L J Jin1, I B Lamster2, J S Greenspan3, N B Pitts4, C Scully5, S Warnakulasuriya6. 1. Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China. ljjin@hku.hk. 2. Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY, USA. 3. Department of Orofacial Sciences, School of Dentistry at University of California, San Francisco, San Francisco, CA, USA. 4. Dental Innovation and Translation Centre, King's College London Dental Institute, London, UK. 5. WHO Collaborating Centre for Oral Health-General Health; and University College, London, UK. 6. King's College London Dental Institute, and WHO Collaborating Centre for Oral Cancer, London, UK.
Abstract
OBJECTIVES: This study presents the global burden of major oral diseases with an exegetical commentary on their current profiles, the critical issues in oral healthcare and future perspectives. METHODS: A narrative overview of current literature was undertaken to synthesise the contexts with critical elaboration and commentary. RESULTS: Oral disease is one of the most common public health issues worldwide with significant socio-economic impacts, and yet it is frequently neglected in public health policy. The oral data extracted from the Global Burden of Disease Study in 2010 (Murray et al, 2012) show that caries, periodontal disease, edentulism, oral cancer and cleft lip/palate collectively accounted for 18 814 000 disability-adjusted life-years; and the global burden of periodontal disease, oral cancer and caries increased markedly by an average of 45.6% from 1990 to 2010 in parallel with the major non-communicable diseases like diabetes by 69.0%. Oral diseases and non-communicable diseases are closely interlinked through sharing common risk factors (e.g. excess sugar consumption and tobacco use) and underlying infection/inflammatory pathways. CONCLUSIONS: Oral disease remains a major public health burden worldwide. It is of great importance to integrate oral health into global health agenda via the common risk factor approach. The long-term sustainable strategy for global oral health should focus on health promotion and disease prevention through effective multidisciplinary teamwork.
OBJECTIVES: This study presents the global burden of major oral diseases with an exegetical commentary on their current profiles, the critical issues in oral healthcare and future perspectives. METHODS: A narrative overview of current literature was undertaken to synthesise the contexts with critical elaboration and commentary. RESULTS:Oral disease is one of the most common public health issues worldwide with significant socio-economic impacts, and yet it is frequently neglected in public health policy. The oral data extracted from the Global Burden of Disease Study in 2010 (Murray et al, 2012) show that caries, periodontal disease, edentulism, oral cancer and cleft lip/palate collectively accounted for 18 814 000 disability-adjusted life-years; and the global burden of periodontal disease, oral cancer and caries increased markedly by an average of 45.6% from 1990 to 2010 in parallel with the major non-communicable diseases like diabetes by 69.0%. Oral diseases and non-communicable diseases are closely interlinked through sharing common risk factors (e.g. excess sugar consumption and tobacco use) and underlying infection/inflammatory pathways. CONCLUSIONS:Oral disease remains a major public health burden worldwide. It is of great importance to integrate oral health into global health agenda via the common risk factor approach. The long-term sustainable strategy for global oral health should focus on health promotion and disease prevention through effective multidisciplinary teamwork.
Authors: Jonathan G Messer; Stephanie La; Deborah E Kipp; Evelyn J Castillo; Joshua F Yarrow; Marda Jorgensen; Russell D Wnek; Donald B Kimmel; José Ignacio Aguirre Journal: Comp Med Date: 2019-10-01 Impact factor: 0.982