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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
1
RESOURCE MANAGEMENT
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 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%
Source: OHP MoH 2017
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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%
Source: OHP MoH 2017
** PPKK: Pusat Pergigian Kanak-Kanak
***ILKKM: Institut Latihan Kementerian Kesihatan Malaysia
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: OHP MoH, 2017
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
Source: OHP MoH, 201
Vac= vacant
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: OHP MoH, 2017
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: OHP MoH, 2017
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
Source: OHP MoH, 2017
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
Source: OHP MoH, 2017
(Excluded Specialists under Gazettement)
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: OHP MoH, 2017
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
Source: OHP MoH, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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)
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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ORAL HEALTH POLICY & STRATEGIC PLANNING
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: OHP MoH, 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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
30.9.2016 6 months Jabatan Bedah Mulut dan
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
30.12.2016 6 months Jabatan Bedah Mulut dan
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
2.3.2017 6 months Jabatan Bedah Mulut dan
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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Source: OHP MoH 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: OHP MoH, 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
Source: OHP MoH, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: OHP MoH, 2017
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
10th Malaysia Plan (2011-2015)
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
11th Malaysia Plan (2016-2020)
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
Source: OHP MoH, 2017
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
26 Dental Officers and
16 Dental Auxiliaries
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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Area
Training Topic
Consultant &
Participants Date Expenses Venue
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
9 Dental Officers and
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
for NHMS 2017 : National
Oral Health Schoolchildren
Survey 2017 (NOHSS 2017)
Sesi 2
15 DPHS 17-20 July 2017 RM 13,350.00 Hotel Eastin, PJ
Workshop on Report Writing
for NHMS 2017 : National
Oral Health Schoolchildren
Survey 2017 (NOHSS 2017)
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
92 Dental Officers and
44 Dental Auxiliaries
28-30 July 2017 RM 64,024.00 KLCC
Sesi Latihan Modul Billing &
Service
30 Dental Officers and
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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Area
Training Topic
Consultant &
Participants Date Expenses Venue
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
35 Dental Officers and
6 Dental Auxiliaries
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
2 Dental Officers 9-10 October
2017
RM 350.00 USM
Sesi Latihan Pemantapan
Pentadbir Sistem
30 Dental Officers and
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
30 Dental Officers and
Dental Auxiliaries
19-20 October
2017
RM 1,440.00 JKN NS
Basic Life Support (BLS)
25 Dental Officers 23-24 October
2018
RM 3,750.00 Hospital Sungai Buloh
Bengkel Pemantapan
Program Kesihatan Pergigian
untuk Guru Pelatih
69 Dental Officers and
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
3 Dental Officers 24-25 October
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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Area
Training Topic
Consultant &
Participants Date Expenses Venue
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
30 Dental Officers and
24 Dental Auxiliaries
8-9 May 2017 RM 12,030.00 RHR UNITEN
Special Needs
Dentistry
Geriatric Dentistry: Inter-
Collaboration Between
Primary & Specialist Care
30 Dental Officers and
Dental Auxiliaries
7-9 August 2017 RM 16,530.00 Avillion Admiral Cove
Hotel, Port Dickson, NS
Source: OHP MoH, 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: OHP MoH, 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
Source: OHP MoH, 2017
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
Source: OHP MoH, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
2012 Periodontics 24 - -
2013 Periodontics 22 - -
2014 - - Oral and Maxillofacial Surgery 14
2015 Orthodontics 25 - -
2016 Paediatric Dentistry 25 - -
2017 Periodontics 22
Source: OHP MoH, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 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
Source: OHP, MoH 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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ORAL HEALTHCARE
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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Figure 4: Population Receiving Fluoridated Water by State, 2017
Source: State Oral Health Division, 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%)
Source: State Oral Health Division, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: State Oral Health Division, 2017
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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: OHP, MoH 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: State Oral Health Division, 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: State Oral Health Division, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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Figure 7: Subject/Teeth Rendered Fissure Sealants, 2006-2017
Source: State Oral Health Division, 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
Source: State Oral Health Division, 2017
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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: State Oral Health Division, 2017
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
Source: State Oral Health Division, 2017
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: State Oral Health Division, 2017
* 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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: State Oral Health Division, 2017
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
Source: State Oral Health Division, 2017
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
Source: State Oral Health Division, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: State Oral Health Division, 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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Year Dental clinics at RTCs Patient
Attendances No. Location
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
Source: State Oral Health Division, 2017
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
Attendances No. Location
2012 2 Ayer Keroh Melaka, Pudu Sentral 3,983
2013 7 Ayer Keroh Melaka, Pudu Sentral, Kompleks MBAS, Ipoh, Mini
Sentul, Kuantan
56, 889
2014 8 Ayer Keroh Melaka, Pudu Sentral, Kompleks MBAS, Ipoh, Mini
Sentul, Kuantan, Kota Kinabalu
128,179
2015 9 Ayer Keroh Melaka, Pudu Sentral, Kompleks MBAS, Ipoh, Mini
Sentul, Kuantan, Kota Kinabalu, Galeria Johor
157,966
2016 17 Ayer Keroh Melaka, Pudu Sentral, Kompleks MBAS, Ipoh, Mini
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
2017 20 Ayer Keroh Melaka, Pudu Sentral, Kompleks MBAS, Ipoh, Mini
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
Source: State Oral Health Division, 2017
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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: State Oral Health Division, 2017
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: State Oral Health Division, 2017
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
Source: State Oral Health Division, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: State Oral Health Division, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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%
Source: State Oral Health Division, 2017
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
Source: State Oral Health Division, 2017
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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: State Oral Health Division, 2017
Table 46: Participants Screened and Referred (Community Screening), 2007-2017
Year No. Examined Total
Attendance
No. With Lesion No.
