Reasons for Delay in Seeking Treatment for Dental Caries in Tanzania

Int Dent J. 2023 Apr;73(2):296-301. doi: 10.1016/j.identj.2022.07.012. Epub 2022 Aug 25.

Abstract

Introduction: The delay in seeking dental treatment is a universal health problem, with a reported prevalence as high as 98%. It is a critical feature not only in planning management but also in the final treatment outcome.

Aim: This study aimed to determine the reasons for the delay in seeking treatment for dental caries amongst patients attending public dental clinics in Dar es Salaam, Tanzania.

Methodology: This was a cross-sectional study carried out in 5 public hospitals in Dar es Salaam, Tanzania. It included 315 adult patients who had dental caries. Data were collected using a questionnaire that included questions regarding reasons for the delay in seeking care for dental caries. Data were analysed using the SPSS computer software version 26. A one-way analysis of variance was used to assess the association between variables, and the significance level was set at P < .05.

Results: A majority (n = 244, 77.5%) of the participants delayed seeking dental care upon noting a problem in their teeth. However, the association between the sociodemographic characteristics of the participants and delay in seeking dental care was statistically insignificant (P > .05). The most common reason given by the participants who delayed seeking dental care for their decayed teeth included self-negligence (n = 184, 75.4%), the practice of self-medication (n = 164, 67.2%), and ignorance (n = 110, 45.1%).

Conclusions: The majority of patients experiencing dental caries seek dental care very late. Delay in seeking dental care is not dependent on sociodemographic characteristics of individuals. Self-negligence, the practice of self‑medication, and ignorance are the major reasons for the delay.

Keywords: Delay; Dental caries; Public dental clinics; Tanzania.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Dental Caries* / epidemiology
  • Humans
  • Tanzania / epidemiology
  • Tooth*
  • Treatment Outcome