Bir Halk Sağlığı Sorunu Olarak Ağız ve Diş Sağlığı
Özet
Ağız ve diş sağlığı, genel sağlık ve esenlik açısından kritik bir rol oynamaktadır. Diş çürükleri ve periodontal hastalıklar, küresel sağlık yükünün önemli bir kısmını oluşturmaktadır. Gelişmiş ülkelerde diş çürükleri hala önde gelen sağlık sorunları arasında yer almakta ve tedavi edilmemiş diş çürükleri, dünya genelinde milyonlarca insanı etkilemektedir. Ağız sağlığının korunması için toplum temelli müdahaleler, eğitim programları ve sosyoekonomik faktörlerin ele alınması gerekmektedir. Örneğin, Japonya'daki florürlü ağız çalkalama programları ve İsveç'teki evrensel diş bakım erişimi, ağız sağlığı sonuçlarını iyileştirmede etkili olmuştur. Ayrıca, ağız sağlığına yönelik disiplinler arası yaklaşımlar ve sektörler arası iş birlikleri, sağlık hizmetlerine erişimi artırarak daha iyi sonuçlar elde edilmesine katkıda bulunabilir. Sonuç olarak, ağız ve diş sağlığının korunması, toplum sağlığını iyileştirmek için hayati bir öneme sahiptir ve bu alanda etkili politikaların geliştirilmesi gerekmektedir.
Oral and dental health plays a critical role in overall health and well-being. Dental caries and periodontal diseases account for a significant proportion of the global health burden. In developed countries, dental caries is still among the leading health problems and untreated dental caries affects millions of people worldwide. Community-based interventions, education programs and socioeconomic factors need to be addressed to protect oral health. For example, fluoride mouth rinsing programs in Japan and universal dental care access in Sweden have been effective in improving oral health outcomes. Furthermore, interdisciplinary approaches to oral health and cross-sectoral collaborations can contribute to better outcomes by increasing access to health services. In conclusion, oral and dental health protection is vital for improving population health and effective policies need to be developed in this area.
Referanslar
World Health Organization. Oral health. (04/09/2023 tarihinde https://www.who.int/health-topics/oral-health#tab=tab_1adresinden ulaşılmıştır)
CDC. Healthy People 2030: Oral Health Objectives. (14/02/2024 tarihinde https://www.cdc.gov/oralhealth/about/healthy-people.html adresinden ulaşılmıştır)
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 Sep;83(9):661–9.
Yap A. Oral Health Equals Total Health: A Brief Review. Journal of Dentistry Indonesia. 2017 Aug 31;24(2).
Northridge ME, Kumar A, Kaur R. Disparities in Access to Oral Health Care. Annu Rev Public Health. 2020 Apr 2;41(1):513–35.
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.
Jean G, Kruger E, Lok V. Oral Health as a Human Right: Support for a Rights-Based Approach to Oral Health System Design. Int Dent J. 2021 Oct;71(5):353–7.
World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030. Geneva; 2023.
Song Y, Kim J. Community Water Fluoridation: Caveats to Implement Justice in Public Oral Health. Int J Environ Res Public Health. 2021 Mar 1;18(5):2372.
Javed F. Grand Challenges in Community Oral Health. Frontiers in Oral Health. 2020 Jul 14;1.
World Health Organization. Oral health data portal (17/09/2023 tarihinde https://www.who.int/data/gho/data/themes/oral-health-data-portal adresinden ulaşılmıştır)
Patel R. The State of Oral Health in Europe 2012. (20/09/2023 tarihinde http://www.oralhealthplatform.eu/wp-content/uploads/2015/09/Report-the-State-of-Oral-Health-in-Europe.pdf adresinden ulaşılmıştır)
Anaise JZ. Measurement of dental caries experience-modification of the DMFT index. Community Dent Oral Epidemiol. 1984 Feb;12(1):43–6.
