Abstract
This chapter introduces a range of population health metrics unfamiliar to most public health dentists. The authors define and explain the use of disability weights, years lived with disability (YLDs), and disability-adjusted life years (DALYs) metrics. Following this, the authors present the latest estimates on the epidemiology and trends from 1990 to 2015 for the three most common oral conditions, namely, untreated dental caries, severe periodontitis, and total tooth loss. For this purpose, the authors use findings from the Global Burden of Disease (GBD) study. The GBD study systematically produces comparable estimates of the burden of more than 300 diseases and injuries, and their associated sequelae, by age, sex, geography, and time. The findings of the GBD study demonstrate that oral conditions represent a major population health challenge. Nearly half of the world population suffered the consequences of untreated oral conditions. The evidence put forward challenges the widely held view that population oral health has improved in recent decades. While the prevalence for each oral condition remained stagnant over the last 25 years, increases in population size and life expectancy have led to a dramatic increase in the number of people with untreated oral conditions worldwide. In conclusion, greater efforts, and potentially different approaches, are needed to reduce the global high level of oral diseases and to minimize their impact on individuals and society.
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Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2163–96.
Marcenes W, Kassebaum NJ, Bernabé E, Flaxman A, Naghavi M, Lopez A, et al. Global burden of oral conditions in 1990-2010: a systematic analysis. J Dent Res. 2013;92(7):592–7.
Salomon JA, Vos T, Hogan DR, Gagnon M, Naghavi M, Mokdad A, et al. Common values in assessing health outcomes from disease and injury: disability weights measurement study for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2129–43.
Salomon JA, Haagsma JA, Davis A, de Noordhout CM, Polinder S, Havelaar AH, et al. Disability weights for the Global Burden of Disease 2013 study. Lancet Glob Health. 2015;3(11):e712–23.
Murray CJL, Ezzati M, Flaxman AD, Lim S, Lozano R, Michaud C, et al. GBD 2010: design, definitions, and metrics. Lancet. 2012;380(9859):2063–6.
GBD 2015 DALYs and HALE Collaborators. Global, regional and national disability-adjusted life years (DALYs) for 313 diseases and injuries and healthy life expectancy (HALE) for 195 countries, 1990–2015: a systematic analysis for the Global Burden of Diseases, Injuries, and Risk Factors (GBD) 2015 Study. Lancet. 2016;388(10053):1603–58.
GBD 2017 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1859–922.
Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2197–223.
Kassebaum NJ, Smith AGC, Bernabé E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990–2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;96(4):380–7.
Featherstone JD. The continuum of dental caries – evidence for a dynamic disease process. Journal of dental research. 2004;83 Spec No C:C39–42.
Kidd EA, Fejerskov O. What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms. Journal of dental research. 2004;83 Spec No C:C35–8.
Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007;369(9555):51–9.
WHO. Oral health survey: basic methods. Geneva: World Health Organization; 1997.
WHO. Oral health survey: basic methods. Geneva: World Health Organization; 2013.
Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015;94(5):650–8.
GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1545–602.
Griffin SO, Griffin PM, Swann JL, Zlobin N. New coronal caries in older adults: implications for prevention. J Dent Res. 2005;84(8):715–20.
Thomson WM. Dental caries experience in older people over time: what can the large cohort studies tell us? Br Dent J. 2004;196(2):89–92.
Broadbent JM, Page LA, Thomson WM, Poulton R. Permanent dentition caries through the first half of life. Br Dent J. 2013;215(7):E12.
Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - introduction and key changes from the 1999 classification. J Periodontol. 2018;89(Suppl 1):S1–s8.
Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: consensus report of workgroup 2 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions. J Periodontol. 2018;89(Suppl 1):S173–s82.
Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. J Dent Res. 2014;93(11):1045–53.
Dye BA, Tan S, Smith V, Lewis BG, Barker LK, Thornton-Evans G, et al. Trends in oral health status: United States, 1988-1994 and 1999-2004. Vital Health Stat 11. 2007;248:1–92.
Holtfreter B, Schützhold S, Kocher T. Is periodontitis prevalence declining? A review of the current literature. Current Oral Health Rep. 2014;1(4):251–61.
Wahlin A, Papias A, Jansson H, Norderyd O. Secular trends over 40 years of periodontal health and disease in individuals aged 20-80 years in Jonkoping, Sweden: repeated cross-sectional studies. J Clin Periodontol. 2018;45(9):1016–24.
Thornton-Evans G, Eke P, Wei L, Palmer A, Moeti R, Hutchins S, et al. Periodontitis among adults aged >/=30 years - United States, 2009-2010. MMWR Suppl. 2013;62(3):129–35.
Eke PI, Dye BA, Wei L, Slade GD, Thornton-Evans GO, Borgnakke WS, et al. Update on prevalence of periodontitis in adults in the United States: NHANES 2009 to 2012. J Periodontol. 2015;86(5):611–22.
Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661–9.
Baelum V, van Palenstein HW, Hugoson A, Yee R, Fejerskov O. A global perspective on changes in the burden of caries and periodontitis: implications for dentistry. J Oral Rehabil. 2007;34(12):872–906; discussion 40
Fejerskov O, Escobar G, Jossing M, Baelum V. A functional natural dentition for all - and for life? The oral healthcare system needs revision. J Oral Rehabil. 2013;40(9):707–22.
Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res. 2014;93(7 Suppl):20S–8S.
Sanders AE, Slade GD, Carter KD, Stewart JF. Trends in prevalence of complete tooth loss among Australians, 1979–2002. Aust N Z J Public Health. 2004;28(6):549–54.
Bernabe E, Sheiham A. Tooth loss in the United Kingdom – trends in social inequalities: an age-period-and-cohort analysis. PLoS One. 2014;9(8):e104808.
Slade GD, Akinkugbe AA, Sanders AE. Projections of U.S. Edentulism prevalence following 5 decades of decline. J Dent Res. 2014;93(10):959–65.
Further Reading
Appendix 1: Background and GBD 2015 methods for estimating the burden of oral conditions. In, Kassebaum NJ, Smith AGC, Bernabé E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990–2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;s96:380–7. https://journals.sagepub.com/doi/suppl/10.1177/0022034517693566/suppl_file/DS_10.1177_0022034517693566.zip.
Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe periodontitis in 1990–2010: a systematic review and meta-regression. J Dent Res. 2014a;93:1045–53.
Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res. 2014b;93:20S–8S.
Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015;94:650–8.
Kassebaum NJ, Smith AGC, Bernabé E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990–2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;96:380–7.
Marcenes W, Kassebaum NJ, Bernabé E, Flaxman A, Naghavi M, Lopez A, et al. Global burden of oral conditions in 1990–2010: a systematic analysis. J Dent Res. 2013;92:592–7.
Murray CJ, Ezzati M, Flaxman AD, Lim S, Lozano R, Michaud C, Naghavi M, Salomon JA, Shibuya K, Vos T, et al. GBD 2010: design, definitions, and metrics. Lancet. 2012;380(9859):2063–6.
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Marcenes, W., Bernabé, E. (2021). Global Burden of Oral Conditions. In: Peres, M.A., Antunes, J.L.F., Watt, R.G. (eds) Oral Epidemiology. Textbooks in Contemporary Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-030-50123-5_2
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