri, Rawang, Selangor



54

NBOS 10: 1Malaysia Civil Service Retirement Support (1MCSRS)

The aim of this initiative is to improve the quality of service delivery to the pensioners. There are five

(5) strategic thrusts for this initiative, i.e. healthcare advocacy, financial management, pensioners’

wellbeing, re-employment guidance and entrepreneurship development. Under healthcare

advocacy, rapid lane (R-lane) for pensioners visiting healthcare facilities in the MoH was introduced

in June 2014. In 2017, there were 567 dental clinics with R-lane and 10.09% of R-lane users were

pensioners (Table 43).

Table 43: Patients using R-lane in 2017

Using of R-Lane Age < 60 Years Old Age > 60 Years Old Total

No. of patients 306,454 442,044 748,498

No. of pensioners 25,472 50,021 75,493

% pensioners 8.3% 11.3% 10.09%


PRIMARY PREVENTION AND EARLY DETECTION OF ORAL PRE-CANCER AND CANCER

Oral cancer remains a major health concern in Malaysia. The OHP MoH Malaysia continues its

emphasis on Primary Prevention and Early Detection of Oral Pre-Cancer and Cancer Programme

since 1997 in collaboration with relevant agencies.

In 2017, 572 high-risk kampung/estates/communities were visited and 14,293 residents aged 20

years and above were screened for oral lesions. A total of 41,057 participants were given dental

health education (Table 44).

Table 44: Oral Cancer and Pre-cancer Screening and Prevention Programme (Community Screening), 2017

No. of estates/

villages visited No. of

patients

screened

No. of

exhibitions

held

Dental Health Education

New Repeat No. of talks given No. of participants

572 68 14,293 488 2,688 41,057


Among the screened patients, 12 were seen with suspected lesion and four (4) were referred to oral

surgeons for further investigation and management (Table 45 and 46). Of these, none (0.0%)

complied with referral to oral surgeons (Table 45, 46 and 47). Of the malignant cases detected with

Tumour-Node-Metastasis (TNM) staging reported from 2003 to 2017, 23.8% were detected at Stage

1 and 64.8% were detected at later stages, Stage 3 and 4 (Table 48). There is a need to improve

patient’s compliance for referral to prevent delayed treatment.


55

Table 45: Participants Screened and Referred by State (Community Screening), 2017

State No. Examined Total

Attendance

No. With Lesion No.

Referred

No. Seen by Surgeons

New Repeat n % n %

Perlis 0 0 0 0 0.0 0 0 0.0

Kedah 2,215 0 2,215 0 0.0 0 0 0.0

Pulau Pinang 547 0 547 0 0.0 0 0 0.0

Perak 1,589 138 1,727 1 0.1 1 0 0.0

Selangor 104 0 104 0 0.0 0 0 0.0

FT KL and Putrajaya 0 0 0 0 0.0 0 0 0.0

N. Sembilan 1,234 24 1,258 3 0.2 2 0 0.0

Melaka 473 0 473 0 0.0 0 0 0.0

Johor 2,738 0 2,738 2 0.1 1 0 0.0

Pahang 967 36 1,003 4 0.4 0 0 0.0

Terengganu 1,304 0 1,304 0 0.0 0 0 0.0

Kelantan 41 0 41 0 0.0 0 0 0.0

Pen. Malaysia 11,212 198 11,410 10 0.1 4 0 0.0

Sabah 2,348 0 2,348 0 0.0 0 0 0.0

Sarawak 535 0 535 2 0.4 0 0 0.0

FT Labuan 0 0 0 0 0.0 0 0 0.0

MALAYSIA 14,095 198 14,293 12 0.1 4 0 0.0


Table 46: Participants Screened and Referred (Community Screening), 2007-2017

Year No. Examined Total

Attendance

No. With Lesion No.

Referred


New Repeat n % n %

2007 3,606 111 3,717 88 2.4 76 50 65.8

2008 4,745 133 4,878 113 2.3 68 48 70.6

2009 7,131 102 7,233 128 1.8 105 47 44.8

2010 5,680 133 5,813 36 0.6 17 8 47.1

2011 7,036 19 7,055 55 0.8 16 5 31.3

2012 15, 887 156 16,043 37 0.23 29 15 51.7

2013 10, 542 39 10, 581 51 0.5 33 2 6.1

2014 10,763 231 10,994 59 0.54 39 17 43.6

2015 13,587 314 13,901 46 0.33 31 8 25.8

2016 15,162 188 15,350 28 0.18 15 9 60.0

2017 14,095 198 14,293 12 0.08 4 0 0.00

TOTAL 81,805 1,624 99,277 653 1 433 209 62.1



56

Table 47: Clinical and Histological Diagnosis of Referred Cases (Community Screening), 2017

State

No

. o

f C

ases

Se

en b

y o

ral

Surg

eon

Clinical Diagnosis TNM Staging Histological diagnosis Lesion Status Le

uko

pla

kia

Eryt

hro

pla

kia

Lich

en

Pla

nu

s

Sub

Mu

cou

s F

ibro

sis

Susp

icio

us

of

Ora

l C

ance

r

Oth

er

Pat

ho

logy

Stag

e 1

Stag

e 2

Stag

e 3

Stag

e 4

Hyp

erk

era

tosi

s

Epit

he

lial D

ysp

lasi

a

Car

cin

om

a In

-sit

u

Inva

sive

Sq

uam

ou

s C

ell

Car

cin

om

a

Ora

l Lic

he

n P

lan

us

Ora

l Su

bm

uco

us

Fib

rosi

s

Oth

er

Mal

ign

ancy

Be

nig

n P

ath

olo

gie

s

Be

nig

n

Pre

mal

ign

ant

Mal

ign

ant

Pen.

Malaysia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MALAYSIA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


Table 48: Clinical and Histological Diagnosis of Referred Cases (Community Screening), 2003 – 2017

Year

No

. of

Cas

es

See

n b

y O

ral

Surg

eo

n

Clinical Diagnosis Staging Histological Diagnosis Lesion Status

Leu

kop

laki

a

Eryt

hro

pla

kia

Lich

en

Pla

nu

s

Sub

Mu

cou

s F

ibro

sis

Susp

icio

us

of

ora

l

can

cer

Oth

er

Pat

ho

logy

Stag

e 1

Stag

e 2

Stag

e 3

Stag

e 4

Hyp

erk

era

tosi

s

Epit

he

lial D

ysp

lasi

a

Car

cin

om

a In

-sit

u

Inva

sive

Sq

uam

ou

s

Ce

ll C

arci

no

ma

Ora

l Lic

he

n P

lan

us

Ora

l Su

b m

uco

us

Fib

rosi

s

Oth

er

Mal

ign

ancy

Be

nig

n P

ath

olo

gie

s

Be

nig

n

Pre

mal

ign

ant

Mal

ign

ant

2003 26 6 1 8 4 2 6 1 0 0 0 1 4 0 0 2 1 0 4 5 6 0

2004 19 3 1 3 1 2 10 0 0 3 0 0 0 0 3 0 0 0 0 0 1 2

2005 25 9 1 3 2 9 6 5 2 3 1 0 1 0 10 0 0 2 0 1 6 10

2006 34 1 1 6 1 18 7 7 1 5 7 0 0 0 17 3 0 1 4 3 2 19

2007 50 6 1 4 3 27 13 4 5 6 8 0 6 1 22 3 3 2 5 5 11 26

2008 48 2 1 0 1 35 7 4 2 8 13 0 5 2 20 8 0 2 2 3 6 32

2009 47 4 0 4 2 30 5 3 3 5 16 2 2 0 20 1 0 5 1 0 1 28

2010 8 1 0 2 0 1 4 0 0 1 0 0 2 0 1 0 0 0 0 0 3 1

2011 5 1 0 0 1 3 0 0 1 0 1 1 0 0 2 0 0 0 0 0 2 2

2012 15 3 2 1 2 6 2 0 0 0 2 0 0 0 2 0 0 1 3 4 2 4

2013 2 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0

2014 17 3 1 1 0 1 11 0 0 0 0 0 0 0 0 0 0 0 0 12 1 0

2015 8 0 4 1 1 0 2 0 0 0 0 0 0 0 0 0 0 0 1 1 7 0

2016 9 1 1 4 0 2 1 5 0 0 0 0 0 0 1 2 0 1 0 4 1 1

2017 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Total 313 40 14 37 18 136 76 29 14 31 48 4 20 3 98 19 4 14 20 40 49 125


*Histological diagnosis only available for cases with biopsy done

Opportunistic Screening for Walk-in Patients

In 2017, a total of 107,582 patients were screened in the dental clinics (Table 49), 367 patients were

found with suspected lesion and 328 were referred to oral surgeons for further investigation and

management (Table 50 and 51). Of these, 200 (60.9%) complied with referral to oral surgeons


57

(Table 49, 50 and 51). A higher number of malignant cases were detected among patients screened

in the dental clinic compared to screening at high risk communities (Table 47 and 52).

Table 49: Oral Cancer and Pre-cancer Screening for Walk-in Patients, 2017

No. of Patients

Screened No. of Exhibitions

Dental Health Talks

No. of Talks No. of

participants

107,582 627 5,878 97,433


Table 50: Walk-in Patients Screened and Referred by State, 2017

State

No. Examined Total

Attendance

No. With

Lesion

No.

Referred

No. Seen by

Surgeons

New Repeat n % n %

Perlis 8,805 0 8,805 12 0.14 3 2 66.67

Kedah 26,952 0 26,952 6 0.02 6 2 33.33

Pulau Pinang 5,736 0 5,736 11 0.19 11 7 63.64

Perak 8,048 0 8,048 43 0.53 20 18 90.00

Selangor 4,281 0 4,281 71 1.66 71 41 57.75

FT KL and Putrajaya 4,165 0 4,165 50 1.20 50 38 76.00

N. Sembilan 3,846 24 3,870 22 0.57 20 14 70.00

Melaka 2,492 0 2,492 29 1.16 24 11 45.83

Johor 9,474 0 9,474 13 0.14 13 11 84.62

Pahang 1,983 5 1,988 10 0.50 10 8 80.00

Terengganu 9,032 0 9,032 6 0.07 6 6 100.00

Kelantan 11,244 0 11,244 12 0.11 12 8 66.67

Pen. Malaysia 96,058 29 96,087 285 0.30 240 166 67.50

Sabah 8,183 0 8,183 49 0.60 49 11 22.45

Sarawak 3,134 0 3,134 30 0.96 30 20 66.67

FT Labuan 178 0 178 3 1.69 3 3 100.00

MALAYSIA 107,553 29 107,582 367 0.34 328 200 60.9


Table 51: Walk-in Patients Screened and Referred, 2014-2017

Year No. Examined Total

Attendance

No. With Lesion No.

Referred


New Repeat n % n %

2014 55812 59 55871 349 0.6 189 93 49.2

2015 61058 51 61109 464 0.8 282 139 49.3

2016 88941 6 88947 309 0.35 214 129 60.3

2017 107553 29 107582 367 0.33 328 200 61

TOTAL 313364 145 313509 1489 0.47 1013 561 55.4



58

Table 52: Clinical and Histological Diagnosis of Referred Cases (Walk-in patients), 2017

State

No

. of

Cas

es

See

n b

y O

ral

Surg

eo

n

Clinical Diagnosis Staging Histological diagnosis* Lesion Status

Leu

kop

laki

a

Eryt

hro

pla

kia

Lich

en

Pla

nu

s

Sub

Mu

cou

s F

ibro

sis

Susp

icio

us

of

ora

l

can

cer

Oth

er

Pat

ho

logy

Stag

e 1

Stag

e 2

Stag

e 3

Stag

e 4

Hyp

erk

era

tosi

s

Epit

he

lial D

ysp

lasi

a

Car

cin

om

a In

-sit

u

Inva

sive

Sq

uam

ou

s

Ce

ll C

arci

no

ma

Ora

l Lic

he

n P

lan

us

Ora

l Su

b m

uco

us

Fib

rosi

s

Oth

er

Mal

ign

ancy

Be

nig

n P

ath

olo

gie

s

Be

nig

n

Pre

mal

ign

ant

Mal

ign

ant

Perlis 2 0 0 1 0 1 0 0 0 0 1 0 0 0 1 0 0 0 1 1 0 1

Kedah 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0

Pulau Pinang 7 0 0 0 0 3 4 1 0 0 2 0 0 0 2 0 0 1 0 0 0 3

Perak 18 0 0 4 2 7 5 0 0 2 4 0 0 0 7 2 0 0 1 0 0 7

Selangor 38 3 0 4 0 13 18 5 3 0 1 0 0 3 2 0 0 0 2 0 3 7

FT KL and

Putrajaya 41 1 0 2 1 6 18 0 0 0 0 1 0 0 7 2 0 0 4 0 0 7

N. Sembilan 14 2 1 3 0 4 0 0 0 1 2 0 0 0 4 0 0 0 0 6 0 4

Melaka 11 3 0 3 1 2 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1

Johor 11 1 0 3 0 1 5 0 0 0 0 1 0 0 0 1 0 1 1 0 1 1

Pahang 8 0 0 0 0 3 4 0 1 1 1 0 0 0 3 0 0 0 0 0 0 3

Terengganu 6 0 1 0 0 2 3 0 0 0 0 0 0 0 2 2 0 0 1 0 1 1

Kelantan 8 0 0 0 0 3 5 0 1 1 0 0 0 0 3 0 0 0 1 0 0 3

Pen. M’sia 166 11 2 21 4 45 64 6 5 5 11 2 0 3 32 8 0 2 11 7 6 38

Sabah 11 0 1 0 0 10 0 1 2 1 6 0 2 0 9 0 0 0 0 0 1 9

Sarawak 20 2 0 1 1 12 4 0 3 0 6 1 2 0 10 0 1 1 5 0 4 9

FT Labuan 3 0 0 0 0 0 3 0 0 0 0 1 0 0 0 0 0 0 2 3 0 0

Malaysia 200 13 3 22 5 67 71 7 10 6 23 4 4 3 51 8 1 3 18 10 11 56



Opportunistic screening data is available starting 2014. Of the malignant cases detected with TNM

staging reported from 2014 to 2017, 25.2% were detected at Stage 1 and 52.6% were detected at

later stages, Stage 3 and 4 (Table 53).

