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

BackgroundThe WHO Global Oral Health Action Plan has set an overarching global target of achieving a 10% reduction in the prevalence of oral conditions by 2030. Robust and up-to-date information on the global burden of oral conditions is paramount to monitor progress towards this target. The aim of...

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التفاصيل البيبلوغرافية
المؤلف الرئيسي: Eduardo, Bernabe (author)
مؤلفون آخرون: Marcenes, Wagner (author), Abdulkader, Rizwan Suliankatchi (author), Abreu, Lucas Guimarães (author), Afzal, Saira (author), Alhalaiqa, Fadwa Naji (author), Al-Maweri, Sadeq (author), Alsharif, Ubai (author), Anyasodor, Anayochukwu Edward (author), Arora, Amit (author), Asgary, Saeed (author), Ashraf, Tahira (author), Balasubramanian, Madhan (author), Banakar, Morteza (author), Barrow, Amadou (author), Bashiri, Azadeh (author), Belay, Sefealem Assefa (author), Belgaumi, Uzma Iqbal (author), Berhie, Alemshet Yirga (author), Bhardwaj, Pankaj (author), Bhaskar, Sonu (author), Bijani, Ali (author), Bouaoud, Souad (author), Cao, Yin (author), Chaurasia, Akhilanand (author), Chen, Meng Xuan (author), Chu, Dinh-Toi (author), Cruz-Martins, Natalia (author), Dadras, Omid (author), Dai, Xiaochen (author), Diaz, Daniel (author), Du, Mi (author), Ekholuenetale, Michael (author), Ekundayo, Temitope Cyrus (author), El Tantawi, Maha (author), Elhadi, Muhammed (author), Fagbamigbe, Adeniyi Francis (author), Farshidfar, Nima (author), Fatehizadeh, Ali (author), Fischer, Florian (author), Folayan, Morenike Oluwatoyin (author), Gaewkhiew, Piyada (author), Gajdács, Márió (author), Golechha, Mahaveer (author), Gupta, Bhawna (author), Gupta, Sapna (author), Hagins, Hailey (author), Halboub, Esam S (author), Hamidi, Samer (author), Hariyani, Ninuk (author), Hay, Simon I (author), Heidari, Mohammad (author), Herrera-Serna, Brenda Yuliana (author), Heyi, Demisu Zenbaba (author), Hostiuc, Sorin (author), Humphrey, Kyle Matthew (author), Ibitoye, Segun Emmanuel (author), Ilic, Milena D (author), Isola, Gaetano (author), Kandaswamy, Eswar (author), Kantar, Rami S (author), Kaur, Navjot (author), Kemmer, Laura (author), Khader, Yousef Saleh (author), Khateri, Sorour (author), Kisa, Adnan (author), Krishan, Kewal (author), Kruger, Estie (author), Lalloo, Ratilal (author), Li, An (author), Lim, Stephen S (author), Mestrovic, Tomislav (author), Mokdad, Ali H (author), Moreira, Rafael Silveira (author), Morrison, Shane Douglas (author), Murray, Christopher J L (author), Natto, Zuhair S (author), Nayak, Biswa Prakash (author), Nguyen, Trang (author), Nguyen, Van Thanh (author), Omotayo, Abiodun Olusola (author), Padron-Monedero, Alicia (author), Patel, Jay (author), Patil, Shankargouda (author), Pawar, Shrikant (author), Petcu, Ionela-Roxana (author), Qattea, Ibrahim (author), Rahman, Mosiur (author), Ratan, Zubair Ahmed (author), Riad, Abanoub (author), S, Manjula (author), S N, Chandan (author), Sabour, Siamak (author), Saheb Sharif-Askari, Fatemeh (author), Sahebkar, Amirhossein (author), Sakshaug, Joseph W (author), Samy, Abdallah M (author), Sarode, Sachin C (author), Sawhney, Monika (author), Schwendicke, Falk (author), Shaikh, Masood Ali (author), Tadakamadla, Santosh Kumar (author), Tesler, Riki (author), Thiyagarajan, Arulmani (author), Tovani-Palone, Marcos Roberto (author), Umair, Muhammad (author), Unnikrishnan, Bhaskaran (author), Valadan Tahbaz, Sahel (author), Varma, Siddhartha Alluri (author), Vukovic, Ana Petar (author), Wang, Cong (author), Wickramasinghe, Nuwan Darshana (author), Yadav, Lalit (author), Yiğit, Arzu (author), Zare, Iman (author), Zhang, Zhi-Jiang (author), Kassebaum, Nicholas J (author)
التنسيق: article
منشور في: 2025
الموضوعات:
الوصول للمادة أونلاين:http://dx.doi.org/10.1016/S0140-6736(24)02811-3
https://www.sciencedirect.com/science/article/pii/S0140673624028113
http://hdl.handle.net/10576/63567
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_version_ 1857415085219119104
author Eduardo, Bernabe
author2 Marcenes, Wagner
Abdulkader, Rizwan Suliankatchi
Abreu, Lucas Guimarães
Afzal, Saira
Alhalaiqa, Fadwa Naji
Al-Maweri, Sadeq
Alsharif, Ubai
Anyasodor, Anayochukwu Edward
Arora, Amit
Asgary, Saeed
Ashraf, Tahira
Balasubramanian, Madhan
Banakar, Morteza
Barrow, Amadou
Bashiri, Azadeh
Belay, Sefealem Assefa
Belgaumi, Uzma Iqbal
Berhie, Alemshet Yirga
Bhardwaj, Pankaj
Bhaskar, Sonu
Bijani, Ali
Bouaoud, Souad
Cao, Yin
Chaurasia, Akhilanand
Chen, Meng Xuan
Chu, Dinh-Toi
Cruz-Martins, Natalia
Dadras, Omid
Dai, Xiaochen
Diaz, Daniel
Du, Mi
Ekholuenetale, Michael
Ekundayo, Temitope Cyrus
El Tantawi, Maha
Elhadi, Muhammed
Fagbamigbe, Adeniyi Francis
Farshidfar, Nima
Fatehizadeh, Ali
Fischer, Florian
Folayan, Morenike Oluwatoyin
Gaewkhiew, Piyada
Gajdács, Márió
Golechha, Mahaveer
Gupta, Bhawna
Gupta, Sapna
Hagins, Hailey
Halboub, Esam S
Hamidi, Samer
Hariyani, Ninuk
Hay, Simon I
Heidari, Mohammad
Herrera-Serna, Brenda Yuliana
Heyi, Demisu Zenbaba
Hostiuc, Sorin
Humphrey, Kyle Matthew
Ibitoye, Segun Emmanuel
Ilic, Milena D
Isola, Gaetano
Kandaswamy, Eswar
Kantar, Rami S
Kaur, Navjot
Kemmer, Laura
Khader, Yousef Saleh
Khateri, Sorour
Kisa, Adnan
Krishan, Kewal
Kruger, Estie
Lalloo, Ratilal
Li, An
Lim, Stephen S
Mestrovic, Tomislav
Mokdad, Ali H
Moreira, Rafael Silveira
Morrison, Shane Douglas
Murray, Christopher J L
Natto, Zuhair S
Nayak, Biswa Prakash
Nguyen, Trang
Nguyen, Van Thanh
Omotayo, Abiodun Olusola
Padron-Monedero, Alicia
Patel, Jay
Patil, Shankargouda
Pawar, Shrikant
Petcu, Ionela-Roxana
Qattea, Ibrahim
Rahman, Mosiur
Ratan, Zubair Ahmed
Riad, Abanoub
S, Manjula
S N, Chandan
Sabour, Siamak
Saheb Sharif-Askari, Fatemeh
Sahebkar, Amirhossein
Sakshaug, Joseph W
Samy, Abdallah M
Sarode, Sachin C
Sawhney, Monika
Schwendicke, Falk
Shaikh, Masood Ali
Tadakamadla, Santosh Kumar
Tesler, Riki
Thiyagarajan, Arulmani
Tovani-Palone, Marcos Roberto
Umair, Muhammad
Unnikrishnan, Bhaskaran
Valadan Tahbaz, Sahel
Varma, Siddhartha Alluri
Vukovic, Ana Petar
Wang, Cong
Wickramasinghe, Nuwan Darshana
Yadav, Lalit
Yiğit, Arzu
Zare, Iman
Zhang, Zhi-Jiang
Kassebaum, Nicholas J
