Assessment of Modality and Accuracy of Single Root Canal Treatment Performed by Undergraduate Students in Saudi Arabia: A Retrospective Study.

Aim To assess the radiographic quality of root canal treatment (RCT) performed on single-rooted anterior teeth by undergraduate dental students of Imam Abdulrahman Bin Faisal University (IAU). Moreover, the study also aimed to assess the types of procedural errors encountered during root canal treatment and to compare the results between male and female students. Methodology The record of patients who visited the endodontic clinics at IAU between the years 2018 and 2021 was obtained from the medical records department. The inclusion criteria for the study involved: i) RCT performed on anterior teeth with a single root; ii) RCT performed by fourth, fifth, and sixth-year undergraduate dental students; and iii) availability of pre-operative and post-operative peri-apical radiographs. After the inclusion criteria, a total of 278 records were selected. The radiographs were accessed by two calibrated examiners for the length of the obturation, homogeneity, and taper. In addition, procedural errors such as the presence of a ledge, perforation, or fractured instruments were also observed. Analysis was done using the Chi-square test. Results A total of 139 teeth (50%) were found to have an adequate quality root canal treatment. Regarding the length of the obturation, 85.6% were considered acceptable, while 65.1% of the obturations had acceptable radiographic homogeneity. The acceptable taper was found in 71.9% of the obturations. Dental students who participated in this study demonstrated a low rate of procedural errors, with 4.7% ledge formation and 1% perforation. A statistically significant difference was found in the quality of root canal obturation (P = <0.001) performed by fourth, fifth, and sixth-year students. Moreover, a significant difference was also observed between maxillary and mandibular teeth (P= 0.032). Conclusion The quality of RCT performed by undergraduate dental students demonstrated that improvements are required. The teaching methods used in the endodontic courses need to be developed and improved to ensure the best possible learning and treatment outcomes.

An Assessment of Various Challenges Perceived by Dental Students amidst the COVID-19 Pandemic: A Digital Questionnaire Study.

The objective of our study was to evaluate dental students' perception of the challenges faced during the COVID-19 pandemic related to their clinical work, education, performance, online examinations, psychological health, and teamwork. A validated online questionnaire consisting of closed ended questions was sent to all the undergraduate dental students at our institute. Data were collected and analyzed statistically using a chi-square test to compare responses of male with female and junior with senior students. A total of 317 undergraduate dental students (N = 317) participated in this cross-sectional study. The most common challenges perceived by the participants were related to their exam duration (77.3%), patient availability (66.9%), difficulty in understanding online lectures (58.4%), and a fear of losing grades (57.4%). Participants reported that the COVID-19 pandemic affected their performance in the courses (75.4%), teamwork (72.2%), educational aspects (67.5%), and psychological health (51.1%). A significantly greater proportion of female students reported the adverse effects of COVID-19 on their psychological health than male students (p = 0.031). Senior students perceived the negative impact of COVID-19 on teamwork significantly more than the junior students (p = 0.004). The majority of students reported challenges during the COVID-19 pandemic. Female students and senior students perceived more challenges than their counterparts. Future studies from other institutes of this region are recommended to establish a clearer picture of COVID-19 related challenges faced by dental students.

Effectiveness of propolis in maintaining oral health: a scoping review.

Background: Research has revealed that periodontal diseases are caused by inflammation that results from a dysbiosis of the oral microbiome where oral bacteria multiply into larger communities referred to as dental biofilm. To help control this overgrowth of bacteria, a variety of toothpastes, dentifrices, and mouthwashes have been developed. Although not as common in North American toothpastes, propolis as an active ingredient in dentifrices has begun to emerge, as laboratory studies have suggested it has anti-inflammatory, immunomodulatory, antioxidant, antimicrobial, and antidiabetic properties. The purpose of this scoping review was to explore the literature on the effectiveness of propolis in maintaining oral health. Methods: This review used the following criteria: Population: studies involving healthy humans; Intervention: propolis in the form of toothpaste, dentifrice, and mouthwash; Comparison: fluoride, chlorohexidine, and placebo; Outcomes: plaque and gingival indices, improvement in oral hygiene, and inhibition of bacteria. Relevant research articles were selected from Web of Science, PubMed, MEDLINE, and Scopus databases using the search parameter "propolis[tw] AND (toothpaste*[tw] OR dentifrice*[tw] OR mouthwash*[tw])". Only original articles published after 2009 and written in the English language were included. Results: A total of 19 original papers met the criteria and showed varying levels of success achieved with the use of propolis. It was responsible for a significant lowering of specific plaque and gingival indices, inhibited the growth of bacteria, reduced oral flora diversity, and consistently improved periodontal condition, oral hygiene, and oral health. Conclusion: Propolis may play a role in initiating, sustaining, and maintaining oral health as its desirable properties have the potential to improve various oral hygiene related indices.

