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Declining Caries Trends: Are We Satisfied?

M D Lagerweij1, C van Loveren1

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Current Oral Health Reports
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Summary

Global caries prevalence has declined due to effective fluoride toothpaste use. However, dental caries still affects most children worldwide, necessitating continued prevention strategies.

Keywords:
CariesEpidemiologyFluoridePreventionSocio-economic statusTrend

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Area of Science:

  • Oral health epidemiology
  • Public health dentistry

Background:

  • Global caries prevalence has significantly declined, particularly in high-income nations, correlating with widespread fluoride toothpaste adoption.
  • Despite reductions, dental caries remains a prevalent global health issue, affecting 60-90% of children worldwide.
  • The progression of caries has shifted from childhood to adulthood in high-income countries, while low-income countries face different challenges, including higher sugar consumption.

Approach:

  • Analysis of World Health Organization (WHO) data on global caries trends.
  • Examination of the correlation between fluoride toothpaste use, sugar consumption, and caries prevalence across different income levels.
  • Evaluation of existing preventive dental programs and their applicability in diverse socioeconomic contexts.

Key Points:

  • Fluoride toothpaste is a key factor in the observed decline in caries.
  • Significant disparities in caries prevalence and progression exist globally, influenced by socioeconomic factors and sugar intake.
  • Preventive dental programs common in high-income countries may not be feasible in low-income settings.

Conclusions:

  • Continued promotion and accessibility of effective, affordable fluoride toothpaste are crucial for further global caries reduction.
  • Tailored public health strategies are needed to address the varying circumstances of caries worldwide.
  • Addressing socioeconomic determinants of oral health is essential for equitable caries prevention.