Which of the following is listed as an SDH example?

• A. Education level
• B. Brushing technique
• C. Tooth enamel hardness
• D. Fluoride toothpaste brand

Answer: (A)

Social determinants of health are the non-medical factors that shape health outcomes by influencing access to resources, opportunities, and supports. Education level is listed as an SDH example because it affects health literacy, employment prospects, income, and the ability to navigate and utilize dental care and preventive services. Higher education generally leads to greater ability to understand and follow oral health recommendations, adopt effective preventive behaviors, and access regular care, all of which contribute to better oral health outcomes.

Brushing technique is a personal hygiene behavior, important for oral health but not a societal condition. Tooth enamel hardness is a biological property of the tooth, determined by genetics and mineral content, not by social factors. Fluoride toothpaste brand is a product choice that can influence outcomes but doesn’t illustrate a social determinant.