Contexte: Les recherches ont révélé que les maladies parodontales sont causées par de l'inflammation résultant d'une dysbiose du microbiome buccal, lorsque les bactéries buccales se multiplient en communautés plus importantes appelées biofilm dentaire. Afin d'aider à maîtriser cette prolifération de bactéries, une variété de pâtes dentifrices, de dentifrices et de bains de bouche ont été conçus. Bien qu'elle ne soit pas aussi courante dans les pâtes dentifrices de l'Amérique du Nord, la propolis commence à émerger comme ingrédient actif dans les dentifrices, puisque les études de laboratoire ont suggéré qu'elle a des propriétés anti-inflammatoires, immunomodulatrices, antioxydantes, antimicrobiennes et antidiabétiques. Le but de cet examen de la portée était d'explorer la littérature sur l'efficacité de la propolis dans le maintien de la santé buccodentaire. Méthodes: Cette revue a utilisé les critères suivants : Population : études portant sur des humains en bonne santé; Intervention : propolis sous forme de pâte dentifrice, dentifrice et bain de bouche; Comparaison : fluorure, chlorohexidine et placebo; Résultats : indices de plaque et de gencive, amélioration de l'hygiène buccodentaire et inhibition des bactéries. Les articles de recherche pertinents ont été sélectionnés dans les bases de données de Web of Science, PubMed, MEDLINE et Scopus à l'aide de paramètres de recherche « propolis[tw] ET (pâte dentifrice*[tw] OU dentifrice*[tw] OU bain de bouche*[tw]) ¼. Seuls les articles originaux publiés après 2009 et rédigés en anglais ont été inclus. Résultats: Un total de 19 articles originaux ont répondu aux critères et ont montré des taux de succès variables, atteints à l'aide de la propolis. Elle était responsable d'une diminution considérable des indices propres la plaque et aux gencives, de l'inhibition de la croissance de bactéries, de la réduction de la diversité de la flore buccale et de l'amélioration constante de l'état du parodonte, de l'hygiène buccodentaire et de la santé buccodentaire. Conclusion: La propolis peut jouer un rôle dans l'initiation, le maintien et l'entretien de la santé buccodentaire, car ses propriétés intéressantes ont le potentiel d'améliorer divers indices liés l'hygiène buccodentaire.

Light-activated disinfection in endodontics: A comprehensive review.

Light-activated disinfection (LAD) has emerged as a novel approach toward antimicrobial disinfection within the root canal. This approach is based on the concept that porphyrins and photosensitizers (PSs) can be activated by light to produce cytotoxic elements that induce the desired therapeutic effect. Unlike antibiotics, LAD can act on multiple targets within a bacterial cell, including membrane lipids, genomic DNA and various proteins, including enzymes, thus reducing the ability of the organism to acquire resistance.The aim of this review was to develop an understanding of the potential use of LAD in endodontics and to suggest strategies to maximize the antibacterial effects of LAD.The electronic searches of the PubMed/MEDLINE, Web of Science, Scopus, and Cochrane databases were complemented by a manual hand search. A total of 303 studies were evaluated for essential parameters, which included the origin, types/variations, methodology, and application of LAD in in vitro and in vivo studies.It can be concluded that LAD is effective against the vast majority of bacterial pathogens, including antibioticresistant Gram-negative and Gram-positive bacteria, along with several yeasts, viruses and protozoan species. The literature tends to suggest that LAD can be used either as a substitute or an adjunct to the conventional antimicrobial treatment regimens that are implemented to battle polymicrobial biofilms.