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author_facet Eduardo, Bernabe
Marcenes, Wagner
Abdulkader, Rizwan Suliankatchi
Abreu, Lucas Guimarães
Afzal, Saira
Alhalaiqa, Fadwa Naji
Al-Maweri, Sadeq
Alsharif, Ubai
Anyasodor, Anayochukwu Edward
Arora, Amit
Asgary, Saeed
Ashraf, Tahira
Balasubramanian, Madhan
Banakar, Morteza
Barrow, Amadou
Bashiri, Azadeh
Belay, Sefealem Assefa
Belgaumi, Uzma Iqbal
Berhie, Alemshet Yirga
Bhardwaj, Pankaj
Bhaskar, Sonu
Bijani, Ali
Bouaoud, Souad
Cao, Yin
Chaurasia, Akhilanand
Chen, Meng Xuan
Chu, Dinh-Toi
Cruz-Martins, Natalia
Dadras, Omid
Dai, Xiaochen
Diaz, Daniel
Du, Mi
Ekholuenetale, Michael
Ekundayo, Temitope Cyrus
El Tantawi, Maha
Elhadi, Muhammed
Fagbamigbe, Adeniyi Francis
Farshidfar, Nima
Fatehizadeh, Ali
Fischer, Florian
Folayan, Morenike Oluwatoyin
Gaewkhiew, Piyada
Gajdács, Márió
Golechha, Mahaveer
Gupta, Bhawna
Gupta, Sapna
Hagins, Hailey
Halboub, Esam S
Hamidi, Samer
Hariyani, Ninuk
Hay, Simon I
Heidari, Mohammad
Herrera-Serna, Brenda Yuliana
Heyi, Demisu Zenbaba
Hostiuc, Sorin
Humphrey, Kyle Matthew
Ibitoye, Segun Emmanuel
Ilic, Milena D
Isola, Gaetano
Kandaswamy, Eswar
Kantar, Rami S
Kaur, Navjot
Kemmer, Laura
Khader, Yousef Saleh
Khateri, Sorour
Kisa, Adnan
Krishan, Kewal
Kruger, Estie
Lalloo, Ratilal
Li, An
Lim, Stephen S
Mestrovic, Tomislav
Mokdad, Ali H
Moreira, Rafael Silveira
Morrison, Shane Douglas
Murray, Christopher J L
Natto, Zuhair S
Nayak, Biswa Prakash
Nguyen, Trang
Nguyen, Van Thanh
Omotayo, Abiodun Olusola
Padron-Monedero, Alicia
Patel, Jay
Patil, Shankargouda
Pawar, Shrikant
Petcu, Ionela-Roxana
Qattea, Ibrahim
Rahman, Mosiur
Ratan, Zubair Ahmed
Riad, Abanoub
S, Manjula
S N, Chandan
Sabour, Siamak
Saheb Sharif-Askari, Fatemeh
Sahebkar, Amirhossein
Sakshaug, Joseph W
Samy, Abdallah M
Sarode, Sachin C
Sawhney, Monika
Schwendicke, Falk
Shaikh, Masood Ali
Tadakamadla, Santosh Kumar
Tesler, Riki
Thiyagarajan, Arulmani
Tovani-Palone, Marcos Roberto
Umair, Muhammad
Unnikrishnan, Bhaskaran
Valadan Tahbaz, Sahel
Varma, Siddhartha Alluri
Vukovic, Ana Petar
Wang, Cong
Wickramasinghe, Nuwan Darshana
Yadav, Lalit
Yiğit, Arzu
Zare, Iman
Zhang, Zhi-Jiang
Kassebaum, Nicholas J
author_role author
dc.creator.none.fl_str_mv Eduardo, Bernabe
Marcenes, Wagner
Abdulkader, Rizwan Suliankatchi
Abreu, Lucas Guimarães
Afzal, Saira
Alhalaiqa, Fadwa Naji
Al-Maweri, Sadeq
Alsharif, Ubai
Anyasodor, Anayochukwu Edward
Arora, Amit
Asgary, Saeed
Ashraf, Tahira
Balasubramanian, Madhan
Banakar, Morteza
Barrow, Amadou
Bashiri, Azadeh
Belay, Sefealem Assefa
Belgaumi, Uzma Iqbal
Berhie, Alemshet Yirga
Bhardwaj, Pankaj
Bhaskar, Sonu
Bijani, Ali
Bouaoud, Souad
Cao, Yin
Chaurasia, Akhilanand
Chen, Meng Xuan
Chu, Dinh-Toi
Cruz-Martins, Natalia
Dadras, Omid
Dai, Xiaochen
Diaz, Daniel
Du, Mi
Ekholuenetale, Michael
Ekundayo, Temitope Cyrus
El Tantawi, Maha
Elhadi, Muhammed
Fagbamigbe, Adeniyi Francis
Farshidfar, Nima
Fatehizadeh, Ali
Fischer, Florian
Folayan, Morenike Oluwatoyin
Gaewkhiew, Piyada
Gajdács, Márió
Golechha, Mahaveer
Gupta, Bhawna
Gupta, Sapna
Hagins, Hailey
Halboub, Esam S
