Global Burden of Oral Disease

Question 1

What percentage of oral disease goes untreated?

Answer 1

90%

Question 2

Comment on the change of prevalance of caries, perio disease and tooth loss over the last 30 years

Answer 2

Remains unchanged at 45%

Question 3

What populations are more affected by oral disease?

Answer 3

Disproportionally affects marginalised populations and those of lower socioeconomic status

Question 4

What % of global health expenditure is spent on oral disease?

Answer 4

4.6%

Question 5

What is the relevance of 4.6%?

Answer 5

% of global health expenditure is spent on oral disease

Question 6

What is the relevance of 90%

Answer 6

90% of oral disease goes untreated

Question 7

What disease has the highest burden globally?

Answer 7

Untreated caries in permanent dentition (35%)

Question 8

Comment on the number of populational dentist compared to a populations expenditure

Answer 8

Countries with the highest expenditure have the highest ratio of dentists to population

But also experience the greatest productivity loss

Question 9

Comment on the workforce of a country with big oral health burden

E.G. India

Answer 9

Countries with the biggest oral health burden have a lack of workforce able to respond to the oral health needs of the national population

Question 10

What countries have the highest sugar consumption?

Answer 10

European
USA
Brazil

Question 11

What countries have the lowest sugar consumption?

Answer 11

China
Central Africa

Question 12

Comment on the effect of education and income on caries prevalance

Answer 12

Low income and Poor education linked with high caries

Question 13

What are some causes of global oral disease? (6)

Answer 13

• Lack of prevention - developing countries are tx over prevention
• Education - ineffective message
• Financial- unemployment
• Individual lifestyle - smoking ,diet etc
• Poverty - sanitation
• Lack of oral health integration - dentistry not seen as mainstream healthcare

Question 14

What does social determinants of health mean?

Answer 14

The economic & social conditions under which people live which determine their health.

Question 15

What is the common risk factor approach?

Give some examples of how this is implemented

Answer 15

Addresses risk factors common to many chronic conditions (prevention over cure)

• Taxations on sugar rich substances
• Transparent food labelling
• Education/promotion into healthy eating

Question 16

What are the Lancet recommendations?

I ran even faster than Aadam

Answer 16

• Improve epidemiology and oral health surveillance systems
• Reform oral health-care systems
• Educate and train the future oral health workforce appropriately
• Focus on upstream interventions to maximise oral health improvement
• Tackle oral health inequalities
• Advance reserach agendas
• Amplify global advocacy

Question 17

6 recommendations of intergrating oral health into the NCD agenda
(NCD and FDI Collab recommendations)

Include, Integrate, Address, Strengthen, Promote, Adopt
| Ironman is a super powered avenger

Answer 17

1. Include oral health in national and global NCD stratergies and monitoring frameworks
2. Integrate oral health into programmes to acheive universal health coverage
3. Address common risk factors and social detreminants of health
4. Strengthen inter-professional education and collaboration
5. Promote research into interventions to reduce oral disease and NCDs
6. Adopt an oral health in all policies approach