A global perspective on changes in the burden of caries and periodontitis: implications for dentistry*

Journal of Oral Rehabilitation - Tập 34 Số 12 - Trang 872-906 - 2007
Vibeke Bælum1, Wim van Palenstein Helderman2, Anders Hugoson3, Raymond Yee4, O. Fejerskov1
1Faculty of Health Sciences, University of Aarhus, Aarhus C, Denmark
2WHO Collaborating Centre for Oral Health Care Planning and Future Scenarios, Radboud University Medical Centre, Nijmegen, The Netherlands
3Department of Natural Science and Biomedicine, School of Health Sciences, Jönköping, Sweden
4Dentaid, Giles Lane, Landford, Salisbury, Wilts, UK

Tóm tắt

Summary  The structure and contents of most oral health care systems and the contents of dental curricula reflect a deep‐rooted tradition for attempting to cure oral diseases by refined technological means. However, better oral health conditions for the world’s populations necessitate the application of up‐to‐date scientific knowledge to control the major oral diseases. This review points out that not only should the structure and contents of oral health care delivery systems be based on state‐of‐the‐art knowledge about the biology of the oral diseases; they must also take into account the trends for change in caries and periodontal diseases within and between populations, and acknowledge the impact of changes in treatment philosophies for these trends. The oral disease profiles for populations in low‐ and high‐income countries are briefly described, and it is concluded that the rapidly changing disease profiles observed in high‐income countries necessitate re‐thinking of the future role and organization of dentistry in such countries. The priorities for low‐ and middle‐income countries must be to avoid repeating the mistakes made in the high‐income countries. Instead, these societies might take advantage of setting priorities based on a population‐based common risk factor approach. If such an approach is adopted, the training of personnel with oral health care competence must be rethought. The authors suggest three different cadres of dental care providers to be considered for an approach that allows health care planners in different populations around the world to prioritize appropriate oral health care with due respect for the socio‐economic conditions prevailing.

Từ khóa


Tài liệu tham khảo

Widström E, 2004, Oral healthcare systems in the extended European Union, Oral Health Prev Dent., 2, 155

Manji F, 1986, CPITN findings and the manpower implications of periodontal treatment needs for Kenyan children, Community Dent Health, 3, 143

Erichsen V, 1990, Professionalisation and Public Policy Variations. The Case of Dental Care in Britain and Norway

Lindblom C, 2004, Waiting for Dental Care – How Tooth Decay Became Politics

10.1038/sj.bdj.4812875

Widström E, 2004, Prevention and dental health services, Oral Health Prev Dent., 2, 255

Wylie I, 2002, Repositioning dentistry, Br Dent J, 193, 124, 10.1038/sj.bdj.4801503

American Dental Association, Alaska Native Dental Health Initiative

Alaska Native Tribal Health Consortium, Alaska Native Tribal Health Consortium

Dentists in the United States Public Health Service, Community Health Aide Program

10.1177/00220345880670021301

10.1159/000261155

10.1111/j.1600-0528.1989.tb00620.x

Baelum V, 1988, Tooth mortality and periodontal conditions in 60–80‐year‐old Chinese, Scand J Dent Res., 96, 99

10.1111/j.1600-0528.1986.tb01090.x

Tirwomwe F, 1988, Oral health in Uganda. Results of the National Survey 1987

Matthesen M, 1990, Dental health of children and adults in Guinea‐Bissau, West Africa, in 1986, Community Dent Health, 7, 123

10.1080/000163502753509464

Fejerskov O, 1994, Caries prevalence in Africa and the People’s Republic of China, Int Dent J, 44, 425

10.1159/000016592

10.1177/00220345890680121001

10.1034/j.1600-0757.2002.290105.x

Baelum V, 1998, The Epidemiology of Destructive Periodontal Disease. Causes, Paradigms, Problems, Methods and Empirical Evidence

Lopez R, 2003, Periodontitis in Adolescents. Studies among Chilean High School Students