COVID-19 knowledge, attitude and awareness among preclinical and clinical dental students: an online-based cross-sectional survey / Conocimiento, actitud y conciencia de COVID-19 entre estudiantes de odontología preclínica y clínica: una encuesta transversal en línea

Objective: The aim of this study was to assess the understanding and perception of Coronavirus Disease 2019 (COVID-19) among the undergraduate preclinical and clinical dental students within Pakistan. Material and Methods: An online survey was developed by the researchers and conducted amongst the undergraduate students at various dental colleges of Pakistan. A pretested questionnaire was used and distributed using social media platforms. The questionnaire consisted of demographics, health status, perception related to general hygiene, understanding and learning attitudes of dental students. Knowledge scores and the attitude responses were compared with the demographics using independent t-test, one-way ANOVA and chi-square, as appropriate. Results: A total of 800 undergraduate dental students responded to the survey, out of which 304(38%) were males and 496(62%) were female students. Students in pre-clinical years were 600(75%), while 200(25%) students were in the clinical years. The knowledge of clinical students regarding COVID-19 was statistically higher (4.71/6), compared to the students in pre-clinical years (4.49/6) (p=0.004). Both groups showed adequate knowledge regarding the route of transmission, symptoms and origin of COVID-19, and COVID-19 being a threat to life. Clinical students did not want to re-use the face mask (75%), compared to the preclinical students (68%) (p-0.048). Students in clinical years reported more awareness regarding the recommended hand washing technique during COVID-19 (p-<0.0 01). Conclusion: It can be concluded that dental students in clinical years have adequate knowledge regarding the COVID-19 as compared to the preclinical students. The study identifies all areas where preclinical and clinical students lack basic knowledge. This should be compensated by arranging different webinars and online courses to increase the understanding of both clinical and preclinical students during the pandemic.

Objetivo: El objetivo de este estudio fue evaluar la comprensión y la percepción de la enfermedad por coronavirus 2019 (COVID-19) entre los estudiantes de pregrado de odontología clínica y preclínica en Pakistán. Material y Métodos: Los investigadores desarrollaron una encuesta en línea que se llevó a cabo entre los estudiantes de pregrado de varias facultades de odontología de Pakistán. Se utilizó y distribuyó un cuestionario, previamente probado, a través de plataformas de redes sociales. El cuestionario comprendía datos demográficos, estado de salud, percepción relacionada con la higiene general, comprensión y actitudes de aprendizaje de los estudiantes de odontología. Las puntuaciones de conocimiento y las respuestas de actitud se compararon con los datos demográficos mediante la prueba t independiente, ANOVA de una vía y chi-cuadrado, según corresponda. Resultados: Un total de 800 estudiantes de odontología de pregrado respondieron a la encuesta, de los cuales 304 (38%) eran hombres y 496 (62%) eran mujeres. Los estudiantes en los años preclínicos eran 600 (75%), mientras que 200 (25%) estaban cursando años clínicos. El conocimiento de los estudiantes de clínica sobre COVID-19 fue estadísticamente mayor (4.71/6), en comparación con los estudiantes en años preclínicos (4.49/6) (p=0.004). Ambos grupos mostraron un conocimiento adecuado sobre la vía de transmisión, síntomas y origen de COVID-19, y que COVID-19 es una amenaza para la vida. Los estudiantes en fase clínica no querían reutilizar la mascarilla (75%), en comparación con los estudiantes preclínicos (68%) (p-0.048). Los estudiantes en años clínicos informaron más conciencia sobre la técnica de lavado de manos recomendada durante COVID-19 (p<0,001). Conclusión: Se puede concluir que los estudiantes de odontología en años clínicos tienen un conocimiento adecuado sobre el COVID-19 en comparación con los estudiantes en años preclínicos. El estudio identifica todas las áreas donde los estudiantes clínicos y no clínicos carecen de conocimientos básicos. Esto debe compensarse organizando diferentes seminarios web y cursos en línea para aumentar la comprensión de los estudiantes clínicos y no clínicos durante la pandemia.

Correlation between diabetes mellitus and number of restored, carious lesions and missing teeth: A retrospective radiographic evaluation.