Table 53: Clinical and Histological Diagnosis of Referred Cases (Walk-in patients), 2014 – 2017

Year

No

. of

Cas

es

See

n b

y O

ral

Surg

eo

n


Leu

kop

laki

a

Eryt

hro

pla

kia

Lich

en

Pla

nu

s

Sub

Mu

cou

s F

ibro

sis

Susp

icio

us

of

ora

l

can

cer

Oth

er

Pat

ho

logy

Stag

e 1

Stag

e 2

Stag

e 3

Stag

e 4

Hyp

erk

era

tosi

s

Epit

he

lial D

ysp

lasi

a

Car

cin

om

a In

-sit

u

Inva

sive

Sq

uam

ou

s

Ce

ll C

arci

no

ma

Ora

l Lic

he

n P

lan

us

Ora

l Su

b m

uco

us

Fib

rosi

s

Oth

er

Mal

ign

ancy

Be

nig

n P

ath

olo

gie

s

Be

nig

n

Pre

mal

ign

ant

Mal

ign

ant

2014 93 3 0 5 2 32 51 4 2 0 9 2 2 1 26 4 0 1 17 26 7 27

2015 139 4 0 14 5 45 74 6 9 7 6 0 0 4 33 7 3 13 7 16 8 56

2016 129 8 1 8 2 56 48 17 9 8 12 6 4 5 36 7 0 8 17 16 6 41

2017 200 13 3 22 5 67 71 7 10 6 23 4 4 3 51 8 1 3 18 10 11 56

Total 561 28 4 49 14 200 244 34 30 21 50 12 10 13 146 26 4 25 59 68 32 180




59

Combined data of community and opportunistic screening from 2003 - 2017 showed 24.5% of the

cases were detected at Stage 1 and 58.4% were detected at later stages, Stage 3 and 4 (Table 54).

This achievement is still below the National Oral Health Plan for Malaysia 2011 - 2020 goal of ‘30% of

oral cancers detected at Stage 1’.

Table 54: Clinical and Histological Diagnosis of Referred Cases (Community and Opportunistic Screening),

2003-2017

Year

No

. of

Cas

es

See

n b

y O

ral

Surg

eo

n


Leu

kop

laki

a

Eryt

hro

pla

kia

Lich

en

Pla

nu

s

Sub

Mu

cou

s F

ibro

sis

Susp

icio

us

of

ora

l

can

cer

Oth

er

Pat

ho

logy

Stag

e 1

Stag

e 2

Stag

e 3

Stag

e 4

Hyp

erk

era

tosi

s

Epit

he

lial D

ysp

lasi

a

Car

cin

om

a In

-sit

u

Inva

sive

Sq

uam

ou

s C

ell

Car

cin

om

a

Ora

l Lic

he

n P

lan

us

Ora

l Su

b m

uco

us

Fib

rosi

s

Oth

er

Mal

ign

ancy

Be

nig

n P

ath

olo

gie

s

Be

nig

n

Pre

mal

ign

ant

Mal

ign

ant

2003 26 6 1 8 4 2 6 1 0 0 0 1 4 0 0 2 1 0 4 5 6 0

2004 19 3 1 3 1 2 10 0 0 3 0 0 0 0 3 0 0 0 0 0 1 2

2005 25 9 1 3 2 9 6 5 2 3 1 0 1 0 10 0 0 2 0 1 6 10

2006 34 1 1 6 1 18 7 7 1 5 7 0 0 0 17 3 0 1 4 3 2 19

2007 50 6 1 4 3 27 13 4 5 6 8 0 6 1 22 3 3 2 5 5 11 26

2008 48 2 1 0 1 35 7 4 2 8 13 0 5 2 20 8 0 2 2 3 6 32

2009 47 4 0 4 2 30 5 3 3 5 16 2 2 0 20 1 0 5 1 0 1 28

2010 8 1 0 2 0 1 4 0 0 1 0 0 2 0 1 0 0 0 0 0 3 1

2011 5 1 0 0 1 3 0 0 1 0 1 1 0 0 2 0 0 0 0 0 2 2

2012 15 3 2 1 2 6 2 0 0 0 2 0 0 0 2 0 0 1 3 4 2 4

2013 2 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0

2014 110 6 1 6 2 33 62 4 2 0 9 2 2 1 26 4 0 1 17 38 8 27

2015 147 4 4 15 6 45 76 6 9 7 6 0 0 4 33 7 3 13 8 17 15 56

2016 138 9 2 12 2 58 49 22 9 8 12 6 4 5 37 9 0 9 17 20 7 42

2017 200 13 3 22 5 67 71 7 10 6 23 4 4 3 51 8 1 3 18 10 11 56

Total 874 68 18 86 32 336 320 63 44 52 98 16 30 16 244 45 8 39 79 108 81 305



Mouth Cancer Awareness Week

Mouth Cancer Awareness Week was held from 26 November to 2 December 2017 aimed to increase

oral cancer awareness among health professionals and the public. Activities include screening of

24,952 people, 763 awareness campaigns and counselling to 10,243 individuals on risk habits (Table

55).

At the national level, Mouth Cancer Awareness Week was launched by the Principal Director of Oral

Health, MoH Malaysia on 26 November 2017 at Taman Botani Negara Shah Alam, Selangor. The

event was conducted in collaboration with Oral Cancer Research and Coordinating Center, Dental

Faculties of Public and Private Universities (UM, UKM, UiTM, MAHSA, Segi University and IMU),


60

Cancer Research Malaysia (CRM), Malaysia Association of Maxillo-facial Surgeons (MAOMS), OHP

and Ministry of Defence. A 3.5 km walkathon, aerobics, quiz on oral cancer and flash mob dance

were among the highlights in conjunction with the launch.

Table 55: Activities during Mouth Cancer Awareness Week by State, 2017

State

Oral

Screening

Total

Attendance

Oral Health Education Oral Health promotion

(No. of activities held)

*Advice/

Counselling

Talks

Radio

Talk

Television

Talk

Exhibition/

Campaign Others**

No. of

Participants

Group Individual

No. Held No. of

Participants

No. Held

Perlis 382 0 0 382 0 0 2 6 0 Kedah 2,964 274 3,536 1,063 0 0 92 0 4,028 Pulau Pinang 1,196 70 916 315 0 0 27 0 171 Perak 1,234 121 1,579 1,412 0 0 58 13 63 Selangor 1,259 110 2,009 214 0 0 37 4 118 FT KL and Putrajaya 3,958 132 3,084 2,657 0 0 16 16 718 N Sembilan 1,747 100 1,640 1,042 0 0 72 24 372 Melaka 628 35 527 659 0 0 40 2 129 Johor 955 22 1,011 757 0 0 45 3 728 Pahang 1,848 119 1,249 1,234 0 0 87 2 745 Terengganu 1,213 59 582 873 1 1 40 144 1,188 Kelantan 1,537 168 2,164 709 0 0 98 16 429 Sabah 1,619 102 3,605 68 2 1 65 13 296 Sarawak 3,432 193 4,058 218 1 4 79 4 981 FT Labuan 34 2 92 34 0 0 1 0 0 HKL 277 18 395 277 0 18 1 0 277 PPKK & ILKKM 669 4 443 669 0 0 3 1 0 OHP, MoH 0 0 0 0 2 0 0 0 0

Total 24,952 1,529 26,890 12,583 6 24 763 248 10,243 Source: OHP MoH, 2017

* Example: Stop smoking habits / chewing betel quid / drinking alcohol / others

** Example: MSE demonstration

Training

In 2017, there were 114 trainings on primary prevention and early detection of oral cancer

conducted by the states involving 1,616 dental officers. The highest number of officers trained was

in Terengganu (Table 56).


61

Table 56: Oral Cancer Related Courses Conducted by States, 2017

States

Oral Cancer Training

No. of courses conducted No. of dental officers

trained

Perlis 4 50

Kedah 7 79

Pulau Pinang 0 0

Perak 14 221

Selangor 20 263

FT KL and Putrajaya 4 106

N. Sembilan 0 0

Melaka 1 61

Johor 7 251

Pahang 6 132

Terengganu 14 308

Kelantan 1 48

Pen. Malaysia 78 1,519

Sabah 4 52

Sarawak 32 45

FT Labuan 0 0

Malaysia 114 1,616



62

PRIMARY ORAL HEALTHCARE

The OHP MoH Malaysia is the lead agency in the provision of oral healthcare to the population and

continues to provide care to target groups which includes; toddlers (0 - 4 years), pre-school children

(5 - 6 years), schoolchildren (7 - 17 years), children with special needs, antenatal mothers, adults and

the elderly. Overall, the utilisation of primary oral healthcare service in MoH increases from 25.1 %

in 2016 to 25.3% in 2017 (Figure 9).

Figure 9: Percentage Utilisation, Primary Oral Healthcare Services, MoH 2013-2017

Source: Health Informatics Centre, MoH 2017

The actual number of utilisation of MoH primary oral healthcare services by target group over the

years are as shown in Table 57. Overall, there is increasing trend for all target groups except for

secondary schoolchildren, a slight reduction in numbers from the previous year. The primary and

secondary schoolchildren made up 58.0% among those who utilised MoH primary oral healthcare

services in 2017.

Table 57: Utilisation of Primary Oral Healthcare by Category of Patients, 2013-2017

Year Preschool Primary

School

Secondary

School Antenatal Adults Elderly

Special

Children Overall

2013 829,710 2,800,209 1,940,643 204,351 1,379,228 192,429 46,673 7,393,243

2014 893,544 2,795,879 1,929,388 225,389 1,499,105 211,992 50,571 7,605,868

2015 924,920 2,757,792 1,934,031 221,444 1,588,623 226,039 54,686 7,707,535

2016 1,001,064 2,785,178 1,933,640 225,843 1,702,521 249,966 57,881 7,956,093

2017 1,047,391 2,809,766 1,964,105 245,018 1,810,480 269,500 62,114 8,208,374



63

EARLY CHILDHOOD ORAL HEALTHCARE FOR TODDLERS

Cursory examination of the oral health cavity for toddler through ‘lift-the-lip’ was done in settings

such as child care centers or Maternal and Child Health Clinics. In 2017, there were a total of

379,976 (13.9%) toddlers seen under primary oral healthcare services as in Table 58.

Table 58: Coverage of Toddlers, 2013-2017

Year Toddler Population (0-4 years old) No. of Toddler seen % of Toddler seen

2013 2,523,800 225,188 8.9

2014 2,519,300 293,006 11.6

2015 2,577,500 300,517 11.7

2016 2,634,800 341,664 13.0

2017 2,720,900 379,335 13.9


FT Putrajaya (41.9%) followed by Perlis (28.0%) and FT Labuan (27.5%) recorded the highest

coverage of toddler in 2017 (Figure 10).

Figure 10: Toddlers Receiving Primary Oral Healthcare by State, 2017 Source: OHP MoH, 2017

Clinical preventive measures for toddlers such as fluoride varnish were instituted where required. In

2017, 47.0% (180,874/379,355) of toddlers received topical fluoride varnish application.


64

ORAL HEALTHCARE FOR PRESCHOOL CHILDREN

In 2017, there were a total of 21,245 kindergartens or preschool institutions in Malaysia which

includes 16,714 government and 4,531 private. The coverage of kindergartens nationwide 2013-

2017 is as tabulated in Table 59.

Table 59: Coverage of Kindergartens, 2013-2017

Year Total

Kindergartens

Government

Kindergartens

Private

Kindergartens

% Government

Kindergartens

Coverage

% Private

Kindergartens

coverage

2013 19,190 15,220 3,970 95.5 95.8

2014 20,473 16,232 4,241 95.5 95.3

2015 20,930 16,615 4,315 96.0 95.9

2016 21,272 16,807 4,465 97.0 95.6

2017 21,245 16,714 4,531 96.1 90.4


A total of 1,047,391 preschool children aged 0-6 years of age were given primary oral healthcare

services, an increase of 0.4 % from year 2016 (Table 60).

Table 60: Coverage of preschool children, 2013-2017

Year Estimated Preschool Pop.

(0-6 years of age)

No. of Preschool Children Covered

(0-6 years of age) % Coverage

2012 3,515,900 778,674 22.1

2013 3,522,500 829,710 23.6

2014 3,543,000 893,544 25.2

2015 3,573,400 924,920 25.9

2016 3,637,700 1,001,064 27.5

2017 3,750,100 1,047,391 27.9


The state of FT Putrajaya (56.5%), Perlis (50.2%) and Melaka (47.3%) recorded the highest coverage

of preschool children in 2017 (Figure 11).


65

142,737

116,381

99,728

87,31683,944

83,02082,586

79,246

67,057

47,724

46,480

44,94035,567

15,5499,779

5,337

33.7

15.0

39.3

28.731.5

19.9

45.2

39.7

21.2

47.3

38.4

27.4

21.0

50.2

56.5

45.2

0.0

10.0

20.0

30.0

40.0

50.0

60.0

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

Per

cen

tage

New

Att

end

an

ce

New Attendance % Coverage

Figure 11: Preschool Children Receiving Primary Oral Healthcare by State, 2017


ORAL HEALTHCARE FOR SCHOOLCHILDREN

The 7-surface Gingival Index for Schoolchildren (GIS) was approved for use in 2013 and implemented

in 2014. GIS was aimed to evaluate the gingival status of schoolchildren based on scientific evidence.

The 7-surface GIS was found to be equally sensitive to the 12-surfaces of six (6) index teeth and can

be done in less time. The index tooth are visually examined for obvious presence of gingivitis and or

calculus and the GIS score categories are as follows:

GIS score 0= no gingivitis, no calculus;

GIS score 1= no gingivitis, with calculus;

GIS score 2= with gingivitis, no calculus;

GIS score 3= with gingivitis, with calculus.

The GIS score for primary and secondary school children are as in Table 61 and Table 62.