Hamidi, Samer
Hariyani, Ninuk
Hay, Simon I
Heidari, Mohammad
Herrera-Serna, Brenda Yuliana
Heyi, Demisu Zenbaba
Hostiuc, Sorin
Humphrey, Kyle Matthew
Ibitoye, Segun Emmanuel
Ilic, Milena D
Isola, Gaetano
Kandaswamy, Eswar
Kantar, Rami S
Kaur, Navjot
Kemmer, Laura
Khader, Yousef Saleh
Khateri, Sorour
Kisa, Adnan
Krishan, Kewal
Kruger, Estie
Lalloo, Ratilal
Li, An
Lim, Stephen S
Mestrovic, Tomislav
Mokdad, Ali H
Moreira, Rafael Silveira
Morrison, Shane Douglas
Murray, Christopher J L
Natto, Zuhair S
Nayak, Biswa Prakash
Nguyen, Trang
Nguyen, Van Thanh
Omotayo, Abiodun Olusola
Padron-Monedero, Alicia
Patel, Jay
Patil, Shankargouda
Pawar, Shrikant
Petcu, Ionela-Roxana
Qattea, Ibrahim
Rahman, Mosiur
Ratan, Zubair Ahmed
Riad, Abanoub
S, Manjula
S N, Chandan
Sabour, Siamak
Saheb Sharif-Askari, Fatemeh
Sahebkar, Amirhossein
Sakshaug, Joseph W
Samy, Abdallah M
Sarode, Sachin C
Sawhney, Monika
Schwendicke, Falk
Shaikh, Masood Ali
Tadakamadla, Santosh Kumar
Tesler, Riki
Thiyagarajan, Arulmani
Tovani-Palone, Marcos Roberto
Umair, Muhammad
Unnikrishnan, Bhaskaran
Valadan Tahbaz, Sahel
Varma, Siddhartha Alluri
Vukovic, Ana Petar
Wang, Cong
Wickramasinghe, Nuwan Darshana
Yadav, Lalit
Yiğit, Arzu
Zare, Iman
Zhang, Zhi-Jiang
Kassebaum, Nicholas J
dc.date.none.fl_str_mv 2025-03-11T06:42:03Z
2025-02-27
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://dx.doi.org/10.1016/S0140-6736(24)02811-3
01406736
https://www.sciencedirect.com/science/article/pii/S0140673624028113
http://hdl.handle.net/10576/63567
1474-547X
dc.language.none.fl_str_mv en
dc.publisher.none.fl_str_mv Elsevier
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Oral Health
Global Burden of Disease (GBD)
Prevalence
Disability-Adjusted Life Years (DALYs)
Untreated Caries
dc.title.none.fl_str_mv 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
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description BackgroundThe WHO Global Oral Health Action Plan has set an overarching global target of achieving a 10% reduction in the prevalence of oral conditions by 2030. Robust and up-to-date information on the global burden of oral conditions is paramount to monitor progress towards this target. The aim of this systematic data analysis was to produce global, WHO region, and country-level estimates of the prevalence of, and disability-adjusted life-years (DALYs) attributed to, untreated caries, severe periodontitis, edentulism, other oral disorders, lip and oral cavity cancer, and orofacial clefts from 1990 to 2021. MethodsThis report is based on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021. Input data were extracted from epidemiological surveys, population-based registries, and vital statistics. Data were modelled with DisMod-MR 2.1, a Bayesian meta-regression modelling tool, to ensure consistency between prevalence, incidence, remission, and mortality estimates for oral conditions. DALYs were estimated as the aggregation of the years of life lost (YLLs) due to premature mortality and years lived with disability (YLDs). YLDs were calculated by multiplying