Inequalities in oral health: The economic burden of dental caries

Abstract

Aim or Purpose: This study aimed to: determine the lifetime costs of preventing and managing of dental caries in five countries (Brazil, Germany, Indonesia, Italy, UK), and assess the impact on these costs from levelling up prevention and management across socioeconomic groups in the five study countries. We comment on plausible actions for stakeholders to better manage the burden presented by dental caries. Materials and Methods: We conducted an evidence review, expert engagement via a group meeting and one-on-one expert interviews, alongside an economic evaluation. A cohort simulation model was developed, estimating the projected lifetime costs for a cohort aged 12 years old today, using national-level DMFT data and progression rates of dental caries through an individual's lifetime. Results: Base on the preliminary analysis, the lifetime costs of dental caries represent a significant burden on individuals and health systems. The lowest socioeconomic groups in each country face the greatest health and economic burden from the disease. By targeting preventative interventions to reduce the incidence of dental caries, there is considerable potential for individual countries to improve oral health across their population. Conclusions: This unique analysis of the economic costs of preventing and managing dental caries across socioeconomic groups in five countries supports policymakers in raising awareness of this important issue amongst their stakeholders. Prioritising the prevention of dental caries can be justified based on these data that quantify the benefit in economic terms and provides a broad agenda for action.This study was commissioned by the EFP. This research was funded by a grant from Haleon.