Table 61: GIS score for Primary Schoolchildren, 2017

Year New attendances GIS 0 (%) GIS 1 (%) GIS 2 (%) GIS 3 (%)

2017 2,629,005 2,036,310

(77.5)

128,316

(4.9)

324,031

(12.3)

140,347

(5.3)


Table 62: GIS score for Secondary Schoolchildren, 2017

Year New attendances GIS 0 GIS 1 GIS 2 GIS 3

2017 1,923,699 1,346,571

(70.0)

128,733

(6.7)

239,033

(12.4)

209,368

(10.9)



66

It was noted that 77.5% of primary schoolchildren and 70.0% of secondary schoolchildren had GIS

score 0 in 2017.

Primary schoolchildren

Dental nurses and supporting teams are entrusted with the oral healthcare services for primary

schoolchildren under the Incremental Dental Care Programme. Overall, the coverage of primary

schools showed a decreasing trend from 96.9% in 2016 to 94.0% in 2017 (Table 63).

Table 63: Coverage of Primary Schools, 2013-2017

Year Total No. of Primary Schools No. of Primary Schools Covered % Coverage of Primary Schools

2013 7,807 7,485 95.9

2014 7,816 7,472 95.6

2015 7,828 7,511 96.1

2016 7,847 7,606 96.9

2017 7,858 7,390 94.0


Majority of the states have achieved above 98% coverage of primary schools in 2017 except for

Pulau Pinang (95.2%), Selangor (94.2%), Sabah (88.4%) and Sarawak (78.2%) (Table 64).

Table 64: Coverage of Primary Schools by States, 2013 – 2017

State Percentage of Coverage of Primary Schools

2013 2014 2015 2016 2017

Perlis 100 100 100 100 100

Kedah 100 100 100 100 99.6

Pulau Pinang 100 100 100 100 95.2

Perak 99.7 99.2 99.4 100 100

Selangor 99.7 98.8 99.5 99.4 94.2

FT KL & Putrajaya 100 100 100 100 100

N. Sembilan 100 100 100 100 100

Melaka 100 100 94.9 100 99.6

Johor 100 100 100 100 100

Pahang 100 100 100 99.8 98.6

Terengganu 100 99.5 99.5 100 100

Kelantan 99.5 98.8 98.1 99.8 98.6

FT Labuan 100 100 100 100 100

Sabah 82.4 79.6 88.2 90.1 88.4

Sarawak 89.9 91.7 88 91.7 78.2

MALAYSIA 95.9 95.6 96.1 96.9 94.0


In terms of primary schoolchildren, the annual coverage has exceeded 98% over the past 5 years,

with 99.2 % of primary schoolchildren examined in 2017 (Table 65).


67

Table 65: Coverage of Primary Schoolchildren, 2013-2017

Year Total Pop of Primary

Schoolchildren

No. of Primary

Schoolchildren Covered

% Coverage

2013 2,746,364 2,694,533 98.1

2014 2,707,876 2,664,738 98.4

2015 2,686,750 2,654,585 98.8

2016 2,677,950 2,649,420 98.9

2017 2,678,793 2,656,519 99.2


All states has achieved 98% and more coverage of primary schoolchildren in 2017 (Figure 12).

510,429

261,136

202,739 172,656

129,056 127,012

102,362

79,631 14,885

8,380

98.7 99.298.5

97.9

99.799.9

99.699.5

99.6 99.899.9

99.599.9

99.8100.0

98.6

80.0

85.0

90.0

95.0

100.0

105.0

110.0

-

100,000

200,000

300,000

400,000

500,000

600,000

Per

cen

tage

New

Att

end

ance

New Attendance

Figure 12: Number and Percentage of Primary Schoolchildren Receiving Primary Oral Healthcare by State,

2017 Source: Health Informatics Centre, MoH 2017

Over the years, the percentage of primary schoolchildren rendered orally-fit (Case Completion), No

Treatment Required (NTR) and maintained caries-free have fluctuated slightly. Of those examined in

2017, 97.0% were Case Completed, 63.4% were NTR, and 37.1% were Caries-free (Table 66).


68

Table 66: Percentage Primary Schoolchildren Orally-Fit, NTR and Caries-free, 2013-2017

Year No of Primary

Schoolchildren Covered

% Case

Completion % NTR

% Maintained Caries-free

Mouth

2013 2,694,533 97.5 67.4 33.9

2014 2,664,738 97.7 61.5 34.4

2015 2,654,585 96.4 64.0 35.4

2016 2,649,420 97.9 63.7 35.8

2017 2,656,519 97.0 63.4 37.1


In 2017, all states achieved 95.0% and above for Case Completion except FT Labuan (88.1%). Whilst

for NTR, Johor has achieved the highest percentage (83.5%) followed by Perak (76.4%) and Kedah

(70.4%). Overall, Caries-free prevalence was 37.1%. FT KL reported the highest achievement for

Caries-free status (60.7%) followed by Selangor (58.4%) and Negeri Sembilan (49.2%) (Table 67).

Table 67: Oral Health Status of Primary Schoolchildren by State, 2017

State % Case Completion % No Treatment

Required (NTR)

% Maintained

Caries-free

Perlis 98.4 53.2 23.5

Kedah 97.7 70.4 31.5

Pulau Pinang 95.2 58.2 33.4

Perak 98.9 76.4 31.6

Selangor 97.3 66.8 58.4

FT KL 97.0 69.9 60.7

FT Putrajaya 97.7 62.2 49.0

N. Sembilan 98.8 61.9 49.2

Melaka 98.7 49.9 37.8

Johor 97.6 83.5 47.6

Pahang 97.7 57.0 31.3

Terengganu 98.5 67.2 19.0

Kelantan 97.8 32.6 16.9

FT Labuan 88.1 42.5 24.1

Sabah 94.6 52.6 8.6

Sarawak 94.6 54.8 30.9

MALAYSIA 97.0 63.4 37.1


Secondary Schoolchildren

With more dental officers coming into the service, they shoulder the responsibilities for the

secondary school dental service. The coverage of secondary schools showed a decrease (83.6%) in

2017 compared to 2016 (86.7%) (Table 68).


69

Table 68: Coverage of Secondary Schools, 2013-2017

Year Total No. of Secondary

Schools

No. of Secondary Schools

Covered

% Coverage of Secondary

Schools

2013 2,470 1,982 80.2

2014 2,477 2,019 81.5

2015 2,508 2,096 84.0

2016 2,558 2,196 86.7

2017 2,563 2,142 83.6


Figure 13: Coverage of Secondary Schools by State, 2017 Source: Health Informatics Centre, MoH 2017

Majority of the states has achieved above 94% of secondary school coverage in 2017 except for

Selangor (72.9%), Kelantan (68.4%), Sabah (48.9%) and Sarawak (32.3%) (Table 69 and Figure 13).

However, it was noted that there was an increasing trend in coverage over the years in Kelantan and

Sabah.

Table 69: Percentage Secondary School Coverage under Incremental Dental Care by State, 2013-2017

State Percent Secondary Schools Covered

2013 2014 2015 2016 2017

Perlis 100 100 100 100 100

Kedah 93.6 94.7 97.9 99.5 91.6

Pulau Pinang 99.2 99.2 97.6 100.0 94.4

Perak 99.6 97.3 98.9 100.0 100

Selangor 83.3 79.6 92.5 94.2 72.9


70

State Percent Secondary Schools Covered

2013 2014 2015 2016 2017

FT KL 100 100 100 100 100

FT Putrajaya 100 100 100 100 100

N.Sembilan 100 100 100 100 100

Melaka 100 100 92.6 100 100

Johor 100 100 100 100 100

Pahang 100 97.7 99.5 99.6 98.7

Terengganu 87.2 96.0 96.2 99.4 99.4

Kelantan 49.8 50.8 52.9 60.9 68.4

FT Labuan 100 100 100 100 100

Sabah 29.2 35.9 44.8 47.2 48.9

Sarawak 24.7 29.3 31.4 40.8 32.3

MALAYSIA 80.2 81.5 84.1 86.7 83.6


Meanwhile, 94.6% of secondary schoolchildren were seen in 2017, an improvement by 2.2% from

the previous year (Figure 14).

Figure 14: Coverage of Secondary Schoolchildren, 2013-2017


Two (2) states, Sabah (87.6%) and Sarawak (80.4%) recorded below the average coverage of

secondary schoolchildren (90%) in 2017 (Figure 15).


71

Figure 15: Secondary Schoolchildren Receiving Primary Oral Healthcare by State, 2017 Source: Health Informatics Centre, MoH 2017

In 2017, there was a decrease in the percentage of Case Completion and NTR compared to year

2016, while there was an increase in the percentage of caries-free among secondary schoolchildren

(Table 70).

Table 70: Percentage Secondary Schoolchildren Orally-Fit, NTR and Caries-free, 2013-2017

Year No of Secondary

Schoolchildren Covered % Case Completion % NTR

% Maintained Caries-

free

2013 1,805,591 92.8 77.1 56.2

2014 1,929,388 93.1 66.8 57.5

2015 1,802,582 94.1 68.2 56.0

2016 1,934,828 94.2 68.8 58.8

2017 1,936,477 92.5 68.3 59.2


The state of Sarawak (80.3%) recorded the lowest percentage of case completion among secondary

schoolchildren in 2017 (Table 71).

Table 71: Oral Health Status of Secondary Schoolchildren, 2017

State % Case Completion % NTR % Maintained

Caries-free

Perlis 93.6 62.2 55.4

Kedah 94.5 73.9 68.8

Pulau Pinang 95.5 75.5 64.7

Perak 97.3 78.1 66.4

Selangor 92.3 73.7 75.7

FT KL 97.0 85.3 78.5

FT Putrajaya 96.5 67.4 68.0

N. Sembilan 96.0 69.5 70.6

Melaka 96.9 60.1 60.2

Johor 95.4 80.5 71.5

Pahang 95.5 59.0 48.1

Terengganu 94.3 63.5 37.3


72

State % Case Completion % NTR % Maintained

Caries-free

Kelantan 90.9 53.2 33.1

FT Labuan 91.3 49.5 44.7

Sabah 83.0 44.3 26.4

Sarawak 80.3 58.7 46.1

MALAYSIA 92.5 68.3 59.2


Impact Indicators - Caries-free 6, 12 and 16 year-old Schoolchildren

Overall, the percentage of caries-free among 6 and 12 year-olds schoolchildren has shown a slight

increase in 2017. However there is a reduction of NTR of primary schoolchildren and caries-free

among 16 year-old (Figure 16).

Figure 16: Caries Free 6, 12 and 16 year-old Schoolchildren, NTR 2013-2017


FT Kuala Lumpur showed the highest percentage of caries-free among 16 year-olds (76.1%) while the

state of Sabah (22.9%) reported the lowest (Table 72).

Table 72: Percentage of Caries Free 16-year olds by State, 2013 – 2017

State 2013 2014 2015 2016 2017

Perlis 56.8 54.6 56.9 57.8 60.0

Kedah 65.5 66.3 66.4 67.3 65.4

Pulau Pinang 56.8 59.3 58.6 60.0 60.2

Perak 59.2 59.9 60.8 63.0 62.8

Selangor 72.3 73.3 72.6 75.7 72.7

FT Kuala Lumpur 73.4 74.8 74.8 75.8 76.1


73

State 2013 2014 2015 2016 2017

FT Putrajaya 67.7 72.8 68.2 70.0 62.8

N Sembilan 66.6 66.0 69.4 68.6 67.4

Melaka 53.3 52.4 53.7 56.3 56.2

Johor 64.8 66.6 67.9 68.8 68.2

Pahang 46.0 46.6 46.5 47.2 44.0

Terengganu 38.0 33.9 32.5 33.1 32.4

Kelantan 27.5 25.7 25.4 26.6 29.0

FT Labuan 35.7 36.3 34.5 35.3 35.1

Sabah 19.2 18.4 21.0 21.7 22.9

Sarawak 41.6 40.1 42.5 42.7 41.0

MALAYSIA 56.1 55.9 56.0 56.9 55.5


The mean DMFT score for 12 year-olds has reduced from year 2016. However, for 16 year-olds an

increment was noted from year 2016 (Table 73).

Table 73: Mean DMFT Score for 12 and 16 year-olds, 2013-2017

Age Group 2013 2014 2015 2016 2017

12-year-olds 0.91 0.85 0.85 0.79 0.74

16-year-olds 1.30 1.35 1.35 1.34 1.40


ORAL HEALTHCARE FOR CHILDREN WITH SPECIAL NEEDS

The number of special needs children utilising primary oral healthcare services increases steadily

over the years. This was mainly due to the initiatives of the National Blue Ocean Strategy 7 (NBOS 7)

which prioritised healthcare to special needs children, the elderly and single mothers. In 2017, a

total of 62,114 special needs children received primary oral healthcare (Figure 17).

Figure 17: Special Needs Children Receiving Primary Oral Healthcare, 2013-2017



74

The highest number of special needs children was seen in Sabah, Johor followed by Selangor (Figure

18).

Figure 18: Special Needs Children Receiving Primary Oral Healthcare by State, 2017


ORAL HEALTHCARE FOR ANTENATAL MOTHERS

More efforts have been taken to increase the attendance of antenatal mothers to dental clinics by

way of referrals from MCH clinics and health clinics. As such this programme aims to ensure that

pregnant mothers will be provided with the essential oral health awareness and at the same time to

render them orally-fit during their pregnancy. In 2017, there was an increase in the number of

antenatal mothers utilising primary oral healthcare as compared to the previous year (Figure 19).

204,351

225,389221,444

225,843

245,018

35.2

38.8 38.6 40.743.0

0

20

40

60

80

100

180,000

190,000

200,000

210,000

220,000

230,000

240,000

250,000

2013 2014 2015 2016 2017

Pe

rce

nta

ge (

%)

New attendance Percentage

Figure 19: Coverage of Antenatal Mothers, 2013-2017


The highest coverage of antenatal mothers were Kedah (82.8%) followed by Perlis (79.4%) and FT

Putrajaya (76.2%) (Figure 20).


75

Figure 20: Antenatal Mothers Receiving Primary Oral Healthcare by State, 2017 Source: Health Informatics Centre, MoH 2017

ORAL HEALTHCARE FOR ADULTS

The demand for oral healthcare among adults is steadily increasing. Hence, the number of dental

clinics providing daily outpatient services has been included as one of the Key Performance

Indicators (KPI) for OHP. Efforts have been made to accommodate the need of adults and to date

97.0% (499/512) of dental clinics with 2 or more dental officers offer daily outpatient services. In

2017, adults utilisation of primary oral healthcare increased by 5.0% from 2016 (Figure 21).