prevalence estimates, the severity of the oral condition's sequelae (disability weight) and duration of the sequelae. Although all oral conditions lead to YLDs, only lip and oral cavity cancer and orofacial clefts lead to YLLs as well. 95% uncertainty intervals (UIs) were generated for every metric with the 25th and 975th ordered 1000 draw values of the posterior distribution. FindingsThe combined global age-standardised prevalence of the main oral conditions (untreated caries, severe periodontitis, edentulism, and other oral disorders) was 45 900 (95% UI 42 300 to 49 800) per 100 000 population in 2021, with 3·69 billion (3·40 to 4·00) people affected globally. Untreated dental caries of permanent teeth and severe periodontitis were the most common oral conditions, with a global age-standardised prevalence of 27 500 (24 000 to 32 000) per 100 000 population and 12 500 (10 500 to 14 500) per 100 000 population, respectively. Edentulism, severe periodontitis, and lip and oral cavity cancer caused the highest burden as demonstrated by their counts of DALYs and age-standardised DALY rates. Existing trends for 1990–2021 reveal relatively small changes (upward or downward) in prevalence and burden. Increasing counts of prevalent cases and DALYs were noted for all oral conditions but untreated caries of deciduous teeth (no percentage change in prevalence or DALYs) and orofacial clefts (–68·3% [–79·3 to –46·5] decrease in DALYs). There were decreases in both age-standardised prevalence and DALY rate for untreated caries of permanent teeth and edentulism, no change in both for untreated caries of deciduous teeth and severe periodontitis, an increase in the prevalence but no change in the DALY rate for lip and oral cavity cancer, and no change in the prevalence but a decrease in the DALY rate for orofacial clefts. By WHO region, the African and Eastern Mediterranean regions showed the largest increases in prevalent cases and DALYs for most oral conditions, while the European region showed the smallest increases or no change. The European region was the only region with decreasing age-standardised prevalence of untreated caries in both deciduous (–9·88%; –12·6 to –6·71) and permanent teeth (–5·94% (–8·38 to –3·62). The prevalence and DALY rate of severe periodontitis decreased in the African region, while the prevalence and DALY rate of edentulism decreased in the African region, South-East Asia region, and Western Pacific region. Furthermore, DALY rates of lip and oral cavity cancer decreased in the European region and the region of the Americas, while DALY rates of orofacial clefts decreased in all regions. InterpretationThe minor changes in the burden of oral conditions over the past 30 years demonstrate that past and current efforts to control oral conditions have not been successful and that different approaches are needed. Many countries now face the double challenge of controlling the occurrence of new cases of oral conditions and addressing the huge unmet need for oral health care. FundingBill & Melinda Gates Foundation.