Referred
No. Seen by Surgeons
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
Source: State Oral Health Division, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: State Oral Health Division, 2017
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
Source: State Oral Health Division, 2017
*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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: State Oral Health Division, 2017
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
Source: State Oral Health Division, 2017
Table 51: Walk-in Patients Screened and Referred, 2014-2017
Year No. Examined Total
Attendance
No. With Lesion No.
Referred
No. Seen by Surgeons
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
Source: State Oral Health Division, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: State Oral Health Division, 2017
*Histological diagnosis only available for cases with biopsy done
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
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
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
Source: State Oral Health Division, 2017
*Histological diagnosis only available for cases with biopsy done
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
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 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
Source: State Oral Health Division, 2017
*Histological diagnosis only available for cases with biopsy done
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),
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: State Oral Health Division, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: Health Informatics Centre, MoH 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: OHP MoH, 2017
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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: Health Informatics Centre, MoH 2017
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
Source: Health Informatics Centre, MoH 2017
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: Health Informatics Centre, MoH 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)
Source: OHP MoH, 2017
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)
Source: OHP MoH, 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: Health Informatics Centre, MoH 2017
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
Source: Health Informatics Centre, MoH 2017
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: Health Informatics Centre, MoH 2017
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: Health Informatics Centre, MoH 2017
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
Source: Health Informatics Centre, MoH 2017
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: Health Informatics Centre, MoH 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: Health Informatics Centre, MoH 2017
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
Source: Health Informatics Centre, MoH 2017
Two (2) states, Sabah (87.6%) and Sarawak (80.4%) recorded below the average coverage of
secondary schoolchildren (90%) in 2017 (Figure 15).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: Health Informatics Centre, MoH 2017
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: Health Informatics Centre, MoH 2017
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
Source: Health Informatics Centre, MoH 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
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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
Source: Health Informatics Centre, MoH 2017
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
Source: Health Informatics Centre, MoH 2017
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
Source: Health Informatics Centre, MoH 2017
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: Health Informatics Centre, MoH 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
Source: Health Informatics Centre, MoH 2017
The highest coverage of antenatal mothers were Kedah (82.8%) followed by Perlis (79.4%) and FT
Putrajaya (76.2%) (Figure 20).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: Health Informatics Centre, MoH 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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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Figure 22: Adults Receiving Primary Oral Healthcare by State, 2017
Source: Health Informatics Centre, MoH 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
Source: OHP MoH, 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: Health Informatics Centre, MoH 2017
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
Source: Health Informatics Centre, MoH 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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%
Source: Health Informatics Centre, MoH 2017
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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: Health Informatics Centre, MoH 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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: Health Informatics Centre, MoH 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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
Source: Health Informatics Centre, MoH 2017
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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Figure 34: Types of Malocclusion Seen, 2013-2017
Source: Health Informatics Centre, MoH 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
New Patients Total Attendance
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
New Patients Total Attendance
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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.
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ORAL HEALTH PRACTICE & DEVELOPMENT
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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.
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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
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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
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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
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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
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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
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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
Source: State Oral Health Division, 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%
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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
Source: State Oral Health Division, 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).
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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
Number of Dental Clinics
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
Source: State Oral Health Division, 2017
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.
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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
Source: State Oral Health Division, 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
Source: State Oral Health Division, 2017
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Table 85: Number of Routines Inspection and Achievement of each State, 2017
State
Number of Dental Clinics
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
Source: State Oral Health Division, 2017
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
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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
Source: State Oral Health Division, 2017
Figure 44: Record of Complaints and Enforcement Activities 2012 – 2017
Source: State Oral Health Division, 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.
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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 1 Johor Unregistered practitioner Fined RM20,000
2013 4 FT KL & Putrajaya Unregistered practitioner NFA*
2014 2 Johor Unregistered practitioner Fined RM10,000
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
Source: State Oral Health Division, 2017
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):
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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
Source: State Oral Health Division, 2017
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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
Source: State Oral Health Division, 2017
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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
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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
Source: OHP MoH, 2017.
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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: OHP MoH, 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).
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: OHP MoH, 2017.
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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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
Source: OHP MoH, 2017.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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.
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
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)
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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
ORAL HEALTH PROGRAMME MINISTRY OF HEALTH MALAYSIA I ANNUAL REPORT 2017
118
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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