Barriers to the utilization of dental services in Shimla, India

Abstract Objective: The objective of this study was to determine the barriers to regular dental attendance for check- up in a rural population in Shimla Himachal Pradesh. Materials and Methods: A cross-sectional questionnaire survey was conducted among 319 adults in the area of Thari Panchayat, Shogi, Shimla. The data was analyzed by SPSS version 13. Statistical tests used were chi square and multiple-variate analysis. Results: The response rate of the study was 96.8%. 46 (15.1%) visited a dentist within the previous one year. The most common reasons for the last dental visit were pain or a dental emergency (208, 68.5%). The most commonly reported reason for not seeking dental care was “no need to visit a dentist unless there is pain” by 190 (62.5%) in bivariate analysis as well as in multiple logistic regression analysis (Odds ratio: 1.95; CI: 1.71-2.22). Conclusion: Our findings suggest that only a small portion of population visited dentist in previous one year. They believe that visiting a dentist is necessary only for pain relief. Thus it is important to give them awareness programmes about the good oral health and motivating them to use the services available.