<![CDATA[Background: Oral health is an integral part of general health, directly affecting the quality of life of the community. Untreated oral and dental issues can lead to disruptions in oral functions, such as chewing and speaking, and may impact an individual's psychological well-being. The 2023 Indonesia Health Survey Report indicates that the tooth extraction-to-filling ratio is 4:1 nationally and 2:1 in DKI Jakarta. More than 50% of Indonesia's population experiences oral and dental problems, with cavities and tooth loss being the primary concerns. The high extraction-to-filling ratio is attributed to various factors, including patients' delays in seeking treatment and low awareness of the importance of preventive dental care. Objective: To identify the factors contributing to the high rate of tooth extraction compared to permanent fillings and evaluate interventions aimed at increasing the rate of permanent fillings through dental health education and the improvement of facilities at the Taman Sari District Health Center.Methods: This observational study using secondary data from the Taman Sari District Health Center in 2022-2023. The data collection method used was purposive sampling. Results: The average extraction-to-filling ratio was higher in almost all community health centers in the Taman Sari District. In 2022, the ratio was 1:4, while in 2023, it improved to 1:2.Conclusion: Many people opt for tooth extraction as the first choice due to a lack of understanding about the importance of preserving teeth. At the Taman Sari District Health Center, the high extraction-to-filling ratio is caused by several factors, including limited public knowledge of oral hygiene, lack of motivation and education for teachers on proper toothbrushing, and insufficient communication, information, and education (CIE) media regarding dental care. To address this issue, the Taman Sari Health Center plans several activities, including conducting regular monthly public health education and discussion forums, organizing training and workshops for teachers every three months with certificates of recognition, and developing engaging CIE materials such as infographics and posters to be distributed to auxiliary health centers (Pustu) and schools]]>
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