10.1111/j.1365-2842.2007.01784.x

Black GV, 1914, A work on Operative Dentistry. Vol. 1. Pathology of the Dental Hard Tissues of the Teeth

Hunter J, 1771, The Natural History of the Human Teeth: Explaining their Structure, use, Formation, Growth, and Diseases

Hunter J, 1778, A Practical Treatise on the Diseases of the Teeth; Intended as a Supplement to the Natural History of those Parts

Fox J, 1806, The History and Treatment of the Diseases of the Teeth, the Gums, and the Alveolar Processes, with the Operations which they Respectively Require

Miller WD, 1890, The Micro‐organisms of the Human Mouth. The Local and General Diseases which are Caused by them

Black GV, 1914, A Work on Operative Dentistry. Vol. II. The Technical Procedures in Filling Teeth

Miller WD, 1891, The human mouth as a focus of infection, Dent Cosmos., 33, 689

Von Kaczorowski ???, 1886, Der ätiologische Zusammenhang zwischen Entzündung des Zahnfleisches und anderweitigen Krankheiten, Dtsch Monatsschr Zahnheilkd., 4, 115

Price WA, 1925, Buckley‐Price debate. Subject: Resolved, that practically all infected pulpless teeth should be removed, J Am Dent Assoc, 12, 1468

Rosenow EC, 1926, Oral Sepsis in its Relationship to Focal Infection and Elective Localization. Transactions of the 7th International Dental Congress, 455

Buckley JP, 1925, Buckley‐Price debate. Subject: Resolved, that practically all infected pulpless teeth should be removed, J Am Dent Assoc, 12, 1499

Black AD, 1918, Roentgenographic studies of tissues involved in chronic mouth infections, Dent Summary., 38, 924

10.1111/j.1752-7325.1978.tb03753.x

10.1002/j.0022-0337.1985.49.6.tb01896.x

World Health Organization, 1978, Epidemiology, Etiology, and Prevention of Periodontal Diseases

Waerhaug J, 1966, World Workshop in Periodontics, 179

10.1902/jop.1978.49.5.225

10.1111/j.1600-051X.1975.tb01727.x

10.1034/j.1600-051X.29.s3.2.x

10.1902/jop.2004.75.8.1046

10.14219/jada.archive.2002.0377

10.1111/j.1601-0825.2000.tb00126.x

10.1111/j.1600-0757.2006.00197.x

10.1111/j.1600-0757.2006.00196.x

10.1016/j.cden.2005.03.002

10.1902/jop.1955.26.3.185

10.1902/jop.1965.36.3.177

World Health Organization, 1997, Oral Health Surveys. Basic Methods

World Health Organization, 1987, Oral Health Surveys. Basic Methods

World Health Organization, 1977, Oral Health Surveys. Basic Methods

World Health Organization, 1971, Oral Health Surveys. Basic Methods

10.1177/00220345560350030401

Ainamo J, 1982, Development of the World Health Organization (WHO) Community Periodontal Index of Treatment Needs (CPITN), Int Dent J, 32, 281

10.1111/j.1600-0528.1996.tb00880.x

Holmgren CJ, 1994, CPITN – interpretations and limitations, Int Dent J, 44, 533

Petersen PE, 2005, The global burden of oral diseases and risks to oral health, Bull World Health Org., 83, 661

Historical National Health Expenditure Data, Centers for Medicare & Medicaid Services, Office of the Actuary

10.1111/j.1875-595X.2002.tb00589.x

10.1111/j.1875-595X.2003.tb00666.x

10.2105/AJPH.86.5.678

10.1111/j.1600-0528.2007.00348.x

Rose G, 1992, The Strategy of Preventive Medicine

10.1093/ije/14.1.32

Holst D, 2005, Causes and prevention of dental caries: a perspective on cases and incidence, Oral Health Prev Dent., 3, 9