AIM: This study aimed to evaluate the prevalence of carious, restored, and missing teeth among diabetic and non-diabetic patients who visited dental clinics in Dammam, Saudi Arabia. METHOD: This retrospective study was conducted between April and November 2018. The data collection procedure was conducted in two steps: (1) review of patient records for the demographic variables and (2) screening of digital panoramic radiographs (OPGs). The patients who visited the restorative and prosthetic clinics in the period of 2016-2017 were included in the study. RESULTS: A total of 1186 patient records and OPGs were reviewed to extract the data. The average age of the patients in the study sample was 40.96 (±16.29). The sample included 751 (63.3%) female and 435 (36.7%) male patients. Among the patients, 192 (16.2%) had diabetes mellitus and 994 (83.8%) were non-diabetic. The average numbers of fixed partial dentures and missing teeth were significantly high among diabetic patients (P < 0.001). Conversely, the average numbers of carious lesions and restored teeth were higher among the non-diabetic patients. Only the number of restored teeth was found to be significant (P < 0.001). CONCLUSION: The diabetic patients were found to be at high risk of losing teeth compared with the non-diabetic patients. The prevalence of fixed partial dentures was also higher among diabetic patients. The oral health status of dental patients with diabetes needs urgent attention to prevent these patients from having teeth loss, and it can be done by improving their oral health.

Light Curing Units And Their Intensity Output In Dental Setups Of Islamabad And Rawalpindi.

BACKGROUND: Dental composites are commonly used to restore teeth. However, to ensure adequate physical properties and biocompatibility, they require sufficient light intensity with the help of light curing units (LCU). This study aimed to evaluate the type and intensity of LCU being used in the dental setups of Rawalpindi and Islamabad. METHODS: Dental clinics were visited and the type of the LCU was noted. Three consecutive intensity measurements were taken using a radiometer. For Quartz tungsten halogen (QTH) LCU, a light intensity below 300mW/cm2 was considered unsatisfactory, while for light-emitting diode (LED) LCU, a reading below 600mW/cm2 was considered unsatisfactory. To analyse the difference between the output intensities of the two LCU, Mann-Whitney U test was used (p<0.05), while Fisher's Exact test was used for the association between the type of LCU and clinical acceptability of output intensity. RESULTS: A total of 96 LCU were evaluated, out of which, eight were QTH and 88 were LED. A total of 16.7% LCU were considered unsatisfactory. Amongst them, 62.5% QTH had intensity less than 300mW/cm2, while for LED, 12.5% had intensity below 600mW/cm2. The mean intensity for LED was statistically significant compared to QTH LCU (p<0.05). A statistically significant association existed between the type of LCU and their intensity (p<0.05). CONCLUSION: A trend towards the use of LED LCU in the dental setups of Islamabad and Rawalpindi was observed. LED LCU showed greater mean light intensity than QTH LCU. Periodic evaluation of LCU using radiometers is suggested to ensure optimal intensity output.

Degree of conversion of two self-adhesive resin luting cements through different lengths of fiber post.

PURPOSE: To evaluate the degree of conversion (DoC) of self-adhesive resin luting cements when irradiated through different fiber post lengths. METHODS: A total of 60 teeth were sectioned to achieve lengths of 4 mm, 7 mm, and 10 mm, while 60 fiber posts were trimmed to give 3 mm, 6 mm, and 9 mm lengths. Post space was created to accommodate the fiber post and 1 mm of luting cement apically. Two self-adhesive resin luting cements (Multilink Speed and RelyX U200) were used. A total of four cycles of 20 s irradiation was done with an attenuated total reflectance Fourier transform infrared spectroscopy reading between each cycle. RESULTS: The mean ± standard deviation DoC achieved with a light-emitting diode and quartz tungsten halogen for Multilink Speed was 67.4 ± 2.7% and 72.4 ± 4.0%, respectively, while for RelyX U200, the corresponding values were 56.5 ± 2.7% and 62.0 ± 3.8%, respectively. For Multilink Speed, there was no significant difference between the control and the 3 mm group, while for RelyX U200, no significant difference was found between the 6 mm and 9 mm groups. All the other groups showed significant differences. CONCLUSION: The DoC reduced as the post length increased.

Salivary gland tissue engineering to attain clinical benefits: a special report.

The salivary glands produce saliva, which helps in mediating the oral colonization of microbes, the repair of mucosa, the remineralization of teeth, lubrication and gustation. However, certain medications, therapeutic radiation and certain autoimmune diseases can cause a reduction in the salivary flow. The aim of this report was to review and highlight the indications and techniques of salivary gland engineering to counter hyposalivation. This report concludes that in the literature, numerous strategies have been suggested and discussed pertaining to the engineering of salivary gland, however, challenges remain in terms of its production and accurate function. Dedicated efforts are required from researchers all over the world to obtain the maximum benefits from salivary gland engineering techniques.

Types of polymerisation units and their intensity output in private dental clinics of twin cities in eastern province, KSA; a pilot study.