Figure 21: Adults Receiving Primary Oral Healthcare, 2013-2017


Overall, 7.0% of the adult population aged 18 - 59 years old received primary oral healthcare services

in 2017. Pulau Pinang (64.3%) recorded the highest percentage followed by FT Putrajaya (44.3%) and

FT Labuan (17.1%) (Figure 22).


76

Figure 22: Adults Receiving Primary Oral Healthcare by State, 2017


The OHP has established 21 clinics Klinik Pergigian Endodontik Primer (KEPP) in 2013 which offer

endodontic treatment. Identified dental officers were trained to undertake endodontics on anterior

and posterior teeth using rotary instruments. In 2017, a total of 2,226 endodontic cases were

completed in these KEPPs (Table 74).

Table 74: Completed Endodontic Cases in KEPP, 2014-2017

Year Number of Completed Endodontic Cases

Total Anterior Premolar Molar Retreatment

2014 582 278 403 16 1,279

2015 852 468 744 63 2,127

2016 899 543 1,170 99 2,711

2017 554 397 1,226 49 2,226



77

ORAL HEALTHCARE FOR THE ELDERLY

In 2017, 8.7% (269,500) of the estimated elderly population received the primary oral healthcare

service (Figure 23). Of these, 7,370 were rendered dental care at 494 elderly institutions.

192,429

211,992 226,039250,714

269,500

7.6 8.08.2

8.5

8.7

77.27.47.67.888.28.48.68.8

0

50,000

100,000

150,000

200,000

250,000

300,000

2013 2014 2015 2016 2017

Pe

rce

nta

ge

Nu

mb

er

New Attendance Percentage

Figure 23: Elderly Receiving Primary Oral Healthcare, 2013-2017 Source: Health Informatics Centre, MoH 2017

The highest coverage of elderly was in FT Putrajaya (48.0%) followed by FT Labuan (14.1%) and

Negeri Sembilan (13.9%) (Figure 24).

34,453 32,573

30,843

27,130

20,832

18,684 17,820

15,564 13,303

9,940 7,780

3,649

1,439 887

9.66.6 8.1

9.311.6

8.7 7.5

13.9

8.0 9.212.6 5.7

7.611.3

48.0

14.1

0.0

10.0

20.0

30.0

40.0

50.0

60.0

-

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

Pe

rce

nta

ge

New Attendance Percentage

Figure 24: Elderly Receiving Primary Oral Healthcare by State, 2017 Source: Health Informatics Centre, MoH 2017

Despite the increase in elderly population utilising MoH oral healthcare facilities, their oral health

status is still far from satisfactory. Only 41.4% of 60-year-olds had 20 or more teeth (Table 75). This

is far from the targeted goal in the National Oral Health Plan 2011-2020 which is 60% by 2020.


78

Table 75: Oral Health Status of the Elderly, 2017

Age group (years) Average no. of teeth present

Edentulous

( % )

With 20 or more teeth

( % )

2016 2017 2016 2017 2016 2017

60 15.8 16.1 7.8 8.0 40.3 41.4

65 14.0 14.3 11.1 10.4 31.1 32.5

75 and above 10.4 10.5 21.4 20.6 19.5 19.8


WORKLOAD OF DENTAL PROVIDERS IN PRIMARY ORAL HEALTHCARE, 2017

The dental provider workload data is collected and kept in the Health Information Management

System (HIMS)-Oral Health Subsystem which started in 1981. These data serve as the basis for

monitoring performance and as input for future planning towards improving the oral healthcare

delivery system. Some of the preventive and curative dental procedures carried out by Dental

Officers’ and Dental Therapists’ in year 2017 were as below (Table 76).

Table 76: Workload of Dental Officers’ and Dental Therapists’ by Dental Procedure, 2017

Dental Procedure Dental Officer Dental Therapist Total

Restoration 1,483,994 1,489,592 2,973,586

Scaling 763,041 336,296 1,099,337

Periodontal cases 1,143 - 1,143

Fissure sealant 42,605 483,005 525,610

Tooth extraction 1,422,606 402,212 1,824,818

Surgical extraction 7,133 - 7,133

Abscess Management 168,654 - 168,654

Endodontic 18,182 - 18,182

Crown & Bridges 1,016 - 1,016

Partial Denture 76,273 - 76,273

Full Denture 62,422 - 62,422

Total 4,047,069 2,711,105 6,758,174



79

OTHER ACTIVITIES

Effective Dental Health Education

Effective Dental Health Education workshop was conducted from 10 to 12 April 2017 at Crystal

Crown Hotel, Klang, Selangor. This workshop aimed to provide the platform for participants to work

on ideas they think would give an impact on target groups. A total of 16 Dental Officers and 26

Dental Therapists representing their states attended the workshop. Participants also took the

opportunities of the two (2) days workshop, sharing their experience and challenges faced in

delivering oral health messages to the various target groups.

Mesyuarat Pemantapan Pengurusan Data Penjagaan Kesihatan Pergigian

Mesyuarat Pemantapan Pengurusan Data Penjagaan Kesihatan Pergigian was conducted on the 9-

10 August 2017, aimed to identify and managed issues faced during data collection for HIMS and

oral health data at all level.


80

SPECIALIST ORAL HEALTHCARE

DENTAL SPECIALTY DISCIPLINES

There are nine (9) dental specialities recognised in the MoH (Table 77). Five (5) of the specialties are

hospital-based. In 2017, there were 261 clinical dental specialists and 88 Dental Public Health

Specialists including two (2) contract Dental Public Health Specialists in the MoH (Table 78).

Table 77: Number of Dental Specialists in MoH, 2013-2017

Year

Discipline 2013 2014 2015 2016 2017

Clinical Dental Specialists

Hospital-based

Oral and Maxillofacial Surgery 55(*3) 56(*4) 60(*3) 64(*1) 75

Paediatric Dentistry 33 35 39 38 38

Oral Pathology & Medicine 9 10 11 11 15

Special Needs Dentistry 2 3 3 4 4

Forensic Dentistry 1 1 1 1 1

Non-hospital-based

Orthodontics 46 (*4) 48(*3) 47(*1) 52(*1) 64

Periodontics 24 29 34 34 36

Restorative Dentistry 20 20 20 24 28

Total Number of Clinical Dental Specialists 190 (*7) 202 215(*4) 228(*3) 261

Non- Clinical Dental Specialists

Dental Public Health Specialist 119 121 109 93(*1) 86(*2)

Source: Facts That Figure, OHP MoH, 2017 (Not inclusive of officers undergoing specialty gazettement)

*Contract Dental Specialists

In 2017, six (6) new specialist services were established in 18 facilities. The specialties are as listed in

Table 78.

Table 78: New Specialist Services Established in 2017

Specialty Hospital / Dental Facilities

Oral & Maxillofacial Surgery Hospital Segamat Johor, Hospital Tanah Merah Kelantan, IKN

Putrajaya

Paediatric Dentistry Hospital Segamat Johor, Hospital Kulim Kedah

Oral Pathology & Oral Medicine Hospital Sultanah Nur Zahirah Terengganu, Hospital Seberang

Jaya Pulau Pinang

Orthodontics KP Kulim Kedah, KP Kuala Berang Terengganu, KP Kuala

Lumpur

Restorative Dentistry

KP Kuala Krai Kelantan, KP Teluk Intan, KP Miri, KP Sibu Jaya,

KP Bakar Arang Sg. Petani Kedah, KP Kuala Pilah Negeri

Sembilan, KP Kuala Lumpur

Periodontics KP Kuala Lumpur

Source: MoH Dental Specialists Mapping 2017


81

Dental Specialist Meetings

Dental Specialist Meetings are organised annually for each discipline to discuss Annual Plans of

Action, Achievements, Key Performance Indicators, National Indicator Approaches, Patient Safety

Indicators and issues pertaining to each specialty. In 2017, ten (10) Dental Specialist Meeting were

held inclusive of a Combined Dental Specialists Meeting (Table 79).

Table 79: Dental Specialist Meeting, 2017

Image 11: Combined Dental Specialist Meeting Hotel Concorde, Shah Alam, Selangor

7-9 March 2017

HOSPITAL-BASED CLINICAL DENTAL SPECIALTIES

Oral and Maxillofacial Surgery

There was an increasing trend in new patients and total attendance over the last five (5) years for

Oral and Maxillofacial (2013 - 2017) (Figure 25).

Specialty Date Place

Dental Public Health 21-22 January 2017 Hotel Concorde, Shah Alam, Selangor

Combined Dental Specialist Meeting 7-9 March 2017 Hotel Geno, Subang Jaya, Selangor

Oral and Maxillofacial Surgery 21-23 March 2017 Hotel Summit, Subang USJ, Selangor

Forensic Dentistry 21-23 March 2017 Hotel Summit, Subang USJ, Selangor

Oral Pathology & Oral Medicine 27 March 2017 Bahagian Kesihatan Pergigian, KKM

Orthodontics 5-7 April 2017 Hotel Concorde, Shah Alam, Selangor

Paediatrics Dentistry 18 - 20 April 2017 Hotel Premiere, Klang, Selangor

Periodontics 3-5 May 2017 Hotel Grand Bluewave, Shah Alam, Selangor

Special Needs Dentistry 3-5 May 2017 Hotel Grand Bluewave, Shah Alam, Selangor

Restorative Dentistry 17-19 May 2017 Hotel Premiere, Klang, Selangor


82

68521 73192 76976 84971 90489

200474215206

229386

255403266528

0

50000

100000

150000

200000

250000

300000

2013 2014 2015 2016 2017

Total Attendance and New Patients OMFS

New patients Total Attendance

Figure 25: Total Attendance and New Patients, Oral and Maxillofacial Surgery (2013 - 2017) Source: Health Informatics Centre, MoH 2017

Of all oral surgeries performed in 2017, 91.1% (26,610) were minor surgical cases. Majority of the

minor surgeries were pre-prosthetic and pre-orthodontic procedures, removal of impacted teeth,

biopsies, excision or ablative surgeries and removal of retained or displaced roots. Major surgery

cases accounted for 8.9% (2,591) which consist of surgical removal of malignant lesions, primary or

secondary facial reconstruction, cleft lip and palate repair, orthognathic surgery and distraction

osteogenesis (Table 80)

Table 80: Surgeries Performed by Oral and Maxillofacial Surgeons, 2017

Type of Cases No. %

Minor Surgery 26,610 91.1%

Major Surgery 2,591 8.9%


The average number of patients seen by an Oral and Maxillofacial Surgeon was 3,358 (Figure 26).

Each patient made an average of three (3) visits per year.


83

1246 1307 1283 1328 1207

36453843 3823

3990

3554

0

500

1000

1500

2000

2500

3000

3500

4000

4500

2013 2014 2015 2016 2017

Average no of new patients Average no of attendances

Figure 26: The Average Number of Patients Seen Per Oral and Maxillofacial Surgeon, 2013-2017


Paediatric Dental Specialty

Paediatric Dental Specialists attend to children below 17 years. There was an increase in number of

new patient and total attendance in 2017 as compared with 2016 (Figure 27).

30772 31547 32130 34637 37009

8872493668 94669

103754

114185

0

20000

40000

60000

80000

100000

120000

2 0 1 3 2 0 1 4 2 0 1 5 2 0 1 6 2 0 1 7

NewPatients Total Attendance

Figure 27: Number of New Patient and Total Attendance for Paediatric Dental Specialty, 2013-2017 Source: Health Informatics Centre, MoH 2017


84

Figure 28 shows the treatment rendered by Paediatric Dental Specialists in 2017, some was done

under general anaesthesia or sedation. Majority of the treatment rendered was restoration.

Figure 28: Treatment Rendered by Paediatric Dental Specialists, 2017


Paediatric Dental Specialist also manages children with special needs. These patients are categorised

as those with physical abnormalities, mental retardation, multiple abnormalities and/or those who

are medically-compromised. There was an overall increase in cases, especially children with multiple

abnormalities and medically-compromised (Figure 29).

Physical

AbnormalitiesMental Retardation

Medically

CompromisedMultiple

Abnormalities

2013 5268 4346 14160 6500

2014 5996 4928 17773 6296

2015 6162 4414 14830 6215

2016 6464 4680 15467 7190

2017 6764 5081 16068 8142

02000400060008000

100001200014000160001800020000

2013 2014 2015 2016 2017

Figure 29: Number of Dental Paediatric Patients Based on Conditions, 2013-2017 Source: Health Informatics Centre, MoH 2017


85

Oral Pathology and Oral Medicine (OPOM)

There was a decreasing number of new patient and total attendance in 2017 as compared to 2016

(Figure 30). On the other hand, the number of reports issued and slides seen by the OPOM

specialists in year 2017 has increased as compared to year 2016 (Figure 31).

280 247 242 264 240

919848

744

878829

0

100

200

300

400

500

600

700

800

900

1000

2013 2014 2015 2016 2017

Average of new patients Average of total attendances

Figure 30: Number of number of new patient and total attendance in 2017 Source: Health Informatics Centre, MoH 2017

2266 2416 2420 24773098

5516

68746439

6811

8962

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

2013 2014 2015 2016 2017

No. of Reports No. of Slides seen

Figure 31: Reports Issued and Slides Seen by OPOM Specialist (2013-2017) Source: Health Informatics Centre, MoH 2017


86

Special Needs Dentistry

Special Needs Dentistry (SND) services began in early 2011. In 2017, there are five (5) SND Specialists

in MoH, based in Hospital Kuala Lumpur (HKL), Hospital Kajang, Hospital Seberang Jaya, Hospital

Queen Elizabeth, Kota Kinabalu, Sabah and Hospital Raja Perempuan Zainab II, Kota Bharu Kelantan.

The SND unit in Rehabilitative Hospital, Cheras (Hospital Rehabilitasi Cheras) was operated on

visiting basis. MoH is expecting one (1) SND Specialist in 2018 and a few more SND Specialists in the

following years. Number of new patients and total attendance for 2017 are as the following (Figure

32).