Hayes A, Azarpazhooh A, Dempster L, Ravaghi V, Quiñonez C. Time loss due to dental problems and treatment in the Canadian population: analysis of a nationwide cross-sectional survey. BMC Oral Health. 2013 Dec 15;13(1):17.
König J, Holtfreter B, Kocher T. Periodontal health in Europe: future trends based on treatment needs and the provision of periodontal services – position paper 1. European Journal of Dental Education. 2010 May 12;14(s1):4–24.
National Center for Chronic Disease Prevention and Health Promotion (U.S.). Division of Oral Health. Oral health : preventing cavities, gum disease, tooth loss, and oral cancers : at a glance 2011. (20/09/2023 tarihinde https://stacks.cdc.gov/view/cdc/11862 adresinden ulaşılmıştır)
Bernabe E, Marcenes W, Hernandez CR, Bailey J, Abreu LG, Alipour V, et al. Global, Regional, and National Levels and Trends in Burden of Oral Conditions from 1990 to 2017: A Systematic Analysis for the Global Burden of Disease 2017 Study. J Dent Res. 2020 Apr 2;99(4):362–73.
Jin L, Lamster I, Greenspan J, Pitts N, Scully C, Warnakulasuriya S. Global burden of oral diseases: emerging concepts, management and interplay with systemic health. Oral Dis. 2016 Oct;22(7):609–19.
Glendor U. Epidemiology of traumatic dental injuries – a 12 year review of the literature. Dental Traumatology. 2008 Dec 18;24(6):603–11.
Baratti-Mayer D, Pittet B, Montandon D, Bolivar I, Bornand JE, Hugonnet S, et al. Noma: an “infectious” disease of unknown aetiology. Lancet Infect Dis. 2003 Jul;3(7):419–31.
Martinelli M, Palmieri A, Carinci F, Scapoli L. Non-syndromic Cleft Palate: An Overview on Human Genetic and Environmental Risk Factors. Front Cell Dev Biol. 2020 Oct 20;8.
Sabbah W, Gomaa N, Gireesh A. Stress, allostatic load, and periodontal diseases. Periodontol 2000. 2018 Oct;78(1):154–61.
Kocher T, König J, Borgnakke WS, Pink C, Meisel P. Periodontal complications of hyperglycemia/diabetes mellitus: Epidemiologic complexity and clinical challenge. Periodontol 2000. 2018 Oct;78(1):59–97.
Tsakos G, Sabbah W, Hingorani AD, Netuveli G, Donos N, Watt RG, et al. Is periodontal inflammation associated with raised blood pressure? Evidence from a National US survey. J Hypertens. 2010 Dec;28(12):2386–93.
Morita I, Inagaki K, Nakamura F, Noguchi T, Matsubara T, Yoshii S, et al. Relationship between periodontal status and levels of glycated hemoglobin. J Dent Res. 2012 Feb;91(2):161–6.
Monse B, Duijster D, Sheiham A, Grijalva-Eternod CS, van Palenstein Helderman W, Hobdell MH. The effects of extraction of pulpally involved primary teeth on weight, height and BMI in underweight Filipino children. A cluster randomized clinical trial. BMC Public Health. 2012 Aug 31;12:725.
Lee S, Sabbah W. Association between number of teeth, use of dentures and musculoskeletal frailty among older adults. Geriatr Gerontol Int. 2018 Apr;18(4):592–8.
Hakeem FF, Bernabé E, Sabbah W. Association between oral health and frailty: A systematic review of longitudinal studies. Gerodontology. 2019 Sep;36(3):205–15.
Sabbah W, Mortensen LH, Sheiham A, Batty GD. Oral health as a risk factor for mortality in middle-aged men: the role of socioeconomic position and health behaviours. J Epidemiol Community Health (1978). 2013 May;67(5):392–7.
Kuo LC, Polson AM, Kang T. Associations between periodontal diseases and systemic diseases: A review of the inter-relationships and interactions with diabetes, respiratory diseases, cardiovascular diseases and osteoporosis. Public Health. 2008 Apr;122(4):417–33.