OBJECTIVES: Light-cured resin-based composites (RBCs) are the preferred option to restore teeth. Dental light-curing units (LCUs) should deliver adequate light energy to ensure good mechanical properties, dimensional stability, and biocompatibility of the RBC. The aim of this study was to determine the types of LCUs and their intensity output in private dental clinics. METHODS: A form was developed to record information related to the type of curing lights and their intensity output. A total of 400 curing devices were evaluated using a digital radiometer in 58 private dental clinics. For each device, three separate 10-s readings were taken and the average was calculated. For quartz tungsten halogen (QTH) units, a light intensity below 300 mW/cm2 was considered unsatisfactory, whereas for light-emitting diode (LED) units, a reading below 600 mW/cm2 was considered unsatisfactory. RESULTS: Out of 400 curing lights, 354 were LEDs and 46 were QTH units. A total of 13% of the lights were considered unsatisfactory. Of the LED units, 12.4% had a light intensity of less than 600 mW/cm2, whereas QTH had 17.3% units with an intensity of less than 300 mW/cm2. CONCLUSION: The frequency of LCUs showed a trend towards LED units in private dental clinics, whereas the mean intensity value from the LED was higher than that from QTH units. Overall, the radiometer is a good tool to assess the intensity output of LCUs.

Medical students' perception of their educational environment at Imam Abdulrahman Bin Faisal University, Kingdom of Saudi Arabia.

OBJECTIVE: The purpose of this study was to investigate students' perception of the educational climate in a medical school in Dammam, Kingdom of Saudi Arabia (KSA). The difference in the perception of preclinical year students and clinical year students was also evaluated. MATERIALS AND METHODS: This cross-sectional study was conducted among 2nd to 6th year students at the medical college of Imam Abdulrahman Bin Faisal University. "Dundee Ready Educational Environment Measure" (DREEM) was used to evaluate the educational environment. RESULTS: Out of 518, 238 students participated in the study; participation rate of 45.9%. The average DREEM score was 112.38 with a SD of 22.4. Students' perception of atmosphere got the highest score (27.1 ± 6.7) of the five DREEM subscales. The 3rd year had the highest DREEM score compared to students of other levels, while the DREEM score of preclinical students was significantly higher than that of the clinical year students. CONCLUSION: Perception of medical students about the educational climate was more positive than negative. Although the DREEM score and its subdomains showed a positive educational environment, students still mentioned some problematic areas that need to be addressed. Findings of this study could encourage other medical colleges in the KSA to focus on weak areas and address the issues raised by students, especially clinical year students.

Flexural Strength of Glass Carbomer Cement and Conventional Glass Ionomer Cement Stored in Different Storage Media over Time.

OBJECTIVES: Glass ionomer cement (GIC) is routinely placed as a restorative material in dentistry. However, due to its poor physical properties, its use is limited to cases where the level of stress on restoration is minimal. Improved formulations of GIC have been developed to overcome these drawbacks. The purpose of this study was to evaluate flexural strength of a conventional GIC (Fuji IX) against a newly developed glass carbomer cement (GCP). MATERIALS AND METHODS: For Fuji IX and GCP, a total of 80 blocks were prepared and divided into 16 groups (n = 5). These groups were further categorized according to the storage medium (artificial saliva and Vaseline) and time intervals (24 h and 1, 2, and 4 weeks). A 3-point bending test was carried out, and statistical analysis was done using ANOVA and Tukey post hoc tests. RESULTS: Fuji IX showed a mean flexural strength of 25.14 ± 13.02 versus 24.27 ± 12.57 MPa for GCP. There was no significant statistical difference between both materials when compared under storage media. Both materials showed the highest value for flexural strength at 2 weeks of storage and lowest at 4 weeks. CONCLUSION: The storage media do not affect the flexural strength of the specimens with reference to time. Time is the unique factor with relative influence on mean resistance to fracture. Further testing is required to evaluate the true potential of the newly developed GCP.

Frequency of Root Canal Treatment among Patients Attending a Teaching Dental Hospital in Dammam, Saudi Arabia.

