report - the state of oral health in europe

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    The State ofOral Health in Europe

    Report Commissioned by the Platformfor Better Oral Health in Europe

    Dr. Reena Patel, Dental Advisor

    September 2012

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    Foreword

    The news on Europes 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 oraldiseases 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 oforal 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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    DMFT Score in 1980 - 1990

    DMFT Score in 2000 - 2009

    Lithuania

    Poland

    Romania

    Ireland

    Spain

    France

    Italy

    AustriaU

    K

    Germany

    Denmark

    Cyprus

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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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    10000

    20000

    30000

    40000

    50000

    Romania

    Lithuania

    Poland

    Cyprus

    EuropeanUnion

    Spain

    Italy

    Ireland

    France

    UnitedKingdom

    Germany

    Austria

    Denmark

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    1000

    2000

    3000

    4000

    5000

    6000

    7000

    8000

    Romania

    Lithuania

    Poland

    Cyprus

    Spain

    Italy

    EuropeanUnion

    UnitedKingdom

    Ireland

    Germany

    France

    Austria

    Denmark

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    0,0

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    1,0

    Romania

    Lithuania

    Poland

    Cyprus

    Denmark

    France

    UK

    Austria

    Ireland

    Germany

    Italy

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    Austria

    Estonia

    Finland

    France

    Greece

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    0

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    40

    60

    80

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    OECD(24)

    Spain

    Denmark

    Poland

    OECD

    Austria

    Germany

    France

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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 - -

    France

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    Inequalities in attendance

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    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: Denmarks 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 generalhealth assessments for elderly people living in the community

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

    Good practice: Oral cancer screening of high risk groups

    Good practice: A national preventative programme to increasethe 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 andimproving 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 oralcancer and increasing oral health inequalities

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    Improving the data and knowledge base, and mechanismsfor 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 thewider 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 andpreventing oral diseases across Europe and within individualMember 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 mechanismsfor measuring, monitoring evaluation and reporting

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    References

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    For more information, please visit our websitewww.oralhealthplatform.eu