10.1080/135762800750059435

10.1111/j.1600-0528.2004.00190.x

10.1034/j.1600-0722.2001.00022.x

10.1034/j.1600-0528.2000.028006399.x

Anonymous, 1986, Ottawa charter for health promotion, Can J Publ Health., 77, 425

10.1111/j.1600-0528.1989.tb00610.x

10.1902/jop.1989.60.7.371

10.1111/j.1600-0757.1993.tb00227.x

10.1111/j.1600-0528.1983.tb01389.x

10.1111/j.1600-0528.1988.tb01854.x

10.1111/j.1600-051X.1995.tb00126.x

WHO, 1946, Preamble to the Constitution of the World Health Organization

10.1111/j.1875-595X.1999.tb00522.x

Murray CJL, 1996, The Global Burden of Disease. A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1880 and Projected to 2020

10.1111/j.1600-0528.1978.tb01110.x

Ettinger RL, 1971, An evaluation of the attitudes of a group of elderly edentulous patients to dentists, dentures, and dentistry, Dent Pract Dent Rec., 22, 85

10.1186/1472-6831-6-5

10.1159/000261178

10.1111/j.1600-0528.1993.tb01103.x

Ainamo J, 1984, The frequency of periodontal extractions in Finland, Community Dent Health, 1, 165

10.14219/jada.archive.1987.0052

10.1111/j.1600-0528.1991.tb00183.x

10.1016/S0300-5712(01)00036-7

10.4314/eamj.v81i6.9183

10.1111/j.1875-595X.2005.tb00027.x

10.1111/j.1600-0528.1996.tb00841.x

10.1177/00220345850640081401

Corbet EF, 1991, Reasons given for tooth extractions in Hong Kong, Community Dent Health, 8, 121

10.1111/j.1600-0528.1996.tb00872.x

10.1111/j.1600-0528.1996.tb00828.x

10.1111/j.1600-0528.1994.tb02056.x

10.1111/j.1875-595X.2000.tb00564.x

10.1902/jop.2005.76.12.2187

10.1034/j.1600-0722.2003.00014.x

10.1111/j.1600-051X.2005.00822.x

10.1177/002203459607502S08

10.1902/jop.1999.70.1.30

10.1111/j.1600-051X.1988.tb01599.x

10.1902/jop.1999.70.1.13

10.1902/jop.2005.76.8.1406

10.1902/jop.1999.70.7.711

10.1902/jop.2000.71.5.743

10.1034/j.1600-0528.2003.00061.x

10.1111/j.1600-0528.2006.00271.x

10.1902/jop.2006.050158

Anumanrajadhon T, 1996, The community care model of the intercountry Centre for Oral Health at Chiangmai, Thailand, Int Dent J, 46, 325

Lembariti BS, 1994, Periodontal Diseases in Tanzania. A Study on Susceptibility and Prevention Programmes

10.1111/j.1600-051X.1998.tb02360.x

Frandsen A, 1986, Dental Plaque Control Measures and Oral Hygiene Practices, 93

Frencken JE, 2002, Basic Package of Oral Care

Sheiham A, 1996, The Prevention of Oral Diseases, 234

Low W, 1999, The effect of severe caries on the quality of life in young children, Pediatr Dent, 21, 325

Filstrup SL, 2003, Early childhood caries and quality of life: child and parent perspectives, Pediatr Dent, 25, 431

Elice CE, 1990, Failure to thrive: review of the literature, case reports, and implications for dental treatment, Pediatr Dent, 12, 185

10.1136/jech.36.1.49

Acs G, 1992, Effect of nursing caries on body weight in a pediatric population, Pediatr Dent, 14, 302

Ayhan H, 1996, The effect of nursing or rampant caries on height, body weight and head circumference, J Clin Pediatr Dent., 20, 209

Acs G, 1999, The effect of dental rehabilitation on the body weight of children with early childhood caries, Pediatr Dent, 21, 109

Acs G, 2001, Perceived outcomes and parental satisfaction following dental rehabilitation under general anesthesia, Pediatr Dent, 23, 419