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spelling 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 2021Eduardo, BernabeMarcenes, WagnerAbdulkader, Rizwan SuliankatchiAbreu, Lucas GuimarãesAfzal, SairaAlhalaiqa, Fadwa NajiAl-Maweri, SadeqAlsharif, UbaiAnyasodor, Anayochukwu EdwardArora, AmitAsgary, SaeedAshraf, TahiraBalasubramanian, MadhanBanakar, MortezaBarrow, AmadouBashiri, AzadehBelay, Sefealem AssefaBelgaumi, Uzma IqbalBerhie, Alemshet YirgaBhardwaj, PankajBhaskar, SonuBijani, AliBouaoud, SouadCao, YinChaurasia, AkhilanandChen, Meng XuanChu, Dinh-ToiCruz-Martins, NataliaDadras, OmidDai, XiaochenDiaz, DanielDu, MiEkholuenetale, MichaelEkundayo, Temitope CyrusEl Tantawi, MahaElhadi, MuhammedFagbamigbe, Adeniyi FrancisFarshidfar, NimaFatehizadeh, AliFischer, FlorianFolayan, Morenike OluwatoyinGaewkhiew, PiyadaGajdács, MárióGolechha, MahaveerGupta, BhawnaGupta, SapnaHagins, HaileyHalboub, Esam SHamidi, SamerHariyani, NinukHay, Simon IHeidari, MohammadHerrera-Serna, Brenda YulianaHeyi, Demisu ZenbabaHostiuc, SorinHumphrey, Kyle MatthewIbitoye, Segun EmmanuelIlic, Milena DIsola, GaetanoKandaswamy, EswarKantar, Rami SKaur, NavjotKemmer, LauraKhader, Yousef SalehKhateri, SorourKisa, AdnanKrishan, KewalKruger, EstieLalloo, RatilalLi, AnLim, Stephen SMestrovic, TomislavMokdad, Ali HMoreira, Rafael SilveiraMorrison, Shane DouglasMurray, Christopher J LNatto, Zuhair SNayak, Biswa PrakashNguyen, TrangNguyen, Van ThanhOmotayo, Abiodun OlusolaPadron-Monedero, AliciaPatel, JayPatil, ShankargoudaPawar, ShrikantPetcu, Ionela-RoxanaQattea, IbrahimRahman, MosiurRatan, Zubair AhmedRiad, AbanoubS, ManjulaS N, ChandanSabour, SiamakSaheb Sharif-Askari, FatemehSahebkar, AmirhosseinSakshaug, Joseph WSamy, Abdallah MSarode, Sachin CSawhney, MonikaSchwendicke, FalkShaikh, Masood AliTadakamadla, Santosh KumarTesler, RikiThiyagarajan, ArulmaniTovani-Palone, Marcos RobertoUmair, MuhammadUnnikrishnan, BhaskaranValadan Tahbaz, SahelVarma, Siddhartha AlluriVukovic, Ana PetarWang, CongWickramasinghe, Nuwan DarshanaYadav, LalitYiğit, ArzuZare, ImanZhang, Zhi-JiangKassebaum, Nicholas JOral HealthGlobal Burden of Disease (GBD)PrevalenceDisability-Adjusted Life Years (DALYs)Untreated CariesBackgroundThe WHO Global Oral Health Action Plan has set an overarching global target of achieving a 10% reduction in the prevalence of oral conditions by 2030. Robust and up-to-date information on the global burden of oral conditions is paramount to monitor progress towards this target. The aim of this systematic data analysis was to produce global, WHO region, and country-level estimates of the prevalence of, and disability-adjusted life-years (DALYs) attributed to, untreated caries, severe periodontitis, edentulism, other oral disorders, lip and oral cavity cancer, and orofacial clefts from 1990 to 2021. MethodsThis report is based on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021. Input data were extracted from epidemiological surveys, population-based registries, and vital statistics. Data were modelled with DisMod-MR 2.1, a Bayesian meta-regression modelling tool, to ensure consistency between prevalence, incidence, remission, and mortality estimates for oral conditions. DALYs were estimated as the aggregation of the years of life lost (YLLs) due to premature mortality and years lived with disability (YLDs). YLDs were calculated by multiplying prevalence estimates, the severity of the oral condition's sequelae (disability weight) and duration of the sequelae. Although all oral conditions lead to YLDs, only lip and oral cavity cancer and orofacial clefts lead to YLLs as well. 95% uncertainty intervals (UIs) were