The State of Oral Health in EuropeReport Commissioned by the Platform

for Better Oral Health in Europe

Dr. Reena Patel, Dental Advisor

September 2012

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Foreword

The news on Europe’s oral health is both good and bad: the good news is that we have witnessed incred--

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Foreword

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Acknowledgements

The author: Dr. Reena Patel, Dental Advisor

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Table of Contents

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Executive Summary

Introduction and context

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Prevalence and trends of oral diseases in EU Member States

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Key points

Economic impact of oral diseases in Europe

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Key points

Inequalities relating to the treatment of oral diseases in Europe

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Key points:

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Oral health policies, the promotion of oral health and the prevention of oral diseases in Europe

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Key points

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Conclusions and recommendations for European decision-makers

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Section 1: About oral health

Key points

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What are oral diseases?

Dental caries (tooth decay)

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Gum (Periodontal) Diseases

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Oral cancer

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Risk factors for oral diseases

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-tailed below in greater detail:

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Good oral health is an integral part of general health and well-being -

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Section 2: The prevalence of oral diseases in EU Member States

Key points

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Prevalence and trends in dental caries

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Austria

France

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The state of periodontal health in Europe

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5DMFT Score in 1980 - 1990

DMFT Score in 2000 - 2009

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Oral cancer in Europe

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Section 3: Economic impact of oral diseases in Europe

Key points

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Spending on health and oral health

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Austria

EstoniaFinlandFrance

Greece

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OEC

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Section 4: Inequalities relating to the treatment of oral diseases in Europe

Key points

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Toothbrushing habits in Europe

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Access to dental services

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healthcare provision

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Austria -

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France

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Inequalities in attendance-

According to need

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Inequalities in types of dental treatment

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Inequalities in income status and dental attendance

Inequalities in education levels and dental attendance

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Reasons impacting upon dental attendance

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Section 5: Oral health policies, the promotion of oral health and the prevention of oral diseases in Europe

Key points

Preventing oral diseases

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Fluorides and oral health

Good practice from across Europe

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Good practice: Fluoridated salt programmes

Good practice: Fluoridated milk programmes

Good practice: Childsmile Program, Scotland

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Good practice: Denmark’s preventative oral health care model

Good practice: An evidence-based toolkit for prevention

Good practice: Community centre based programmes

Good practice: Use of peer leaders in school-based oral health promotion

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Good practice: Integrating oral health checks within general health assessments for elderly people living in the community

Good practice: raising patient awareness in oral hygiene measures to encourage self-care and limit periodontal breakdown

Good practice: Oral cancer screening of high risk groups

Good practice: A national preventative programme to increase the frequency that teenagers attend the dentist for check-ups

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Good practice: Promotion of sugar-free products

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Good practice: Restricting marketing and improving the labelling of certain food products

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International examples of good practice: An online forum to share best practices

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Section 6: Conclusions: Understanding the problems

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Current trends in periodontal health and oral cancer and increasing oral health inequalities

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Improving the data and knowledge base, and mechanisms for measuring, monitoring, evaluating and reporting

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A lack of research in oral health promotion

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-motion: Developing an oral health promotion model to address the wider determinants of health

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Building capacity and capability in planning, delivering and assess-ing oral health promotion and preventative activities: Dental work-force limitations

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Section 7: Recommendations for European decision-makers

Key points

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Key points

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Make a commitment to improving oral health and preventing oral diseases across Europe and within individual Member States by 2020

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Address increasing oral health inequalities

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prevention and oral health promotion

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Develop the dental workforce

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Bridge the research gap in oral health promotion

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Improve the data and knowledge base, and mechanisms for measuring, monitoring evaluation and reporting

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References

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For more information, please visit our website

www.oralhealthplatform.eu