155311

787

1207

1736

362509

1395

2347

2899

0

500

1000

1500

2000

2500

3000

3500

2013 2014 2015 2016 2017

Baru

Ulangan

Figure 32: New Patients and Total Attendance for Special Needs Dentistry Specialty, 2013-2017 Source: OHP MoH, 2017

Forensic Dentistry

Forensic Odontology Unit was established in Hospital Kuala Lumpur (HKL) with one (1) specialist

working closely with General Forensic Department in HKL. In 2017, the central DVI team (based in

HKL) was involved in a few major disaster identification missions, such as:

Fire incident at Tahfiz Darul Quran Ittifaqiyah Keramat, Kuala Lumpur on 14 September 2017.

The identification process has been carried out in Hospital Kuala Lumpur which involved 23

cases.

Landslide at the road construction site in Paya Terubong in Tanjung Bungah, Pulau Pinang on 21

October 2017. The identification process was carried out in Hospital Pulau Pinang which

involved 11 cases.


87

NON-HOSPITAL-BASED CLINICAL DENTAL SPECIALTIES

Orthodontics

The demand for orthodontic treatments has been on the rise over the last few years. Total

attendance has increased by 7.9% in 2017 as compared with 2016 (Figure 33).

40755 4342626226

51139 54171

161723177084

191882

210894227561

0

50000

100000

150000

200000

250000

2013 2014 2015 2016 2017

New Patients Total Attendance

Figure 33: New Patients and Total Attendance for Orthodontics, 2013-2017 Source: Health Informatics Centre, MoH 2017

In 2017, there was an increase in completion of active treatment cases and patients issued with

removable and fixed appliances (Table 81).

Table 81: Items of Care for Orthodontic Cases, 2012-2016

Items of Care 2013 2014 2015 2016 2017

Consultation I 12117 12130 12315 13643 13498

II 6474 7306 7643 8207 9131

Removable Appliances No. of Patients 5669 6069 6495 7159 7844

Fixed Appliances No. of Patients 7471 8291 1014 9666 10333

No. of active treatment cases 22340 24528 27358 31389 34868

Active treatment completed 3623 3971 4580 4665 5267


Majority of cases seen was malocclusion Class II Div I. There was an increasing trend in Class II Div 1,

Class 1 and Class III cases as compared to the previous year (Figure 34).


88

Figure 34: Types of Malocclusion Seen, 2013-2017


Periodontics

The trend for new patients and total attendance per Periodontist has steadily increased in the last

five (5) years (Figure 35).

9722 10385 11519 12579 12751

37877 3968844616

50718 52761

0

10000

20000

30000

40000

50000

60000

2013 2014 2015 2016 2017


Figure 35: New Patients and Total Attendance for Periodontics Specialist Care, 2013-2017 Source: Health Informatics Centre, Mo

The number of periodontics patients in maintenance phase has increased in 2017 as compared to

2016 (Figure 36).


89

2013 2014 2015 2016 2017

Maintenance Phase 4976 4951 5529 6108 6202

Completed Phase 1794 2068 2218 2832 2740

0

1000

2000

3000

4000

5000

6000

7000

Figure 36: Cases in Maintenance Phase and Completed Cases, 2032-2017 Source: Health Informatics Centre, MoH 2017

Restorative Dentistry

Total attendance in Restorative Specialty Clinics has been steadily increased in the last five (5) years

(Figure 37).

1070712277 12936 12149 11967

30278

3316834638 34532

36238

0

5000

10000

15000

20000

25000

30000

35000

40000

2 0 1 3 2 0 1 4 2 0 1 5 2 0 1 6 2 0 1 7New Patients TotalAttendance

Figure 37: New Patients and Total Attendance for Restorative Dental Specialists, 2013-2017 Source: Health Informatics Centre, MoH 2017


90

In 2017, the highest attendance was among those in the 30 - 59 age group (Table 82).

Table 82: New Patients and Total Attendance for Restorative Dental Specialty, 2013 – 2017

Source: Health Informatics Centre, MoH 2017 (preliminary data)

There was a decrease in endodontic, crown and bridge cases in 2017 as compared to 2016. Among

these, endodontic cases contributed the highest number of cases (Figure 38).

2786

33753227

35103270

2183 2245 23372538

2330

1370 1305 1269 13451053

0

500

1000

1500

2000

2500

3000

3500

4000

2013 2014 2015 2016 2017

Endodontic Crown Bridge

Figure 38: Type of Restorative Cases Source: Health Informatics Centre, MoH 2017

NON-CLINICAL DENTAL SPECIALTY: DENTAL PUBLIC HEALTH

At the MoH, the Dental Public Health Specialists (DPHS) takes on the administration of the whole

programme which includes management of activities, issues of human resource and fundings,

regulation and enforcement, clinical affairs, research and epidemiology, intersectoral collaboration

and challenges that was faced by the dental profession from within and outside of the country. DPHS

also play a pivotal role in decisions made by the Malaysian Dental Council on matters pertaining to

professional associations. Hence, this whole Annual Report covers almost all activities undertaken

under the role and function of the DPHS.

Age

Group


2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

7-12 102 96 79 73 112 160 147 136 123 158

13-17 597 723 785 686 755 1,348 1,536 1,591 1,474 1,714

18-29 2,246 2,634 2,820 2,553 2,462 5,522 6,178 6,828 6,478 6,407

30-59 6,098 6,892 7,249 6,651 6,456 17,797 19,229 19,738 19,449 20,149

≥60 1,664 1,932 2,003 2,186 2,182 5,451 6,078 6,345 7,008 7,810

TOTAL 10,707 12,277 12,936 12,149 11,967 30,278 33,168 34,638 34,532 36,238


91

ORAL HEALTH PROMOTION

In 2017, strategic collaboration with various government and non-government agencies via the

National Blue Ocean Strategy (NBOS) were conducted as listed below.

IKON GIGI PROGRAMME (iGG)

The ‘iGG’ Programme is implemented with the aim to empower volunteers from communities whom

will act as facilitators towards raising awareness on the importance of oral health to members of

their community. They are known as Ikon Gigi and in year 2017 there was a total of 391 accredited

Ikon Gigi throughout the country whom had implemented 1,469 local activities which covered

30,000 community members in their locality.

KOLABORASI ORAL DAN AGAMA (KOA)

KOA is a collaborative effort between the OHP and major religious bodies in Malaysia. The objective

is to increase awareness and practice of oral healthcare among this community as religion has great

influence on every religious person. Oral health messages were also delivered in various other

religious activities.

KESIHATAN ORAL TANPA ASAP ROKOK (KOTAK)

The OHP collaborated with the Disease Control Division and School Education Division of the

Ministry of Education Malaysia in the implemention of KOTAK. This programme is part of the School

Dental Service programme where all primary and secondary students are screened for smoking.

Identified smokers will undergo Advanced Intervention to help them quit smoking. In 2017, a total of

2,596,036 primary schoolchildren and 1,892,348 secondary schoolchildren were screened under this

programme.

TRANSFORMATION WITH 1 SMILE TOGETHER (TW1ST)

TW1ST targets students and staff of Community Colleges and aims to enhance their knowledge and

awareness on the importance of oral health. It is a collaboration between the OHP and the

Community College Education Department of the Ministry of Higher Education Malaysia. The

identified community college students will become the role models for their peers. TW1ST was

launched on 16 September 2017 in Perak by YAB Dato 'Seri Dr Ahmad Zahid Hamidi, Deputy Prime

Minister of Malaysia and ‘Memorandum of Understanding’ was signed to symbolise the

collaborative efforts between the two (2) ministries.


92

COLLABORATION WITH ELECTRONIC MEDIA

The OHP also established collaboration with several Electronic Media agencies as below:

A total of six (6) Jom Heboh events with Media Prima Bhd. Network

A total of nine (9) School Attack Programme with Media Prima Bhd. Network

Talk show on oral health related topics on TV and radio; Fake Braces and Bahaya Pengamal

Pergigian Haram with RTM

PROGRAM SINGGAH SANTAI @PNM #RELAKSLAH DULU

Another effort towards empowering the libraries as a lifelong learning center for all community and

community groups was given focus. The National Library of Malaysia (PNM) held a total of six (6)

Program Singgah Santai @PNM #Relakslah Dulu. The OHP participated in several health activities

including dental exhibition and performance by the Dental Buskers and dental services using the

Mobile Dental Clinic Services.

COLLABORATION WITH KUALA LUMPUR CITY HALL (DBKL)

The OHP and Kuala Lumpur City Hall (DBKL) collaborated activities as below:

KL Ekstravaganza 2017

KL Car Free Morning

KEMBARA SIHAT 1MALAYSIA (KS1M)

The KS1M programme is a collaboration between the OHP MoH, the Welfare Department and other

government agencies. The team moves from one destination to the next, symbolizes the bringing of

health services to the every Malaysian doorstep. The programme has benefited 12,000 clients from

110 destinations nationwide. This programme runs simultaneously throughout Malaysia and had a

total journey of 8,000km.

PROGRAM EKSPRESI NEGARAKU 2017

Program Ekspresi Negaraku 2017 was organised by the Prime Minister's Office aimed to foster the

spirit of patriotism, pride and love for the country. The OHP participated in this activity via the

Mobile Dental Clinic services in creating the ‘Feel Good Factor’ to the people. The launching was

officiated by the Most Honourable Prime Minister of Malaysia and begin in FT Putrajaya in March

2017 followed by Kedah, Perak, Sabah, Melaka and Kelantan.


93

ORAL HEALTH PRACTICE & DEVELOPMENT


94

ACCREDITATION AND GLOBALISATION

ACCREDITATION OF DENTAL PROGRAMMES

Guidelines for the Accreditation of Dental Degree Programmes

Revision of the standards and criteria for accreditation of undergraduate dental degree programmes

by the working committee led by Professor Emeritus Dato’ Dr Wan Mohamad Nasir bin Wan Othman

has been completed.

The revised draft on standards and criteria was presented at the Joint Technical Accreditation

Committee (JTAC) Meeting (JTAC) 4/2017 meeting on 22 August 2017 for recommendation and

approved by the Malaysian Dental Council (MDC) during the 119th Meeting on 21 September 2017.

Establishment of Rating System

Development of the Rating System for Accreditation of Undergraduate Dental Degree Programmes

has been completed. The revised draft was presented at the JTAC 4/2017 meeting on 22 August

2017 for recommendation and approved by the MDC during the 119th Meeting on 21 September

2017.

Dental Moratorium Review

The draft of the cabinet memorandum on the extension of the Dental Moratorium has been

endorsed by the MDC during the 119th Meeting on 21 September 2017 and forwarded to the

Ministry of Higher Education on 28 September 2017 for further actions.

Accreditation Visits to Institutions of Higher Education Conducting Dental Programmes

Full Accreditation

i. Lincoln University College (LUC)

Evaluation visit by the panel of assessors was conducted on 23 and 24 May 2017. The Doctor of

Dental Surgery (DDS) programme offered by LUC was given full accreditation status for a period

three (3) years from 22 September 2017 to 21 September 2020.

ii. Universiti Kebangsaan Malaysia (UKM)

Evaluation visit by the panel of assessors was conducted on 17 and 18 January 2017. The DDS

programme offered by UKM was given full accreditation status for a period of five (5) years from 6

December 2016 to 5 December 2021.


95

iii. MAHSA University

Evaluation visit by the panel of assessors was conducted from 10 to 12 April 2017. The DDS

programme offered by MAHSA University was given full accreditation status for a period of five (5)

years from 15 June 2017 to 14 June 2022.

iv. Melaka-Manipal Medical College (MMMC)

Evaluation visit by the panel of assessors was conducted on 17 and 18 April 2017 (Manipal campus)

and, 25 and 26 April 2017 (Melaka campus). The Bachelor of Dental Surgery (BDS) programme

offered by MMMC was given full accreditation status for a period of four (4) years from 3 July 2017

to 2 July 2021.

Additional/Follow up monitoring visit

i. AIMST University

Evaluation visit by the panel of assessors was conducted on 5 April 2017. Based on panel’s findings

and JTAC recommendation, the MDC during its 118th meeting on 4 May 2017, requested AIMST

University to take corrective actions to improve the revised curriculum. The improved document

must be submitted within six (6) months from the date of the notification letter received from

Malaysian Qualifications Agency (MQA).

Evaluation visit for Increase Student Intake

i. International Medical University (IMU)

Application for additional intake of 25 students for the Partner Dental School (PDS) track has been

rejected by the Ministry of Higher Education in its reply letter to IMU dated 14 June 2017.

ii. MAHSA University

Evaluation visit by the panel of assessors was conducted from 10 to 12 April 2017. Based on panel’s

findings and JTAC recommendation, the request for additional intake of 25 international students for

the DDS programme was approved by the MDC during its 119th meeting on 21 September 2017.

