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Objective: To assess the oral health challenges of people attending Gulf Week Festival in Al-Qassim governorate, Kingdom of Saudi Arabia (KSA). Methods : This study was conducted at Qassim, KSA .Oral examination of the participants was conducted March 2017. The sample size was 550 participants (278 female and 272 male).from deferent age groups were assessed for the prevalence of dental caries , oral hygiene, fluorosis and malocclusion and their compliance or adherence for fluoride topical application. Results: The Caries Prevalence in The Study population was 73.4% (n=508), improper oral hygiene 38.1%(n=548), Non-compliance to Fluoride Application 34.8%(n=543), Fluorosis 8.9%(n=540), Malocclusion 14.2%(n=541). Conclusion. It was concluded that: Dental caries was high in the population attending the Gulf week festival in Qassim region. -Calculus accumulation is more prevalent in male than in female. slight plaque accumulation was more in female under 13 years Oral health education program and effective supervised tooth brushing program is mandatory to control plaque and calculus accumulation. (42) Wafaa Abdel Aziz Mohamed Salem, et al. E.D.J. Vol. 65, No. 1 incidence in Saudi Arabia. (4,6,7) In Riyadh, study conducted targeting 6-year-old children, reported that caries prevalence was 77.7% in 2004. (4,5,10) Another study was conducted in Jeddah in 2000, reported that caries prevalence was 83% among primary school children.(11) Preventive dental knowledge is the precursor of the reduction of caries prevalence.(8) It was noticed that young children’s oral health conditions were influenced by their parents’ knowledge of dental preventive measures. These included good oral hygiene, healthy and balanced diet and periodic dental visits in which topical fluoride and pit and fissure sealant applications could be obtained. (9) According to WHO Recommendation (1) there is a lot of preventive activities (oral Health Education, professional preventive measures and community oral health programs) So during the Gulf weak festival ,we did assessment of the prevalence of dental caries , oral hygiene, fluorosis and malocclusion among people attending Gulf Week Festival in Qassim Region and their compliance or adherence for fluoride topical application. METHODOLOGY Across sectional community based survey was performed in Qassim region during Gulf weak festival ,March 2017. In the study sitting mobile clinic with full preparation of dental care had been sitted in the festival place (Othaim mall – Burydah cityQassim region –KSA).participants from different age group and gender were included in this study (550). Data was collected by: A pretested oral health assessment form including personal data, examination finding(dental Caries index, oral hygiene index, occlusion and fluorosis index). Oral examination was provided for all voluntary attendees , examination for dental caries and oral hygiene was done by well trained staff (doctors, nurses and dental hygienists) using disposable diagnostic kit (mouth mirror, explorer...etc) for every participant. Caries index (DMFT) “Capital letters for permanent teeth” where D= Decayed M= Missed F= Filled. (dmft) “the small letters for deciduous dentition” to measure the prevalence of dental caries. Oral hygiene index 0= Normal, 1=slight plaque (thin film covering less than one third of the tooth surface), 2= plaque accumulation (covering more than one third of the tooth surface), 3= calculus present. Occlusion assessment 0= Normal occlusion 1= malocclusion ,and fluorosis index (using Deans fluorosis index 0=Normal,1= questionable,2=very mild, 4=moderate, 5=severe). Informed consent has been taken from every participant before enrollment in the study High quality infection control measures were applied by using disposable examination sets to every participants and personal protective equipment’s (gloves, masks...etc.) were used for all health care providers that included in the mobile dental clinics. Health education massages had been delivered during the festival day using posters, video, presentations, and educational Caste models to demonstrate the ideal tooth brushing Methods, then brochures, tooth brushes and tooth paste were given to all participants. Statistical analysis Epi info formula is used for sample size calculation with confidence interval 90%. Sample size n = [DEFF*Np(1-p)]/ [(d2/Z21α/2*(N-1)+p*(1-p)] The statistical analyses were performed using SPSS, version 20 statistical software (SPSS Inc., Chicago, Illinois).Patients Demographic ASSESSMENT OF ORAL HEALTH STATUS OF PEOPLE ATTENDING GULF WEEK (43) characteristics were summarized as frequencies and percentages, and comparisons between groups were carried out with Pearson’s chi-square-test

Assessment of Oral health status of people attending Gulf Week Festival in Al- Qassim governorate, Cross-sectional survey