Duangthip D, Chu CH. Challenges in Oral Hygiene and Oral Health Policy. Frontiers in Oral Health. 2020 Oct 7;1.
Gooch BF, Malvitz DM, Griffin SO, Maas WR. Promoting the Oral Health of Older Adults Through the Chronic Disease Model: CDC’s Perspective on What We Still Need to Know. J Dent Educ. 2005 Sep;69(9):1058–63.
Sakuma S, Yoshihara A, Miyazaki H, Kobayashi S. Economic Evaluation of a School-based Combined Program with a Targeted Pit and Fissure Sealant and Fluoride Mouth Rinse in Japan. Open Dent J. 2010 Dec 31;4(1):230–6.
Winkelmann J, Gómez Rossi J, Schwendicke F, Dimova A, Atanasova E, Habicht T, et al. Exploring variation of coverage and access to dental care for adults in 11 European countries: a vignette approach. BMC Oral Health. 2022 Dec 9;22(1):65.
Referanslar
World Health Organization. Oral health. (04/09/2023 tarihinde https://www.who.int/health-topics/oral-health#tab=tab_1adresinden ulaşılmıştır)
CDC. Healthy People 2030: Oral Health Objectives. (14/02/2024 tarihinde https://www.cdc.gov/oralhealth/about/healthy-people.html adresinden ulaşılmıştır)
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 Sep;83(9):661–9.
Yap A. Oral Health Equals Total Health: A Brief Review. Journal of Dentistry Indonesia. 2017 Aug 31;24(2).
Northridge ME, Kumar A, Kaur R. Disparities in Access to Oral Health Care. Annu Rev Public Health. 2020 Apr 2;41(1):513–35.
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.
Jean G, Kruger E, Lok V. Oral Health as a Human Right: Support for a Rights-Based Approach to Oral Health System Design. Int Dent J. 2021 Oct;71(5):353–7.
World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030. Geneva; 2023.
Song Y, Kim J. Community Water Fluoridation: Caveats to Implement Justice in Public Oral Health. Int J Environ Res Public Health. 2021 Mar 1;18(5):2372.
Javed F. Grand Challenges in Community Oral Health. Frontiers in Oral Health. 2020 Jul 14;1.
World Health Organization. Oral health data portal (17/09/2023 tarihinde https://www.who.int/data/gho/data/themes/oral-health-data-portal adresinden ulaşılmıştır)
Patel R. The State of Oral Health in Europe 2012. (20/09/2023 tarihinde http://www.oralhealthplatform.eu/wp-content/uploads/2015/09/Report-the-State-of-Oral-Health-in-Europe.pdf adresinden ulaşılmıştır)
Anaise JZ. Measurement of dental caries experience-modification of the DMFT index. Community Dent Oral Epidemiol. 1984 Feb;12(1):43–6.
Hayes A, Azarpazhooh A, Dempster L, Ravaghi V, Quiñonez C. Time loss due to dental problems and treatment in the Canadian population: analysis of a nationwide cross-sectional survey. BMC Oral Health. 2013 Dec 15;13(1):17.
König J, Holtfreter B, Kocher T. Periodontal health in Europe: future trends based on treatment needs and the provision of periodontal services – position paper 1. European Journal of Dental Education. 2010 May 12;14(s1):4–24.
National Center for Chronic Disease Prevention and Health Promotion (U.S.). Division of Oral Health. Oral health : preventing cavities, gum disease, tooth loss, and oral cancers : at a glance 2011. (20/09/2023 tarihinde https://stacks.cdc.gov/view/cdc/11862 adresinden ulaşılmıştır)
Bernabe E, Marcenes W, Hernandez CR, Bailey J, Abreu LG, Alipour V, et al. Global, Regional, and National Levels and Trends in Burden of Oral Conditions from 1990 to 2017: A Systematic Analysis for the Global Burden of Disease 2017 Study. J Dent Res. 2020 Apr 2;99(4):362–73.