Thomas CW, 2002, Changes in incremental weight and well‐being of children with rampant caries following complete dental rehabilitation, Pediatr Dent, 24, 109

10.1038/sj.bdj.4801338

10.1038/sj.bdj.4801495

10.1038/sj.bdj.4810070

10.1080/00016350510019829

Pitts NB, 2005, The dental caries experience of 5‐year‐old children in England and Wales (2003/4) and in Scotland (2002/3). Surveys co‐ordinated by the British Association for the Study of Community Dentistry, Community Dent Health, 22, 46

10.1038/sj.bdj.4812746

World Health Organisation, WHO Oral Health Country/Area Profile Programme

Liverpool Declaration: Promoting Oral Health in the 21st Century. A Call for Action

10.1177/002203459607502S04

Fejerskov O, 1982, Decrease in caries experience in Danish children and young adults in the 1970’s, J Dent Res, 67, 1305

Anderson RJ, 1982, The reduction of dental caries prevalence in English schoolchildren, J Dent Res, 61, 1311

O’Mullane DM, 1982, The changing patterns of dental caries in Irish schoolchildren between 1961 and 1981, J Dent Res, 61, 1317

Kalsbeek H, 1982, Evidence of decrease in prevalence of dental caries in The Netherlands: an evaluation of epidemiological caries surveys performed on 4–6‐ and 11–15‐year‐old children, performed between 1965 and 1980, J Dent Res, 61, 1321

Brown RH, 1982, Evidence of decrease in the prevalence of dental caries in New Zealand, J Dent Res, 61, 1327, 10.1177/002203458206101S01

Von Der Fehr FR, 1982, Evidence of decreasing caries prevalence in Norway, J Dent Res, 61, 1331

Downer MC, 1982, Secular changes in caries experience in Scotland, J Dent Res, 61, 1336

10.1111/j.0909-8836.2004.00099.x

10.1034/j.1600-0528.2000.028005382.x

10.1159/000077752

Poulsen S, 1999, Dental caries in Danish children and adolescents 1988–1997, Community Dent Health, 16, 166

Poulsen S, 2002, Dental caries in Danish children: 1988‐2001, Eur J Paediatr Dent., 4, 195

Sundhedsstyrelsen, 1989, Børne‐ og ungdomstandplejen in Danmark 1988, Primær sundhedstjenestestatistik III., 11, 7

Hugoson A, 2005, Oral health of individuals aged 3‐80 years in Jönköping, Sweden during 30 years (1973–2003). I. Review of findings of dental care habits and knowledge of oral health, Swed Dent J, 29, 125

Hugoson A, 2005, Oral health of individuals aged 3–80 years in Jönköping, Sweden during 30 years (1973–2003). II. Review of clinical and radiographic findings, Swed Dent J, 29, 139

10.1111/j.1600-051X.1998.tb02485.x

WHO, 1990, Educational Imperatives for Oral Health Personnel: Change or Decay? Technical Report Series 794

10.1111/j.1875-595X.2005.tb00049.x

Locker D, 1989, An Introduction to Behavioural Science and Dentistry

10.1111/j.1875-595X.2003.tb00749.x

10.1186/1477-7525-2-57

Chen MS, 1997, Comparing Oral Health Care Systems: A Second International Collaborative Study

Naidoo S, 2001, Prevalence and impact of dental pain in 8–10‐year‐olds in the western Cape, S Afr Dent J., 56, 521

U.S. Department of Health and Human Services, 2000, Oral Health in America: A Report of the Surgeon General

Adams PF, 1995, Current estimates for the National Health Interview Survey, 1994

Schechter N, 2000, The impact of acute and chronic dental pain on child development, J Southeastern Soc Pediatr Dent., 6, 16

AraojoJR.Phillipine country report on school health promotion programme. Ayyuthaya Thailand Thammasat University. 2nd Asian Conference on Oral Health Promotion for School Children.2003:103–110.