JOINT TECHNICAL ACCREDITATION COMMITTEE (JTAC) MEETINGS

A total of four (4) JTAC meetings were held in 2017 as follows:

JTAC meeting Date

1/2017 20 Februay 2017

2/2017 18 April 2017

3/2017 15 June 2017

4/2017 22 August 2017


96

Reports/Documents for Presentation at the JTAC Meeting

In 2017, six (6) panel assessment reports were presented at the JTAC meetings as follows:

JTAC meeting No. of Reports Presented

1/2017 One (1) report: UKM - Full Accreditation report

2/2017 Three (3) reports: MAHSA - Full Accreditation and Increase Intake Report ; AIMST – evaluation of

revised curriculum report

3/2017 Two (2) reports: MMMC - Full accreditation report ; LUC – Full accreditation report

4/2017 Three (3) reports: a draft of cabinet memorandum on Moratorium, revised accreditation guidelines and

Rating System

The JTAC Recommendations to the MDC

In 2017, a total of 14 JTAC recommendations on the accreditation of Higher Education Provider

undergraduate dental degree programmes / increase students intake were submitted to the MDC

for agreement and approval:

MDC meeting No. of Proposal Papers submitted

117th meeting Three (3): UKM - full accreditation; LUC - 2nd surveillance visit; SEGi - corrective actions on

Areas of Concerns

118th meeting Two (2): MAHSA - increase intake; AIMST - evaluation of revised curriculum

119th meeting Nine (9): Dental Moratorium; revised accreditation guidelines and Rating System; LUC - Full

accreditation; MMMC - Full Accreditation; UM - increase intake; USM - increase intake; MAHSA

– increase intake; SEGi – increase intake; PIDC-MAHSA collaboration

Submissions of Decisions on Accreditation by MDC to the MQA

In 2017, ten (10) MDC decisions on the accreditation of Higher Education Provider (HEP)

undergraduate dental degree programmes / increase students intake were submitted to MQA:

HEP Date of letter to MQA

UKM (Full accreditation) 3 March 2017

AIMST (Revised curriculum) 24 May 2017

MAHSA (Full accreditation) 24 May 2017

MAHSA (Increase intake) 26 September 2017

MMMC (Full accreditation) 26 September 2017

LUC (Full accreditation) 26 September 2017

UM (Increase Intake) 26 September 2017

USM (Increase intake) 26 September 2017

SEGi (increase intake) 26 September 2017

PIDC-MAHSA Collaboration 27 September 2017


97

STUDENT ATTACHMENTS AT MOH DENTAL FACILITIES

Placements of Undergraduate Students for Field Training

In 2017, a total of 17 applications received from the Higher Education Providers for undergraduate

posting were processed:

Clinical posting – four (4) applications (IMU, USIM)

Community posting – 13 applications [PIDC, MMMC, IMU (3), SEGi, MAHSA, AIMST, USM, USIM,

UM, UiTM (2)]

Elective Postings by Undergraduate Students from Foreign Universities

In 2017, 29 applications received for elective posting from overseas undergraduate students were

processed.

Attachments of Postgraduate Dental Students for Training at MoH Facilities

In 2017, eight (8) applications received from Higher Education Providers for postgraduate posting

were processed:

USM – three (3) applications (for Restorative, OMFS and DPH postings)

UM – three (3) applications (for Paediatric Dentistry, OMFS and DPH postings)

UKM – one (1) application (for Periodontics posting)

UIAM – one (1) application (for DPH posting)

GLOBALISATION AND LIBERALISATION OF HEALTHCARE SERVICES

ASEAN Joint Coordinating Committee on Dental Practitioners (AJCCD)

Two (2) AJCCD Meetings were held in 2017:

19th AJCCD Meeting – 30 – 31 January 2017 in Semarang, Indonesia.

20th AJCCD Meeting – 10 – 11 October 2017 in Siem Reap City, Cambodia.

During the AJCCD meeting, technical input were given regarding the following matters:

i. ASEAN Minimum Common Competency Standards for Dental Undergraduate Education

ii. ASEAN Dental Practice Standards

iii. Mechanism to enhance mobility of ASEAN dentists

iv. Country database on practitioners from ASEAN countries


98

Technical Input on Existing / Potential Areas for Co-operations in the field of Dentistry between

Malaysia and Other Countries

Proposal areas of cooperation in the field of dentistry for the following bilateral negotiations

between Malaysia and other countries were provided:

Bilateral negotiations Area of Cooperation proposed

Malaysia – New Zealand Training of dental specialists and auxiliaries

Malaysia – United States of America

(USA)

Training of dental specialists

Malaysia – Europian Union (EU) Training of dental specialists

Allow dental specialists to practice

Malaysia – Singapore No co-operation proposed

Health Tourism

Technical input were provided during meetings held by the Malaysian Society for Quality in Health

(MSQH) regarding the development of the following documents/matters:

i. Dental Clinics Accreditation Standards

ii. Operational Policies for implementation of dental clinic accreditation programme

iii. Training of the assessors for the accreditation of dental clinics


99

LEGISLATION AND ENFORCEMENT

The Legislation and Enforcement Unit has the responsibility of all activities pertaining to legislation,

enforcement and safety and health. Its main functions are:

LEGISLATION ACTIVITIES

drafting laws and regulations pertaining to the practice of dentistry and matters relating to

the practice of dentistry

giving input relating to the effect of other laws on the practice of dentistry

drafting and reviewing guidelines for the use of dental practitioners

ENFORCEMENT ACTIVITIES

ensuring compliance to Malaysian Dental Council guidelines of the private dental clinics

facilitating registration and licensing of private healthcare facilities under the Private

Healthcare Facilities and Services Act 1998 (Act 586)

verifying applications and recommending private dental clinics for registration under the

Private Healthcare Facilities and Services Act (Act 586) together with the Control of Medical

Practice Unit

ensuring that the post-registration inspection of private dental clinics is carried out

ensuring that the provisions of the various Acts under the MoH Malaysia are adhered to by

all dental practitioners and in all dental clinics

carrying out enforcement activities under the Private Healthcare Facilities and Services Act

1998 (Act 586)

carrying out investigations and others activities as required by Malaysian Dental Council

under the Dental Act 1971

investigating into complaints against private dental clinics

co-ordinating the enforcement activities in the various states

SAFETY AND HEALTH ACTIVITIES

coordinating Health and Safety audits in the MoH dental clinics

monitoring the achievement of the Patient Safety Goals in MoH facilities


100

LEGISLATION ACTIVITIES

Review of the Dental Act 1971

Dental Bill

The amendments to the Dental Act 1971 were completed and presented to the Minister of Health in

2012. The Dental Bill was sent to the Legal Advisor’s office in January 2013 and was vetted in

November 2013. In 2017, the finalised Dental Bill was presented to the Director General of Health

before being approved by the Cabinet on 17 November 2017. The first reading was on 28 November

2017.

ENFORCEMENT ACTIVITIES

Registration of Dental Clinics

The registration of private dental clinics began on 1 May 2006, during which 809 clinics applied for

registration and 131 (16.2%) of the applications were approved. By the year 2009, all clinics which

had submitted complete applications were registered, and this has brought the total number of

registered private dental clinics to 1,537. Since then the number of registered clinics has been

steadily increasing (Figure 39).

Figure 39: Number of Applications for Registration of Private Dental Clinics Approved, 2006 – 2017


In 2017 a further 155 applications were approved, bringing the total number of clinics which have

been registered to 2,474. There were a total of 210 applications for registration of private dental

clinics received and 155 complied with the Private Healthcare Facilities and Services Act 1998

requirements. Recommendations for registration of these dental clinics were made to the Evaluation

of Applications for Licensing and Registration of Private Healthcare Facilities and Services

Committee. By the end of 2017, there were 2,136 operating dental clinics. This represents a 5.79%


101

increase in the number of operating dental clinics from the past year and a 26.24% increase from the

last four (4) years (Figure 40).

Figure 40: Total Number of Operating Dental Clinics, 2011 – 2017


The number of operating private dental clinics by state is shown below (Figure 41), with Selangor

having the highest number of clinics (674).

Figure 41: Number of Operating Dental Clinics by State, 2014 – 2017 Source: State Oral Health Division, 2017

The number of applications approved and the number of registrations cancelled in the year by each

state is shown below (Table 83).


102

Table 83: Number of private dental clinics registered or closed in 2015 – 2017 in Malaysia

Number of Dental Clinics

Year Operating

on 01 Jan

Approved Cancelled Increase Operating on

31 Dec No %

2015 1766 153 27 108 6.1 1874

2016 1874 181 51 130 6.9 2004

2017 2004 155 71 84 4.19 2091

Table 84: Number of private dental clinics registered or closed in each state 2017


State Operating

on 01 Jan

Approved Cancelled Increase Operating on

31 Dec

No %

Perlis 7 0 0 0 0 7

Kedah 66 3 2 1 1.5 67

Pulau Pinang 144 11 6 5 3.4 149

Perak 118 10 7 3 2.5 121

Selangor 660 53 22 31 4.7 691

FT KL & Putrajaya 333 28 18 10 3.0 343

N. Sembilan 58 8 2 6 10.3 64

Melaka 43 5 1 4 9.3 47

Johor 206 12 1 11 5.3 217

Pahang 52 3 3 0 0.0 52

Kelantan 57 2 0 2 3.5 59

Terengganu 50 3 3 0 0 50

Sabah 113 8 4 4 3.5 117

Sarawak 96 9 2 7 7.3 103

FT Labuan 4 0 0 0 0 4

Total 2007 155 71 84 2091


Overall there was a 4.19% increase in the number of registered active dental clinics which was less

than the 6.9% increase in 2016. This was due to nearly half of the number of dental clinics in FT KL,

Selangor and Perak which were found to be closed compared to the numbers of clinics approved this

year. Selangor with 34.2% of the registered clinics, had also the highest number of new clinics (53),

followed by FT KL (28). Negeri Sembilan with an increase of six (6) clinics had the highest growth rate

(10.3%), followed by Melaka (9.3%), Sarawak (7.3%) and Johor (5.3%). Selangor and FT KL and

Putrajaya account for half (52.3%) of the private dental clinics, and together have a growth rate of

4.1%, which is a near to 4% decrease from the growth rate in 2016.


103

Inspection of Dental Clinics

By the end of 2017, 332 pre and post-registration inspections were carried out and 51 non-

compliance clinics were revisited. The number of pre and post-registration visits and the number of

surveillance visits over the past seven (7) years is as shown below (Figure 42).

Figure 42: Number of pre-registration, post-registration and surveillance inspections, 2009-2017


Every year identified registered private dental clinics in each state will be monitored based on the

number of clinics in the state and the size of the state. Clinics which had complied the monitoring

inspection for the past two (2) consecutive years, will not be inspected the following year. The

number of monitoring inspections carried out over the past nine (9) years is shown in Figure 43. In

2017, 906 of the registered clinics were re-visited for a routine inspection (Table 85).

Figure 43: Number of monitoring inspections, 2009 - 2017



104

Table 85: Number of Routines Inspection and Achievement of each State, 2017

State


No. on 1

Jan 2017

Percentage Target Achievement Percentage

Achievement

Perlis 7 100 7 7 100

Kedah 52 100 66 66 100

Pulau Pinang 144 50 72 70 97.2

Perak 113 50 59 59 100

Selangor 660 33.3 220 133 65.4

FT KL & Putrajaya 333 40 150 135 96.2

N. Sembilan 118 100 40 40 100

Melaka 43 100 37 36 97.3

Johor 206 50 105 105 100

Pahang 66 100 47 51 108.5

Kelantan 57 100 54 54 100

Terengganu 50 100 42 38 90.5

Sabah 58 50 55 52 94.5

Sarawak 96 50 49 56 114.3

FT Labuan 4 100 4 4 100

Total 2007 - 945 873 92.4


In 2017, the overall achievement was the same as 2016 (92.4%), with nine (9) states exceeding the

target. The other states show achievement of more than 95% except for Terengganu and Sabah with

achievement of 90.5% and 94.5% respectively.

Complaints against Dental Clinics

The number of complaints received by each state during the year 2017 is as listed in Table 86 and

Figure 44.

Table 86: Complaints Received and Enforcement Activities, 2017

No. State No. of Clinics No. of Complaints

Received

No. of Enforcement

Activities

No. of Complaints

Settled

1. Perlis 7 0 - -

2. Kedah 67 2 2 2

3. Pulau Pinang 149 0 - -

4. Perak 121 3 1 1

5. Selangor 691 19 16 5

6. FT KL & Putrajaya 343 16 4 15

7. N. Sembilan 64 0 - -

8. Melaka 47 11 - 4

9. Johor 217 10 10 5

10. Pahang 52 4 4 4

11. Terengganu 50 2 2 2

12. Kelantan 59 0 - -

13. Sabah 117 3 2 2

14. Sarawak 103 1 2 1


105

No. State No. of Clinics No. of Complaints

Received

No. of Enforcement

Activities

No. of Complaints

Settled

15. FT Labuan 4 0 - -

Total for 2017 2091 73 44 41

Total for 2016 1983 60 34 31

Total for 2015 1874 31 35 20

Total for 2014 1766 24 41 16

Total for 2013 1692 28 48 13

Total for 2012 1652 40 58 11


Figure 44: Record of Complaints and Enforcement Activities 2012 – 2017


Illegal Dentistry

Other than the complaints against registered dental clinics, the OHP also receieved complaints and

information regarding unregistered dental clinics and ‘practitioners’ offering braces. These cases

were handled as unregistered clinics and were prosecuted under the Private Healthcare Facilities

and Services Act 1998 (PHFSA).

In 2017, a total of 12 cases was heard in court, which occured in seven (7) states namely Kedah,

Perak, FT KL (3), Melaka, Johor, Terengganu and Pahang (4). All cases were prosecuted under Section

4(1) of the PHFSA, involving ‘fake braces’. The number of fake braces cases increased to 140%. All of

the accused were found guilty and a total of RM300,200.00 was collected as fines and five (5) of the

accused were jailed. The summary of the cases is as in Table 87.


106

Table 87: Summary of Prosecutions, 2009 - 2017 Year No of

Cases

State Offence Punishment

2009 1 Perak Unregistered clinic Fined RM9,000

2012 1 Johor Unregistered practitioner Fined RM20,000


2013 4 FT KL & Putrajaya Unregistered practitioner NFA*


Pulau Pinang Unregistered practitioner Fined RM120,000

2015 6 FT KL & Putrajaya (3) Unregistered practitioner DNAA

FT KL & Putrajaya Fake Braces Fined RM30,000

Melaka Fake Braces DNAA

Terengganu Fake Braces Fined RM20,000

2016 8 Kedah Fake Braces Fined RM25,000

Perak Unregistered clinic Fined RM30,000

Perak Unregistered practitioner Fined RM25,000

FT KL & Putrajaya Fake Braces Jailed 2 months

Melaka Fake Braces Fined RM30,000

Johor Unregistered practitioner Fined RM20,000

Terengganu Fake Braces Fined RM25,000

Sarawak Fake Braces Fined RM15,000

2017 Pahang (4)

FT KL & Putrajaya

FT KL & Putrajaya (2)

Selangor (2)

Melaka

Terengganu

Perak

Kedah

Fake Braces

Fake Braces

Unregistered practitioner

Fake Braces

Fake Braces

Fake Braces

Fake Braces

Fake Braces

Fined RM100,000

DNNA

DNNA

Fined RM100,000

Fined RM30,200

Fined RM70,000

Fined RM40,000

Jailed 6 months

Jailed 12 months

*NFA = No further action

**DNAA = Discharge not amounting to acquittal


Pamphlets informing the public on the dangers of seeking treatment at unregistered dental clinics or

from unregistered ‘dental practitioners’ were produced in collaboration with the Oral Health

Promotion Section and were disseminated.

