Prioritizing Routine Dental Visits in Developing Nations: Addressing the Silent Epidemic
Keywords:
Oral healthcare, Routine dental visits, Oral diseases, Global burdenAbstract
In developing countries, the burden of oral disease remains a silent epidemic, yet not considered very important in comparison to other systemic health-associated challenges. While significant strides are being achieved in curbing major communicable diseases, some non-communicable diseases are not gaining the same ground, particularly oral diseases such as Dental caries and Periodontal diseases. The review, therefore, aims to highlight the significant role of” Routine Dental Visits” in mitigating against a rise in the global burden and the key factors responsible for its non-utilization generally. It identifies factors such as; poor perception and ignorance of the importance of oral health in relation to overall health, of both the individuals and the government, cultural barriers, affordability of oral health services, a generalized poor health seeking behavior, non\insufficient- health insurance coverage for oral diseases and the curative health model approach of the government system of care, as responsible. The consequence of this neglect was further analysed to be a worsening of clinical presentations, requiring a much higher level of funding than would have been needed for preventive oral healthcare. This subsequently translates to a higher financial burden on oral healthcare for both the individual and the government at large. Changing the status quo would require a change in the curative model approach to oral health to a preventive model of oral healthcare. This would include prioritizing routine oral\dental visits, as a core component of primary healthcare, leveraging on community-based strategies and the integration of oral healthcare into existing health platforms.
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References
Jain N, Dutt U, Radenkov I, Jain S. WHO’s global oral health status report 2022: Actions, discussion and implementation. Oral Diseases. 2023; 30(2);73-79.
Bernabe E, Marcenes W, Hernandez CR, Bailey J, Abreu LG, Alipour V, et a. 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;99(4):362-373.
Wu J, Chen J, Lv C, Zhou L. Global, regional, and National levels and trends in burden of dental caries and periodontal disease from 1990 to 2035: result from the global burden of disease study 2021. BMC Oral Health. 2025;25(1):844.
Bernabé E, Marcenes W, Abdulkader RS, Abreu LG, Afzal S, Alhalaiqa F, et al. Trends in the global, regional, and national burden of oral conditions from 1990 to 2021: a systematic analysis for the Global Burden of Disease Study 2021. The Lancet. 2025;405(10482):897.
Heglund SP. Dental myths: a deterrent to dental care-seeking behaviors in developing countries. Medical Case Reports and Reviews. 2018; 1(3):1-5
King S, Thaliph A, Laranjo L, Smith BJ, Eberhard J. Oral health literacy, knowledge and perceptions in a socially and culturally diverse population: a mixed methods study. BMC Public Health 2023;23:1446
Yovwin DI, Ufuoma CO, Orhe O, Mabiaku TO, Umukoro DO. Pattern of E. histolytica infection and its correlates among patients in a general practice clinic: A four-year retrospective evaluation. International Journal of Life Science Research Archive, 2024, 06(01), 055–061. DOI: https://doi.org/10.53771/ijlsra.2024.6.1.0030
.
Mabiaku. YO, Mabiaku TO. An Assessment of Compliance with Infection Control Protocols amongst Dental Health Care Personnel in a Tertiary Health Facility in Southern Nigeria.(2022). SJMLS, 7(2). https://sokjmls.com.ng/index.php/SJMLS/article/view/67
.
Waseem A, Hussain V, Zahid RB, Shahbaz M. Reasons for not seeking early dental care in patients presenting in the exodontia department at a Tertiary Care Hospital in Lahore, Pakistan. The Professional Medical Journal [Internet]. 2021 Aug 1 [cited 2025 Sep];28(8):1107. Available from https://doi.org/10.29309/tpmj/2021.28.08.5044
.
Abah VO. Poor Health Care Access in Nigeria: A Function of Fundamental Misconceptions and Misconstruction of the Health System. In: IntechOpen eBooks [Internet]. IntechOpen; 2022 [cited 2025 Sep]. Available from: https://doi.org/10.5772/intechopen.108530
.
Odunyemi A. The Implications of Health Financing for Health Access and Equity in Nigeria. In: IntechOpen eBooks [Internet]. IntechOpen; 2021 [cited 2025 Sep]. Available from: https://doi.org/10.5772/intechopen.98565
.
Proshchenko NS, Сороченко ГВ, Ostapko O, Plyska OM, Trokhimets YuV. Complicated caries of permanent teeth in children: status of the problem and modern solution ways. Medicni perspektivi [Internet]. 2023;28(3):128. Available from: https://doi.org/10.26641/2307-0404.2023.3.289211
.
James Y, Nadeem A, Carpenter F. Role of the Early Detection and Prevention of Dental Caries in Children: A Systematic Review of Clinical Outcomes. Cureus [Internet]. 2025;17(6). Available from: https://doi.org/10.7759/cureus.85185
.
Dwiel K, Hesketh MA, Alpert JL, Cellini J, Goodell K, Phillips RS, et al. The Impact of Oral Health Training for Primary Care Clinicians: A Systematic Review. Family Medicine [Internet]. Society of Teachers of Family Medicine; 2019;51(3):251. Available from: https://doi.org/10.22454/fammed.2019.232634
.
Patrick DL, Lee RSY, Nucci M, Grembowski D, Jolles CZ, Milgrom P. Reducing Oral Health Disparities: A Focus on Social and Cultural Determinants. BMC Oral Health [Internet]. 2006;6. Available from: https://doi.org/10.1186/1472-6831-6-s1-s4
.
Luan Y, Sardana D, Jivraj A, Liu D, Abeyweera N, Zhao Y, et al. Universal coverage for oral health care in 27 low-income countries: a scoping review. Global Health Research and Policy [Internet]. 2024;9(1):34. Available from: https://doi.org/10.1186/s41256-024-00376-9
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