10.1111/j.1600-0528.1993.tb00736.x

10.1111/j.1600-0528.1985.tb01678.x

10.1002/j.1875-595X.2001.tb00824.x

10.1111/j.1600-0528.1990.tb00024.x

10.1111/j.1875-595X.2006.tb00076.x

Todd R, 1994, Utilisation of dental services in Cambodia and the role of the traditional dentists, Community Dent Health, 11, 34

10.1111/j.1875-595X.2000.tb00561.x

10.1111/j.1875-595X.2000.tb00571.x

Oginni AO, 2004, Dental care needs and demands in patients attending the dental hospital of the Obafemi Awolowo University Teaching Hospital’s Complex Ile‐Ife, Nigeria, Niger J Med., 13, 339

Varenne B, 2005, Reasons for attending dental‐care services in Ouagadougou, Burkina Faso, Bull World Health Org., 83, 650

Shah N, 2001, Geriatric oral health issues in India, Int Dent J, 51, 212, 10.1002/j.1875-595X.2001.tb00869.x

10.1046/j..2003.com122.x

Beiruti N, 2004, Oral health in Syria, Int Dent J, 54, 383

Frandsen A, 1982, Dental health care in Scandinavia

Møller IJ, 1987, The Prevention of Non‐communicable Diseases: Experiences and Prospects, 79

Cohen LK, 1978, International Dental Care Delivery Systems: Issues in Dental Health Policies, 201

10.1111/j.1600-0528.1995.tb00258.x

10.1111/j.1600-0528.1996.tb00850.x

10.1111/j.1600-0757.2004.03796.x

Kabalo JM, 1988, Dental awareness among mothers attending MCH clinics in Bagamoyo District, Coast Region, Tanzania, Afr Dent J., 2, 65

Van Palenstein Helderman WH, 1998, Awareness, knowledge and behaviour pertaining to oral health of a rural population in Sreepur, J Oral Health Bangladesh., 4, 4

Van Palenstein Helderman WH, 1997, Oral health awareness and behaviour as indicator for a community oral health programme in Cimareme, Bandung, J PDG Indonesia., 46, 17

Peng B, 1997, Oral health status and oral health behaviour of 12‐year‐old urban schoolchildren in the People’s Republic of China, Community Dent Health, 14, 238

10.1111/j.1875-595X.1997.tb00454.x

10.1111/j.1600-0528.1987.tb00478.x

WHO, 2007, Health and the Millenium Development Goals

10.1111/j.1875-595X.1999.tb00528.x

BaartJ BosgraJ Van Palenstein HeldermanWH.Basic oral emergency care by auxilliaries for under‐served populations. Developing Dentistry.2005;6: FDI. Practical guide no. 1. Refs.

YeeR.Infection control for the delivery of basic oral emergency care. Developing Dentistry.2006;7: FDI. Practical guide no. 1. Refs.

10.1002/1099-1050(200007)9:5<447::AID-HEC529>3.0.CO;2-A

Grytten J, 1991, The effect of supplier inducement on Norwegian dental services; some empirical findings based on a theoretical model, Community Dent Health, 8, 221

Grytten J, 1990, The effect of the price of dental services on their demand and utilisation in Norway, Community Dent Health, 8, 303

10.1111/j.1600-0528.1992.tb00664.x

10.1111/j.1752-7325.1992.tb02274.x

Wright D, 2002, General dental practitioners’ beliefs on the perceived effects of and their preferences for remuneration mechanisms, Br Dent J, 192, 46, 10.1038/sj.bdj.4801288

Grytten J, 2005, Models for financing dental services. A review, Community Dent Health, 22, 75

10.1080/000163598422929

10.1111/j.1600-0528.1988.tb00567.x

10.1034/j.1600-0528.2003.00041.x

10.1002/14651858.CD002781.pub2

10.1159/000069841

10.1902/jop.1988.59.10.647

10.14219/jada.archive.1994.0085

10.1902/jop.1992.63.8.663

FDI, 2006, Declaration de principe de la FDI