December 2010

Volume 27, Issue 4

December 2010 Supplement 2: Global oral health of older people – Call for public health action

Authors: P.E. Petersen D. Kandelman S. Arpin H. Ogawa
doi: 10.1922/CDH_2711Petersen11


Background: The aim of this report is 1) to provide a global overview of oral health conditions in older people, use of oral health services, and self care practices; 2) to explore what types of oral health services are available to older people, and 3) to identify some major barriers to and opportunities for the establishment of oral health services and health promotion programmes. Methods: A postal questionnaire designed by the World Health Organization (WHO) was distributed worldwide to the Chief Dental Officers or country oral health focal points at ministries of health. WHO received 46 questionnaires from countries (39% response rate). In addition, systematic data were collected from the WHO Global Oral Health Data Bank and the World Health Survey in order to include oral health information on the remaining countries. In total, the data base covers 136 out 193 countries, i.e. 71% of all WHO Member States. Results: Dental caries and periodontal disease comprise a considerable public health problem in the majority of countries. Significant disparities within and between regions are observed in epidemiologic indicators of oral disease. The prevalence rates of tooth loss and experience of oral problems vary substantially by WHO Region and national income. Experience of oral problems among older people is high in low income countries; meanwhile, access to health care is poor, in particular in rural areas. Although tooth brushing is the most popular oral hygiene practice across the world, regular tooth brushing appears less common among older people than the population at large. In particular, this practice is less frequent in low income countries; in contrast, traditional oral self-care is prevalent in several countries of Africa and Asia. While fluoridated toothpaste is widely used in developed countries, it is extremely infrequent in most developing countries. Oral health services are available in developed countries; however, the use of such services is low among the older people. Lack of financial support from government and/or lack of third party payment systems render oral health services unaffordable to them. According to the country reports, health promotion programmes targeting older people are rare and this reflects the lack of oral health policies. Although some countries have introduced oral health promotion initiatives, worldwide there are few population-oriented preventive or curative activities currently implemented that focus specifically on the elderly. Barriers to the organization of such programmes relate to weak national health policy, lack of economic resources, the impact of poor oral health, and lack of tradition in oral health. Opportunities for oral health programmes for old-age people are related to updated information on the burden of oral disease and need for care, fair financing of age-friendly primary health care, integration of oral health into national health programmes, availability of oral health services, and ancillary personnel. Conclusion: It is highly recommended that countries establish oral health programmes to meet the needs of the elderly. Relevant and measurable goals must be defined to direct the selection of suitable interventions to improve their oral health. The common risk factors approach must be applied in public health interventions for disease prevention. The integration of oral health into national general health programmes may be effective to improve the oral health status and quality of life of this population group. Key words: Global oral health status, need for oral health care, older people, oral health services, risk factors.


Other articles in this issue

Article Pages Access
Editorial - Improvement of global oral health - the leadership role of the World Health Organization 194-199 Download
Trends in childrens’ ability to consent to a dental examination and the potential impact on reported caries indices 200-205 Download
Tooth surface loss, prevalence and associated risk factors among 12-14 years school children in Khartoum State, Sudan 206-212 Download
Dental caries experience of Kuwaiti kindergarten schoolchildren 213-217 Download
Trends in dental caries experience among children and adoles-cents in northern Poland between 1995 and 2003. 218-221 Download
Oral health status of Chinese teenagers with cerebral palsy 222-226 Download
Heavy consumption of dental services among Finnish adults 227-232 Download
Five-year follow-up of oral health and seizure condition of patients with epilepsy: a prospective observational stud 233-237 Download
Distribution of certain types of occlusal anomalies among Saudi Arabian adolescents in Jeddah city 238-241 Download
Oral health-related quality of life of elderly Germans - comparison of GOHAI and OHIP-14 242-247 Download
Salivary Streptococcus mutans level: value in caries prediction for 11-12-year-old children 248-252 Download
Short Communication - The quality of reporting of randomised controlled trials in dental public health 253-256 Download
December 2010 Supplement 2: Global oral health of older people – Call for public health action 257-268 Download


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