generated for every metric with the 25th and 975th ordered 1000 draw values of the posterior distribution. FindingsThe combined global age-standardised prevalence of the main oral conditions (untreated caries, severe periodontitis, edentulism, and other oral disorders) was 45 900 (95% UI 42 300 to 49 800) per 100 000 population in 2021, with 3·69 billion (3·40 to 4·00) people affected globally. Untreated dental caries of permanent teeth and severe periodontitis were the most common oral conditions, with a global age-standardised prevalence of 27 500 (24 000 to 32 000) per 100 000 population and 12 500 (10 500 to 14 500) per 100 000 population, respectively. Edentulism, severe periodontitis, and lip and oral cavity cancer caused the highest burden as demonstrated by their counts of DALYs and age-standardised DALY rates. Existing trends for 1990–2021 reveal relatively small changes (upward or downward) in prevalence and burden. Increasing counts of prevalent cases and DALYs were noted for all oral conditions but untreated caries of deciduous teeth (no percentage change in prevalence or DALYs) and orofacial clefts (–68·3% [–79·3 to –46·5] decrease in DALYs). There were decreases in both age-standardised prevalence and DALY rate for untreated caries of permanent teeth and edentulism, no change in both for untreated caries of deciduous teeth and severe periodontitis, an increase in the prevalence but no change in the DALY rate for lip and oral cavity cancer, and no change in the prevalence but a decrease in the DALY rate for orofacial clefts. By WHO region, the African and Eastern Mediterranean regions showed the largest increases in prevalent cases and DALYs for most oral conditions, while the European region showed the smallest increases or no change. The European region was the only region with decreasing age-standardised prevalence of untreated caries in both deciduous (–9·88%; –12·6 to –6·71) and permanent teeth (–5·94% (–8·38 to –3·62). The prevalence and DALY rate of severe periodontitis decreased in the African region, while the prevalence and DALY rate of edentulism decreased in the African region, South-East Asia region, and Western Pacific region. Furthermore, DALY rates of lip and oral cavity cancer decreased in the European region and the region of the Americas, while DALY rates of orofacial clefts decreased in all regions. InterpretationThe minor changes in the burden of oral conditions over the past 30 years demonstrate that past and current efforts to control oral conditions have not been successful and that different approaches are needed. Many countries now face the double challenge of controlling the occurrence of new cases of oral conditions and addressing the huge unmet need for oral health care. FundingBill & Melinda Gates Foundation.Elsevier2025-03-11T06:42:03Z2025-02-27Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/S0140-6736(24)02811-301406736https://www.sciencedirect.com/science/article/pii/S0140673624028113http://hdl.handle.net/10576/635671474-547Xenhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/635672025-03-11T19:05:42Z
spellingShingle 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
Eduardo, Bernabe
Oral Health
Global Burden of Disease (GBD)
Prevalence
Disability-Adjusted Life Years (DALYs)
Untreated Caries
status_str publishedVersion
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Oral Health
Global Burden of Disease (GBD)
Prevalence
Disability-Adjusted Life Years (DALYs)
Untreated Caries
url http://dx.doi.org/10.1016/S0140-6736(24)02811-3
https://www.sciencedirect.com/science/article/pii/S0140673624028113
http://hdl.handle.net/10576/63567