Jin L, Lamster I, Greenspan J, Pitts N, Scully C, Warnakulasuriya S. Global burden of oral diseases: emerging concepts, management and interplay with systemic health. Oral Dis. 2016 Oct;22(7):609–19.
Glendor U. Epidemiology of traumatic dental injuries – a 12 year review of the literature. Dental Traumatology. 2008 Dec 18;24(6):603–11.
Baratti-Mayer D, Pittet B, Montandon D, Bolivar I, Bornand JE, Hugonnet S, et al. Noma: an “infectious” disease of unknown aetiology. Lancet Infect Dis. 2003 Jul;3(7):419–31.
Martinelli M, Palmieri A, Carinci F, Scapoli L. Non-syndromic Cleft Palate: An Overview on Human Genetic and Environmental Risk Factors. Front Cell Dev Biol. 2020 Oct 20;8.
Sabbah W, Gomaa N, Gireesh A. Stress, allostatic load, and periodontal diseases. Periodontol 2000. 2018 Oct;78(1):154–61.
Kocher T, König J, Borgnakke WS, Pink C, Meisel P. Periodontal complications of hyperglycemia/diabetes mellitus: Epidemiologic complexity and clinical challenge. Periodontol 2000. 2018 Oct;78(1):59–97.
Tsakos G, Sabbah W, Hingorani AD, Netuveli G, Donos N, Watt RG, et al. Is periodontal inflammation associated with raised blood pressure? Evidence from a National US survey. J Hypertens. 2010 Dec;28(12):2386–93.
Morita I, Inagaki K, Nakamura F, Noguchi T, Matsubara T, Yoshii S, et al. Relationship between periodontal status and levels of glycated hemoglobin. J Dent Res. 2012 Feb;91(2):161–6.
Monse B, Duijster D, Sheiham A, Grijalva-Eternod CS, van Palenstein Helderman W, Hobdell MH. The effects of extraction of pulpally involved primary teeth on weight, height and BMI in underweight Filipino children. A cluster randomized clinical trial. BMC Public Health. 2012 Aug 31;12:725.
Lee S, Sabbah W. Association between number of teeth, use of dentures and musculoskeletal frailty among older adults. Geriatr Gerontol Int. 2018 Apr;18(4):592–8.
Hakeem FF, Bernabé E, Sabbah W. Association between oral health and frailty: A systematic review of longitudinal studies. Gerodontology. 2019 Sep;36(3):205–15.
Sabbah W, Mortensen LH, Sheiham A, Batty GD. Oral health as a risk factor for mortality in middle-aged men: the role of socioeconomic position and health behaviours. J Epidemiol Community Health (1978). 2013 May;67(5):392–7.
Kuo LC, Polson AM, Kang T. Associations between periodontal diseases and systemic diseases: A review of the inter-relationships and interactions with diabetes, respiratory diseases, cardiovascular diseases and osteoporosis. Public Health. 2008 Apr;122(4):417–33.
Duangthip D, Chu CH. Challenges in Oral Hygiene and Oral Health Policy. Frontiers in Oral Health. 2020 Oct 7;1.
Gooch BF, Malvitz DM, Griffin SO, Maas WR. Promoting the Oral Health of Older Adults Through the Chronic Disease Model: CDC’s Perspective on What We Still Need to Know. J Dent Educ. 2005 Sep;69(9):1058–63.
Sakuma S, Yoshihara A, Miyazaki H, Kobayashi S. Economic Evaluation of a School-based Combined Program with a Targeted Pit and Fissure Sealant and Fluoride Mouth Rinse in Japan. Open Dent J. 2010 Dec 31;4(1):230–6.
Winkelmann J, Gómez Rossi J, Schwendicke F, Dimova A, Atanasova E, Habicht T, et al. Exploring variation of coverage and access to dental care for adults in 11 European countries: a vignette approach. BMC Oral Health. 2022 Dec 9;22(1):65.
