The Importance and Challenge of Oral Health in LMICs: Perspectives from Dental Medicine, Dental Librarianship, and Dental Administration

  • Chapter
  • First Online:
Transforming Global Health

Abstract

Everyone will be impacted by oral disease at some point in life. Dental caries (tooth decay) is the most widespread chronic disease worldwide, impacting nearly 100% of adults and 60–90% of school children. In addition, about 30% of people aged 65–74 have no natural teeth, and severe periodontal disease impacts 15–20% of middle-aged (35–44 years) adults globally. These staggering statistics demonstrate evidence of significant oral health neglect across the general population. This chapter discusses the challenges and solutions to improving oral health in low- and middle-income countries.

The objective is to provide the reader with a basic understanding of the relationship between oral health and systemic health, define social determinants of oral health, and the impact dental public health initiatives can have on overall health and lifestyle choices.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
EUR 29.95
Price includes VAT (Germany)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 42.79
Price includes VAT (Germany)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
EUR 53.49
Price includes VAT (Germany)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
EUR 53.49
Price includes VAT (Germany)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. World Health Organization. Oral health. 2012. http://www.who.int/oral_health/publications/factsheet/en/. Accessed 5 Feb 2018

  2. FDI World Dental Federation. The challenge of Oral disease – a call for global action. Geneva; 2015.

    Google Scholar 

  3. 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.

    PubMed  PubMed Central  Google Scholar 

  4. World Health Organization. The objectives of the WHO Global Oral Health Programme (ORH). 2018. http://www.who.int/oral_health/objectives/en/. Accessed 11 Sept 2018.

  5. Ring ME. Dentistry: an illustrated history. New York, St. Louis: Abrams, Mosby; 1985.

    Google Scholar 

  6. Simon L. Overcoming historical separation between oral and general health care: interprofessional collaboration for promoting health equity. AMA J Ethics. 2016;18(9):941–9. https://doi.org/10.1001/journalofethics.2016.18.9.pfor1-1609.

    Article  PubMed  Google Scholar 

  7. Kim J, Amar S. Periodontal disease and systemic conditions: a bidirectional relationship. Odontology. 2006;94(1):10–21. https://doi.org/10.1007/s10266-006-0060-6.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Rautemaa R, Lauhio A, Cullinan MP, Seymour GJ. Oral infections and systemic disease - an emerging problem in medicine. Clin Microbiol Infect. 2007;13(11):1041–7. https://doi.org/10.1111/j.1469-0691.2007.01802.x.

    Article  CAS  PubMed  Google Scholar 

  9. Zarco MF, Vess TJ, Ginsburg GS. The oral microbiome in health and disease and the potential impact on personalized dental medicine. Oral Dis. 2012;18(2):109–20. https://doi.org/10.1111/j.1601-0825.2011.01851.x.

    Article  CAS  PubMed  Google Scholar 

  10. Beaglehole R, Benzian H, Crail J, Mackay J. Oral health and general health. In: The oral health atlas. Brighton: FDI World Dental Federation; 2009. p. 18–9.

    Google Scholar 

  11. Kholy KE, Genco RJ, Van Dyke TE. Oral infections and cardiovascular disease. Trends Endocrinol Metab. 2015;26(6):315–21. https://doi.org/10.1016/j.tem.2015.03.001.

    Article  CAS  PubMed  Google Scholar 

  12. FDI World Dental Federation. Oral health worldwide. FDI World Dental Federation: Geneva; 201.

    Google Scholar 

  13. Benzian H, Bergman M, Cohen LK, Hobdell M, Mackay J. The UN high-level meeting on prevention and control of non-communicable diseases and its significance for oral health worldwide. J Public Health Dent. 2012;72(2):91–3.

    Article  Google Scholar 

  14. United Nations General Assembly. Political declaration of the high-level meeting of the general assembly on the prevention and control of non-communicable diseases. New York: United Nations; 2011.

    Google Scholar 

  15. American Heart Association. Added sugars. 2018. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sugar/added-sugars. Accessed 3 Jan 2019.

  16. Tomar SL, Asma S. Smoking-attributable periodontitis in the United States: findings from NHANES III. J Periodontol. 2000;71(5):743–51. https://doi.org/10.1902/jop.2000.71.5.743.

    Article  CAS  PubMed  Google Scholar 

  17. World Health Organization. Health workforce. Available online: https://doi.org/10.2471/BLT.15.020915 Accessed 4 Oct 2018.

  18. WHO Regional Office for Africa. Promoting oral health in Africa: prevention and control of oral diseases and noma as part of essential noncommunicable disease interventions. Geneva: World Health Organization; 2016.

    Google Scholar 

  19. Treerutkuarkul A, Gruber K. Prevention is better than treatment. Bull World Health Organ. 2015;93:594–5. http://www.who.int/gho/health_workforce/en/.

  20. Tepe JH, Tepe LJ. A model for mission dentistry in a develo** country. Front Public Health. 2017;5:119. https://doi.org/10.3389/fpubh.2017.00119.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Simonsen L, Kane A, Lioyd J, Zaffran M, Kane M. Unsafe injections in the develo** world and transmission of bloodborne pathogens: a review. Bull World Health Organ. 1999;77:789–800.

    CAS  PubMed  PubMed Central  Google Scholar 

  22. Benzian H. Revitalizing school health programs worldwide. Compend Contin Educ Dent. 2010;31(8):580–2.

    PubMed  Google Scholar 

  23. O’Callaghan MG. Implementation of an international short-term dental mission. Gen Dent. 2012;60(4):348–52; quiz 353–344.

    PubMed  Google Scholar 

  24. Illich I. To hell with good intentions. In: Speech to the conference on InterAmerican student projects. Mexico: CIASP; 1968.

    Google Scholar 

  25. Petersen PE, Ogawa H. Prevention of dental caries through the use of fluoride--the WHO approach. Community Dent Health. 2016;33(2):66–8.

    PubMed  Google Scholar 

  26. Holmgren C, Benzian H. Dental volunteering – a time for reflection and a time for change. Br Dent J. 2011;210(11):513–6. https://doi.org/10.1038/sj.bdj.2011.426.

    Article  CAS  PubMed  Google Scholar 

  27. American Dental Association. International dental volunteer guide. Chicago: American Dental Association; 2014.

    Google Scholar 

  28. American Dental Association. Principles of ethics & code of professional conduct. Chicago; 2018.

    Google Scholar 

  29. Diop M, Kanouté A, Diouf M, Ndiaye AD, Lo CMM, Faye D, Cissé D. Behavior of the access to oral health care in Senegal. Edorium J Public Health. 2017;4:58–68.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joseph E. Gambacorta .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gambacorta, J.E., Stellrecht, E., Harris, J.M. (2020). The Importance and Challenge of Oral Health in LMICs: Perspectives from Dental Medicine, Dental Librarianship, and Dental Administration. In: Smith, K., Ram, P. (eds) Transforming Global Health. Springer, Cham. https://doi.org/10.1007/978-3-030-32112-3_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-32112-3_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-32111-6

  • Online ISBN: 978-3-030-32112-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Navigation