Enforcement Officers

In 2017, there were 41 enforcement officers in the states and two (2) at the OHP, MoH Malaysia.

These officers carry out the duties and functions of the national and state legislation and

enforcement units, the registration and inspection of clinics under the Private Healthcare Facilities

and Services Act as well as coordinating the Safety and Health audits and activities. The list of

enforcement officers is as follows (Table 88):


107

Table 88: List of Enforcement Officers 2017

Perlis 1. Dr Rohana bt Mat Arip

2. Dr Izwan bin Abd Hamid

Kedah 3. Dr Hjh. Farehah bt Othman

4. Dr Ahmad Fadhil bin Mohamad Shahidi

Pulau Pinang 5. Dr Asnil bin Md Zain

6. Dr Muhammad Azhan bin Jamail

Perak 7. Dr Faryna bt Md. Yaakub

8. Dr Nur Azlina bt Omar

Selangor 9. Dr Amdah bt Mat

10. Dr Nor Haslina bt Mohd Hashim

11. Dr Kamariah bt Omar

12. Dr Muhamad bin Mahadi

13. Dr Suhaila bt Mat Said

14. Dr Nursharhani bt Shariff

15. Dr Nurul Asniza bt Abas

16. Dr Rosmaria bt Deraman

FT KL & Putrajaya 17. Dr Hanizah bt Mohd Baki

18. Dr Ameera Syafiqah bt Aly

19. Dr Farha bt Gimat

N. Sembilan 20. Dr Rosnah bt Atan

21. Dr Nora bt Nasir

Melaka 22. Dr Khadijah bt Wahab

23. Dr Nor Azlida bt Abu Bakar

Johor 24. Dr Sheila Rani a/p Ramalingam

25. Dr Sabarina bt Omar

26. Dr Sabrina Julia bt Mohamad Jeffry

27. Dr Ah Khaliluddin bin Husain

Pahang 28. Dr Noor Ismazura bt Ismail

29. Dr Mai Rozyhasniza bt Rosli

30. Dr Nur Amalina bt Abdullah

Terengganu 31. Dr Nor Azura bt Juhari

32. Dr Marsita Hasniza bt Mohamad

Kelantan 33. Dr Azuar Zuriati bt Ab Aziz

34. Dr Rosasliza bt Ahmad

Sabah 35. Dr Norinah bt Mustapha

36. Dr Chung Ken Tet

37. Dr Rokiah bt Aziz

Sarawak 38. Dr Roslina bt Mohd Fadzillah Mah

39. Dr Hanif bin Mohd Suffian

40. Dr Mohd Asyraff bin Ishak

FT Labuan 41. Dr Zubaidah bt Japri

OHP MoH 42. Dr Elise Monerasinghe

43. Dr Haznita bt Zainal Abidin



108

Enforcement Courses

In 2017, the enforcement officers attended various courses organised by the OHP, the Private

Medical Practice Control Division (CKAPS) and by State Private Medical Practice Control Units

(UKAPS) and others divisions. These courses aimed to update knowledge, reinforcing procedures and

guidelines and improving skills of the enforcement officers, in order to carry out their surveillance

and enforcement activities more efficiently and effectively. The list of courses conducted in 2017 is

as in Table 89.

Table 89: Courses at National level

No. Title of Course Date Duration Organizer No of

Officers

1. Digital Forensic : 1st Responder 101 21.2.2017 1 day OHP MoH 1

2. Kursus Penyediaan Kertas Siasatan (IP) 21-23.3.2017 3 days OHP, MoH 20

3. Bengkel Pemantapan Tatacara Serbuan 3-6.4.2017 4 days OHP, MoH 22

4. Kursus Risikan Asas dan Lanjutan bagi Penguatkuasa

KKM

25-28.4.2017 4 days MoH 3

5. Kursus Asas dan Lanjutan Bagi Penguatkuasa KKM 2-5.5.2017 4 days MoH 2

6. Taklimat Akta Perlindungan Saksi 2009 4.5.2017 1 day JPM 1

7. Perbincangan Pelaksanaan Implementasi

Pengkompaunan Kesalahan di bawah Akta 586

untuk Anggota CKAPS, UKAPS & Pergigian, KKM

10 -13.7.2017

3 days CKAPS, MoH 10

8. Secret & Spies : Inteligence Course 1-4.8.2017 4 days JKWPKL&P 3

9. Bengkel Kesalahan-kesalahan di bawah Akta 586

dan Perundangan Subsidiari

11-13.9.2017 3 days CKAPS, MoH 3

10. Medicolegal Conference 19-20.9.2017 2 days MoH 3

11. Bengkel Pembaharuan Lesen Kemudahan dan PJKS

untuk Anggota CKAPS dan UKAPS

17-20.9.2017 4 days CKPS, MoH 2

12. Bengkel Memproses Permohonan Pendaftaran dan

Pelan Lantai Klinik Swasta untuk Staf UKAPS dan

CKAPS

9-11.10.2017

3 days CKAPS, MoH 14

13. Kursus Fotografi UKAPS Malaysia 7-10.11.2017 4 days JKWPKL&P 3

14. Latihan Sistem e-kehakiman 6.12.2017 1 day OHP, MoH 15



109

SAFETY AND HEALTH ACTIVITIES

Safety and Health Audit

A total of 114 out of 2276 facilities (52.2%) in 13 states and two (2) federal territories were audited

in 2017. This is beyond the target of 33.3% or 1/3 of the facilities. The highest percentage of

facilities visited was in Kelantan (99.2%) as shown in Table 90.

Table 90: Distribution of Audited Facilities by State – 2017

State No of Districts No of Dental Facilities

Total No. Audited % Audited

Perlis 2 54 18 33.3

Kedah 11 178 108 60.7

Pulau Pinang 5 144 50 34.7

Perak 10 199 148 74.4

Selangor 9 148 52 35.1

FT KL & Putrajaya 5 111 46 41.4

N. Sembilan 7 120 40 33.3

Melaka 3 85 28 32.9

Pahang 11 59 59 100

Terengganu 8 124 74 59.7

Kelantan 10 251 249 99.2

Johor 10 152 91 59.1

Sabah 9 197 102 52.8

Sarawak 11 246 72 29.3

FT Labuan 1 8 7 87.5

Total 112 2076 1144 55.1


110

QUALITY IMPROVEMENT INITIATIVES

QUALITY ASSURANCE PROGRAMME (QAP)

The Quality Assurance Programme (QAP) is intended to improve the quality, efficiency and

effectiveness of health services delivery including oral health. The National Indicator Approach (NIA)

with the District/Hospital Specific Approach (DSA/HSA) has been used under the QAP for the MoH.

At the national level, the achievements for these indicators are monitored twice a year. Indicators

are periodically reviewed to ensure relevance and appropriateness.

National Indicator Approach (NIA)

In 2017, four (4) NIA indicators have been monitored to measure the achievement of primary and

public healthcare. This year, the achievements were lower than in 2016 (Table 91). In 2017, the

indicator ‘Percentage of non-conformance of fluoride levels at reticulation points (Level <0.4ppm)’

has seen an increase over the previous year, and thus requires careful monitoring to ensure

maximum effectiveness.

Table 91: Oral Health Indicators (NIA), January-December 2017

No. Indicators Standard (%) Pencapaian (%) SIQ

Yes/No 2017

1 Percentage of primary schoolchildren maintaining

orally-fit status

≥ 65 62.9 Yes

2 Percentage of secondary schoolchildren maintaining

orally-fit status

≥ 80 68.3 Yes

3 Percentage of non-conformance of fluoride level at

reticulation points (Level < 0.4ppm)

≤ 25 12.7 No

4 Percentage of non-conformance of fluoride level at

reticulation points (Level > 0.6ppm)

≤ 7 0.7 No


The achievement on the percentage of primary schoolchildren maintaining orally-fit status showed

an increasing trend from 2010 to 2013. In 2014, there was a drop in the achievement which might be

contributed by the introduction of the Gingival Index for Schoolchildren (GIS). Within four (4) years

after the usage of GIS in oral health examination of schoolchildren, the target was achieved in 2016

(65.2%). However, it dropped to 62.9% in 2017 (Figure 45).


111

62.864.7 65.3 67.0

60.2

63.7 63.9

62.9

50

55

60

65

70

2010 2011 2012 2013 2014 2015 2016 2017

Figure 45: Analysis of Percentage of Primary Schoolchildren Maintaining Orally-Fit Status 2010 - 2017


Similarly, the pattern of achievement for the percentage of secondary schoolchildren maintaining

orally-fit status showed an increasing trend from 2010 to 2013 and showed a decline when the GIS

was introduced in 2014. Following this, the achievement showed an upward trend for two (2) years

(2015 and 2016) but reduced again in 2017 (68.3%) (Figure 46).

Figure 46: Achievement Analysis of Percentage of Secondary Schoolchildren Maintaining Orally-Fit Status

2010-2017 Source: OHP MoH, 2017.

Achievements for percentage of non-conformance fluoride level <0.4 ppm had fluctuated from

19.6% (2010) to 12.7% in 2017. In 2016, the performance dropped to 10.3%, which is the best

achievement during the 7 years. The percentage of non-compliance of optimum fluoride levels for

>0.6 ppm for 2017 is at 0.7% is also one of the best achievements so far. Although both achievement

of these two indicators are good, fluoride levels still require careful monitoring to ensure maximum

effectiveness (Figure 47).


112

19.6 18.220.8

16.514.4

20.9

10.312.7

2.8 2 2.2 2.2 1.7 0.9 0.3 0.7

0

5

10

15

20

25

2010 2011 2012 2013 2014 2015 2016 2017

Percentage

< 0.4ppm > 0.6ppm

Figure 47: Level of Fluoride


Certification Status

Nationwide, out of 666 dental clinics with primary oral healthcare servuces, 562 dental clinics

(84.4%) are ISO-certified. Beginning 2017, all states have been directed to implement a certification

transition to MS ISO 9001: 2015.

OTHER QUALITY IMPROVEMENT ACTIVITIES

9th National Innovation Awards 2017

This event was organised in collaboration with the Management Services Division, Family Health

Development Division, Policy & International Relations Division and MoH Information Management

Division. The OHP MoH acted as the Secretariat for this national event. The Closing Ceremony was

officiated by YBhg Dato’ Seri Dr Chen Chaw Min, Secretary General of the MoH on 5 October 2017 at

Hotel Summit USJ Subang Jaya. Also present were YBhg Dato’ Hasnol Zam Zam Ahmad, Deputy

Secretary General (Management) and YBhg Datin Dr Rohani bt Embong, Director of Oral Health

Policy and Strategic Planning Division, as the official representative of Principal Director of Oral

Health cum Chairman of National Innovation Awards, MOH 2017 Committee.

The objectives of the programme are:

a) to recognise the results of innovation presented by the MoH personnel

b) to foster creative and innovative culture in the way work is practiced

c) to introduce and disseminate the results of innovation for mutual benefit

d) to contribute towards improving the quality of customer service delivery


113

The following is the list of winners by categories of projects (Table 92):

Table 92: Winners of National Innovation Awards, 2017

Position Project Organisation / Institution

Product Category

1st Modified Dunlop Traction (MDT) Jabatan Orthopedik, Hospital Sultanah Nur

Zahirah

2nd Multipurpose Larvacide Sprayer (MLS) v2.0 Pejabat Kesihatan Daerah Raub

3rd Gold Retractor Pejabat Kesihatan Pergigian Bahagian Miri

Process Category

1st EZ Finger Print Jabatan Perubatan Forensik Hospital Sultanah

Bahiyah

2nd Smart Flask Opener (SFO) Pejabat Kesihatan Pergigian Daerah Hulu Perak

3rd Magic Mould Pejabat Kesihatan Pergigian Daerah Seberang

Perai Tengah

Service Category

1st Gu Cakna Ubat Jabatan Kesihatan Negeri Kelantan

2nd Pengenalan Insuroute Dalam Perkhidmatan

Diabetes Medication Therapy Adherence Clinic

(DMTAC)

Jabatan Farmasi Hospital Kanowit

3rd Hab Interaktif Denggi Pejabat Kesihatan Daerah Seberang Perai

Tengah

Technology Category

1st i-MRT Jalan Penyelesaian MR Cardiac / Liver

Bagi Pesakit Kanak-Kanak yang Menghidapi

Zat Besi Berlebihan

Jabatan Radiologi, Hospital Selayang

2nd Advanced Clinic Management-ACM Pejabat Kesihatan Daerah Kubang Pasu

3rd Sistem Pengurusan Permohonan Penempatan

(ePlacement)

Bahagian Sumber Manusia, IPKKM

Anugerah Khas Juri

Project Organisation / Institution

Eco Friend Dewax Jabatan Bedah Mulut, Hospital Sultanah Nur Zahirah

Easy Handle Unit Fisioterapi Hospital Rehabilitasi Cheras

K7 Pejabat Kesihatan Daerah Petaling



114

CHALLENGES AND FUTURE DIRECTIONS

The MOH is committed to tackle high burden of periodontal diseases among adults in areas of

prevention, detection and care while actively promoting periodontal health. As majority of patients

will be experiencing some form of gingival related diseases and are susceptible to advance

periodontal disease, effective management becomes an important part in the provision of oral

healthcare. More efforts are needed to strengthen the capacity and capability of oral health

personnel to deliver effective oral health messages.

Continuous effort in promoting good oral health for life and prevention of oral diseases are to be

given priority. The young adults in particular need to be empowered to make better decision

towards improved oral health. Emphasis on preventive home care and regular dental visits are to be

highlighted. Improving access to oral healthcare and provision of appropriate preventive care and

treatment to this target group are much needed.

Translating oral health survey findings into policy is a challenge faced by oral health researchers as it

relates closely to other relevant critical factors. In this endeavor, identifying area of research in oral

health through a systematic and interactive mechanisms between the OHP MoH and other

stakeholders is pivotal to obtain a holistic support in the conduct of oral health research. In addition,

it would help reduce duplication in research projects among stakeholders, optimizing the utilisation

of resources and identification of oral health research needs according to local and national level

needs. Other challenges is lack of trained researchers in oral health research at the national and

state level. Therefore, it is of paramount importance to enhance human capacity building for

sustainability of oral health research in the country.