OBJECTIVE: The purpose of the study was to evaluate the frequency and status of root canal-treated teeth in patients treated at the College of Dentistry, University of Dammam in the Eastern Province of Saudi Arabia. MATERIALS AND METHODS: A total of 3701 patients visited the clinics during the study period. Through the use of radiographs, 161 patients were initially selected who had endodontically treated teeth. However, after applying the inclusion criteria, the total number of eligible cases was reduced to 155. Patients were divided into three groups according to age (children 1-12 years, adults 13-65 years and geriatrics >65 years). RESULTS: On average, each patient had 2.28 ± 1.88 root canal-treated teeth and 24.02 ± 5.03 teeth without root canal treatment. The average number of endodontically treated teeth increased with an increase in age. The adult group showed the highest number of root-filled teeth 314 (93.4%). Of the 336 endodontically treated teeth, only 75 (22.3%) teeth exhibited periapical radiolucency. First molars (28.43-36.36%) and second premolars (20.1-27.27%) were the most frequently root-filled teeth in both jaws, followed by the first maxillary premolars (11.76%). Periapical lesions showed an almost similar pattern with the highest number of radiolucencies found in the first molars in both jaws (29.3-33.3%) followed by the second premolars in the mandible (30.6%) and first premolars in both jaws (20.8-25%). CONCLUSION: The first molars and second premolars were the most frequently root-filled teeth in both jaws, followed by maxillary first premolars. Periapical lesions showed an almost similar pattern among teeth with a higher number of radiolucencies found in the first molars in both jaws, followed by the second premolars in the mandible and the first premolars in both jaws.

Evaluation of root canal morphology of maxillary second premolars in a Saudi Arabian sub-population: An in vitro microcomputed tomography study.

AIM: To investigate the root canal morphology of maxillary second premolars in a Saudi Arabian subpopulation using microcomputed tomography (micro-CT). METHODOLOGY: Micro-CT analysis was performed on 100 maxillary second premolars. The anatomy of each tooth (number of roots, canals, orifices, and apical foramina, and the presence of apical deltas and accessory canals) was analyzed from reconstructed three-dimensional images. RESULTS: The most common morphology was a single root (67%), followed by two roots (30%), and three roots (3%). Regarding the canal morphology, most teeth (65%) contained two canals, followed by 30% with one canal, and 5% with three canals. One orifice was observed in 55% of teeth, and two orifices were detected in 45% of teeth. According to the Vertucci classification, the most common canal types were IV and V (both found in 23% of teeth), followed by type I (17%), type III (9%), type II (7%), and type VII (2%). Additional types that were inconsistent with the Vertucci classification were recorded in 19% of teeth. CONCLUSION: The root canal morphology of maxillary second premolars in the Saudi Arabian subpopulation is complex and requires cautious evaluation prior to endodontic treatment.

Prevalence of dental caries in primary and permanent teeth and its relation with tooth brushing habits among schoolchildren in Eastern Saudi Arabia‬‬‬‬‬‬‬‬.

OBJECTIVES: To determine the prevalence of dental caries in the primary and permanent teeth, and evaluate the brushing habits of school children in Dammam, Kingdom of Saudi Arabia (KSA).  Methods. This study was conducted at Dammam, KSA. Oral examination of the participants was conducted from February to May 2014. The total sample size for this cross-sectional study was 711. There were 397 children between the age of 6-9 years, who were examined for primary teeth caries, and 314 between the age 10-12 years were examined for permanent teeth caries. Primary and permanent dentitions were studied for decayed, missing, and filled teeth (dmft [primary teeth], DMFT [permanent teeth]).   RESULTS: The overall prevalence of dental caries in primary and permanent teeth was almost 73% (n=711). Among the 6-9-year-old, the prevalence of caries was approximately 78% (n=397) whereas, among the 10-12-year-old children, it was approximately 68% (n=314). Mean dmft value among the 6-9-year-olds was 3.66±3.13 with decayed (d) component of 3.28±2.92, missing (m) component of 0.11±0.69, and filled (f) component of 0.26±0.9. Mean DMFT value among the 10-12-year-old children was 1.94±2.0 with decayed (D) component of 1.76±1.85, missing (M) component of 0.03±0.22, and filled (F) of component 0.15±0.73. Daily tooth brushing had a positive effect on caries prevention, and this effect was statistically significant for caries in primary teeth.   CONCLUSION: Although the prevalence of dental caries in primary and permanent teeth was not found to be as high as other researchers reported from different cities of KSA, still the prevalence was high considering the World Health Organization future oral health goals. Awareness should be provided to students, as well as, teachers and parents regarding the importance of good brushing habits and regular dental visits.