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Oral health is a central part of general health, yet millions of people worldwide remain affected by preventable oral diseases. Tooth decay, gum disease, tooth loss, oral cancer, and orofacial trauma are all on the rise—most due to lifestyle and systemic inequalities. Here, we cover the most common oral health issues, causes and risk factors, and what the World Health Organization (WHO) is doing about the worldwide burden of oral disease.
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Most Prevalent Oral Ailments and Diseases
1. Tooth Decay (Dental Caries)
The most prevalent oral disease worldwide is tooth decay. Dental plaque decomposes free sugars (honey, added sugars, and fruit juices) into acids that erode tooth enamel. In the absence of fluoride exposure and proper oral hygiene, caries may lead to pain, infection, and tooth loss.
Important prevention tips:
- Limit sugary food and beverage intake
- Brush teeth with fluoride toothpaste twice a day
- Increase exposure to fluoride via water and oral products
2. Periodontal (Gum) Disease
Periodontal disease affects the periodontal tissues that hold the teeth in place and often begins as gingivitis (gums bleed, get swollen). If not treated, it can advance to periodontitis and lead to loss of teeth.
Over 1 billion people globally are affected.
Main risk factors:
- Poor oral hygiene
- Use of tobacco
3. Edentulism (Total Tooth Loss)
Tooth loss, typically the final outcome of neglected gum disease and caries, affects nearly 7% of the world's adult population and 23% of individuals above the age of 60.
Tooth loss carries serious consequences, including:
- Chewing and talking difficulties
- Loss of social status and decreased self-esteem
- Functional disability and poor nutrition
4. Oral Cancer
Oral cancer includes mouth, oropharynx, and lip cancers. It's the 13th most common cancer worldwide, with almost 390,000 new cases and 188,000 deaths in 2022 alone.
Risk factors:
- Use of tobacco and alcohol
- Betel quid (areca nut) chewing
- HPV infection (especially in Europe and North America)
Mouth and tooth injuries impact around 1 billion individuals, mostly children younger than 12 years old. Causes include sporting accidents, unsafe environments, and violence.
Impacts:
- Tooth loss
- Costly and lengthy treatments
- Psychological and facial development effects
6. Noma: A Neglected Tropical Disease
Noma is a fast-spreading gangrenous oral infection affecting mostly malnourished children aged 2–6 living in extreme poverty.
⚠️ Key facts:
- 140,000 new cases annually
- 90% death rate if not treated
- Survivors with severe facial disfigurement and social ostracism
Early antibiotic, nutrition, and hygiene treatment can halt the process.
7. Orofacial Clefts (Cleft Lip and Palate)
Cleft lip and palate are the most common craniofacial birth defects, affecting 1 in 1,000–1,500 births globally.
Risk factors:
- Genetic susceptibility
- Poor maternal diet
- Alcohol, smoking, and pregnancy-induced obesity
Surgery offers full rehabilitation if access is available.
Root Risk Factors for Oral Diseases
Lifestyle and overall health are intertwined with oral health. The same risk factors that contribute to noncommunicable disease (NCD) conditions like heart disease and diabetes affect oral health as well.
Common Modifiable Risk Factors:
Diabetes and Periodontal Disease: They have a two-way relationship where each condition worsens the other.
Oral Health Inequities: A Global Challenge
A disproportionate burden of oral disease is borne by disadvantaged groups. In every country, lower education, income, and exclusion from health care are associated with higher rates of oral disease.
Out-of-pocket dental care expenditure is a key driver of catastrophic health spending across most countries.
Prevention: A Public Health Priority
To prevent the global burden of oral disease, there must be enormous public health action in the prevention field.
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Effective Prevention Measures:
- Low-free-sugar and high-fruit and vegetable diets
- Do not use tobacco and reduce alcohol intake
- Encourage usage of fluoride by water and toothpaste
- Provide safe settings to prevent facial injuries
- Educate community about oral hygiene
Fluoride toothpaste (1000–1500 ppm), twice daily, is necessary for cavity prevention.
Access to Oral Health Services: Bridging the Gap
Disparities in oral health worker numbers and facilities mean that most populations lack access to basic dental care. Integration of oral health into primary health care and universal health coverage (UHC) is vital to reducing inequality.
WHO's Global Response to the Oral Health Crisis
The 2021 World Health Assembly Resolution on Oral Health represented a major turning point in global oral health policy.
WHO Actions Include:
2022: Global Strategy on Oral Health (WHA75.11)
2023: Global Oral Health Action Plan 2023–2030 (GOHAP)
2024: Bangkok Declaration – No Health Without Oral Health
The Bangkok Declaration highlights:
- Increased profile for oral health as a matter of public health
- Integration of oral health into NCD and UHC agendas
- Construction of primary care systems with environmental and climate resiliency in mind
Conclusion: Oral Health Is Essential for General Health
Oral disease is not just a dental issue—it is directly related to systemic health, social functioning, and economic stability. Through proper prevention, equitable access to care, and vigorous world leadership, we can reverse the tide of oral disease.
✅ Act Now for Better Oral Health:
- Brush your teeth twice daily with fluoride toothpaste
- Eat a balanced, low-sugar diet
- Avoid tobacco and limit alcohol use
- Visit your dentist often
- Promote policy to improve health equity
References:
1. [Global Cancer Observatory – Cancer Today (IARC, 2024)](https://gco.iarc.who.int/today)
2. Salari N et al. (2021). Global prevalence of cleft palate, lip and both. J Stomatol Oral Maxillofac Surg.
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