The OHP MoH Malaysia has successfully gone through the Surveillance Audit and converted to the

new version effective 14 February 2017. The new version will ensure that OHP and State Oral Health

Divisions will have a QMS that will meet the current challenges and requirements particularly with

regard to risk management, organisational change, safe and conducive workplace environment and

client satisfaction. So far 5 states have obtained certification with the new version. The challenge is

for all remaining states to do so before the mandatory deadline.

Efforts are being made to instill a culture of innovation among the oral health workforce. However,

barriers do exist in achieving innovative thinking and culture among the workforce. This includes lack

of awareness and training in creativity and innovation. The staff is frequently overburdened with

their core business such as clinical work and lack of time to focus on innovation. In such

circumstances it would be desirable to form dedicated teams that focused specifically on innovation.

The formation of dedicated teams in enhancing quality oral health care is a way forward and should

be given much thought and planning.


115

ORAL HEALTH PROGRAMME EVENTS 2017

Date Events

9-10 Jan 2017 Mesyuarat Pemantapan Analisa Data Klinikal National Oral Health Survey of Preschool Children 2015 (NOHPS 2015)

9-15 Jan 2017 Program Transformasi Minda Pegawai Pergigian Gred UG41 Lantikan Secara Kontrak Bil 1/2017

11 Jan 2017 Mesyuarat Pemantapan Draf Kertas Cadangan Perlanjutan Moratorium Program Pengajian Pergigian

11 Jan 2017 Mesyuarat Pemantapan Analisa Data Klinikal Kaji Selidik National Oral Health Survey of Preschool Children 2016

18 Jan 2017 Taklimat Pengurusan Kebenaran dan Pengemaskinian Caj Rawatan Kepada Pengguna OHCIS

19 Jan 2017

Kursus Refresher Course on Data Entry for State Coordinators and Examiner of the NHMS 2017 School Based Oral Health Survey

19 Jan 2017 Mesyuarat Pengarah Perkhidmatan Pergigian ATM kepada Pengarah Kanan (Kesihatan Pergigian)

30-31 Jan 2017 19th Meeting of the ASEAN Joint Coordinating Committee on Dental Practitioners (19th AJCCD)

2 Feb 2017 Mesyuarat Pelaksanaan Perintah Fi (Perubatan) Pindaan 2017

2 Feb 2017 Mesyuarat Clinical Practice Guidelines (CPG) Management of Avulsed Permanent Anterior Teeth in Children ( 2nd edition) Bil 1/17

6 Feb 2017 Mesyuarat JK Induk Majlis Perasmian Penutup Kembara Sihat 1 Malaysia Ziarah Senyum Peringkat Kebangsaan Bil 1/2017.

7 Feb 2017 Mesyuarat Rang Undang-Undang Pergigian

16 Feb 2017 Taklimat Pelaksanaan Perintah FI (Perubatan) (Pindaan) 2017

17 Feb 2017

Mesyuarat Halatuju Pusat Pakar Pergigian Non-Hospital Based (Non-Hospital Based Specialist Centre) Kementerian Kesihatan Malaysia

21 Feb 2017 Mesyuarat Kajisemula Program Dental Officer with Special Interest in Orthodontics (DOSIO)

21-22 Feb 2017

Mesyuarat Persediaan Kajian Rintis Keberkesanan Program Pencegahan dan Intervensi Merokok di Kalangan Pelajar Sekolah Menerusi Perkhidmatan Pergigian Sekolah (Program Kotak) Bil 1/2017

22 Feb 2017 Mesyuarat Majlis Pergigian Malaysia Ke-117

27 Feb 2017 Mesyuarat Jawatankuasa JK Anugerah Inovasi Peringkat Kebangsaan

27-28 Feb 2017 Bengkel Halatuju Juruterapi Pergigian

1 Mar 2017 Mesyuarat Program Kolaborasi Kesihatan Pergigian dan Badan Agama Bil 1/2017

1-2 Mar 2017 Naziran Sistem Perancangan dan Kawalan Belanjawan (eSPKB)

2 Mar 2017 Mesyuarat J/Kuasa Kerja Kembara Sihat 1 Malaysia

7-8 Mar 2017 Kursus Audit Dalam ISO

11 Mar 2017 Dental Buskers and Dental Street Jam

17 Mar 2017 KOA (Kolaborasi Oral dan Agama) – Collaboration of the Oral Health Promotion Programme with Religious Body

21 Mar 2017 Lawatan Penanda Aras Amalan Ekosistem Kondusif Sektor Awam (EKSA)

26 Mar 2017 The Official Closing of Kembara Sihat 1 Malaysia

29 Mar 2017 Mesyuarat Penilaian Pewartaan Pakar Pergigian Bil 1 2017

3 Apr 2017 Mesyuarat J/Kuasa Penilaian Teknikal bagi Produk-Produk di Bawah (APPL) 2017-2019

4 Apr 2017 Mesyuarat Pengesahan Spesifikasi Peralatan Pergigian KKM Bil. 1/2017

4 Apr 2017 Mesyuarat Pelaksanaan Bengkel Akta Fi Pindaan 2017

06 Apr 2017 Sesi Perbincangan Pengumpulan Data Fasa 2 - Collaboration Study: Dental Care Pathways for Geriatric


116

Population in ASEAN Countries

10-12 Apr 2017 Bengkel Effective Dental Health Education

12 Apr 2017

Mesyuarat Semakan Senarai Peralatan Piawai (Standard List of Equipment) bagi Pusat Pakar Pergigian KKM

21 Apr 2017

Mesyuarat Jawatankuasa Majlis Pelancaran Program Kolaborasi Kesihatan Pergigian dan Badan Badan Agama Kristian Peringkat Kebangsaan

2-4 May 2017 Kursus Pakar Pergigian dalam Tempoh Pra-Pewartaan 2017

3 May 2017 Kursus Pengurusan Aset Alih dan Sistem Pemantauan Pengurusan Aset

4 May 2017 Mesyuarat Majlis Pergigian Malaysia

9 May 2017

Mesyuarat Pemeriksaan Anggaran Belanja Mengurus (ABM) Tahun 2018 bersama Ketua Program Bahagian Kesihatan Pergigian

15 May 2017

Mesyuarat Pengarah Kanan (Kesihatan Pergigian) bersama Majlis Dekan-Dekan Fakulti Pergigian Malaysia Bil 1/2017

17-19 May 2017 Sesi Verifikasi Data Pemeriksa Bagi Kajiselidik NHMS 2017: NOHSS 2017

21 May 2017 The Launch Of KOA Buddhist

25-26 May 2017 Mesyuarat Merging Data bagi Kajiselidik NHMS 2017:NOHSS 2017 Peringkat Kebangsaan

26 May 2017 Mesyuarat Jawatankuasa Penyelaras Negeri Program Pemfluoridaan Bekalan Air Awam Bil 1/2017

11 Jul 2017 Mesyuarat Pasukan Projek Peluasan Oral Health Clinical Information (OCHIS) Bil 5/2017

11-12 Jul 2017

AJCCD AD HOC Committee Meeting on ASEAN Minimum Common Competency Standard for Undergraduate Dental Education (1st TWG-ACCSDUE)

14 Jul 2017 Program Lawatan Lapangan Calon-Calon Sarjana Kesihatan Oral Komuniti (MCOH) Sesi 2016/2017

21 Jul 2017 The Launch of KOA Hindu

24 Jul 2017

Pembentangan Draf 'Standard Operating Procedure (SOP) for Management of Fake Braces’ kepada Pengarah Kanan (Kesihatan Pergigian)

26 Jul 2017 Mesyuarat Penilaian Pewartaan Pakar Pergigian Bil 2 2017

27 Jul 2017 Pembentangan Pencapaian Cawangan Penjagaan Pergigian Primer 2016

31 Jul - 2 Aug 2017

Kursus ‘Systematic Review in the Development & Implementation Of Dental CPG’ bagi Pakar & Pegawai Pergigian 2017

4 Aug 2017

Mesyuarat Semakan Standard List of Equipment untuk Klinik Pergigian Pakar di Hospital Major dan Minor

9-10 Aug 2017 Mesyuarat Pemantapan Pengurusan Data Penjagaan Kesihatan Pergigian Primer

9 Aug 2017 Mesyuarat J/Kuasa Program Pasca Ijazah Sistem Terbuka bagi Bidang Kepakaran Bedah Mulut bersama Fakulti Pergigian UM

10 Aug 2017 Latihan Sistem MYCPD V2.0 2017

16 Aug 2017 Mesyuarat Penyelarasan Pelaksanaan Program Medical Equipment Enhancement Tenure (MEET) QMS BKP Bil. 01/2017

17 Aug 2017 Mesyuarat Pelan Implimentasi Pengkompaunan Kesalahan di bawah Akta Kemudahan dan Perkhidmatan Jagaan Kesihatan Swasta 1998 (Akta 568) untuk Pegawai Penguatkuasaan Pergigian

21-22 Aug 2017 Bengkel Penghasilan Bahan Promosi Berkaitan Kesihatan Pergigian

25 Aug 2017 Taklimat kepada Calon Pengkhususan Periodontik bagi Juruterapi Pergigian

28-29 Aug 2017 Program Saringan bagi Anugerah Inovasi Peringkat Kebangsaan KKM (Kategori Produk)

29 Aug 2017 National Oral Cancer Initiative Meeting Bil 1/2017

11 Sep 2017 Jemputan Menghadiri Majlis Menandatangani Nota Persefahaman (NoU) antara Bahagian Kesihatan Pergigian, Kementerian Kesihatan Malaysia dan Jabatan Pendidikan Kolej Komuniti, Kementerian Pendidikan Tinggi untuk Program Kesihatan Pergigian Warga Kolej Komuniti -Transformation with 1 Smile Together (TW1ST)


117

16 Sep 2017 The National Launch of TW1ST Programme

26-27 Sep 2017

Sesi Penulisan Laporan Penemuan Kajiselidik National Health and Morbidity Survey 2017: Adolescent Health Survey (Module Oral Hygiene and Hand Hygiene) 17 Negeri

28 Sep 2017

Lawatan Sambil Belajar Mahasiswa Pergigian Tahun 4 Sesi 2017/2018 UKM ke Unit Promosi Kesihatan Pergigian

27-29 Sep 2017 Kursus Pembangunan & Perkembangan Fasiliti Kesihatan Pergigian Tahun 2017

3 Oct 2017

Mesyuarat Penyediaan Standard Program bagi Ijazah Lanjutan Kepakaran dalam Bidang Dental Public Health Bil. 1/2017

10-11 Oct 2017 20th Meeting Of The ASEAN Joint Coordinating Committee on Dental Practitioners (20th AJCCD)

11 Oct 2017 Sesi Perbincangan Semakan dan Penambahbaikan Manual Flouride Varnish Programme for Toddlers

20 Oct 2017

Mesyuarat Jawatankuasa Pemandu Projek Peluasan Oral Health Clinical Information System (OCHIS) Bil. 2/2017

25 Oct 2017

Pembentangan Hasil Kajian Template Modified Workload Indicator for Staffing Needs (M-WISN) di Fasiliti Pergigian

27 Oct 2017 Mesyuarat Jawatankuasa Teknikal Projek Peluasan Oral Health Clinical Information System

1 Nov 2017

Perbincangan Pengarah Kanan (Kesihatan Pergigian) bersama Pegawai Kedutaan Jepun Mengenai ‘Oral Health Care Project Malaysia’

2 Nov 2017 Audit EKSA KKM

6 Nov 2017 Mesyuarat Bersama Penyelaras Negeri dan Trainers Modified MOH ICDAS (MMI) 2017

7 Nov 2017 Mesyuarat Halatuju KEPP Bil 1/2017

7 Nov 2017 Mesyuarat Jawatankuasa Penilaian Pewartaan Pakar Pergigian Bil 3/2017

8 Nov 2017

Pembentangan Penemuan Kajiselidik National Health and Mordibity Survey 2017: National Oral Health Survey of Schoolchildren 2017 (NHMS 2017:NOHSS 2017) & NHMS 2017: Adolescent Health Survey (Hygiene Module)

9 Nov 2017 Mesyuarat Jawatankuasa Garispanduan ‘Orofacial Aesthetic’ MPM Bil 1/2017

9 Nov 2017 Mesyuarat Majlis Dekan bersama Pengarah Kanan (Kesihatan Pergigian) Bil 2/2017

16 Nov 2017

Mesyuarat Penutupan Audit Dalam (Exit Conference) Pengurusan Kewangan di Pusat Tanggungjawab KKM - Bahagian Kesihatan Pergigian

26 Nov 2017 Mouth Cancer Awareness Week Walkathon 2017

27-28 Nov 2017 Bengkel Halatuju Kesihatan Pergigian Negara

9 Dec 2017 Mesyuarat Halatuju KEPP Bil 2/2017

EDITORIAL COMMITTEE 2017


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Advisor 1 : YBhg. Datuk Dr Noor Aliyah Ismail Advisor 2 : Dr Doreyat bin Jemun Editors : Dr Zainab Shamdol

: Dr Noor Hasmin Mokthar Members : Pn Faridah bt Naemoon Pn Haziah Hassan : Pn Jeyandra Gandhi a/p Chelliah : Pn Sarina Othman

Proof Reader : Dr Lily Laura bt Azmi

ACKNOWLEDGEMENT *************************************

The Editorial Committee would like to express their gratitude and appreciation to all Head of Sections (in alphabetical order); Dr Azilina Abu Bakar, Dr Che Noor Aini Che Omar, Dr Cheng Lai Choo, Dr Chu Geok Theng, Dr Elise Monerasinghe, Dr Leslie Sushil Kumar D. Geoffrey, Dr Mazlina Mat Desa, Dr Norlida Abdullah, Dr Salleh Zakaria, Dr Savithri a/p Vengadasalam, Dr Sharol Lail Sujak, Dr Yaw Siew Lian, Dr Zainab Shamdol and to those who have contributed directly or indirectly in the publication of Annual Report 2017. All data presented have been updated as of 31 December 2017.

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