Changes in the numbers of dentists and dental caries levels in 12-year-olds in the countries of the European Union and economic area

Abstract

This study compares numbers of dentists in the countries of the European Union (EU) from 1970 to 1994 with dentist to population ratios and dental caries levels in 12-year-olds, sets the changes which have emerged against other changing dental disease patterns (including those unconnected with caries levels) and goes on to determine the significance of the findings to the problems of dental workforce planning. Data for the numbers of dentists and dentist to population ratios were obtained from published tables. Data for past caries levels in 12-year-olds were obtained from the WHO Global Data Bank. All other data were obtained from Chief Dental Officers in all countries of the EU.

In 1994 there were 222,090 practising dentists in the EU and 12,853 other clinical workers of whom 11,493 were dental hygienists. Since 1970, the dentist: population ratios for Spain and Portugal have improved markedly, the improvement for other countries has been less marked and in Austria a small reduction has occurred. Six countries show a considerable reduction in caries levels for 12-year-olds between 1970 and the 1990s, five show smaller reductions and three show a deterioration.

As a consequence of the general improvement in caries levels in most of these countries it is probable that workloads in relation to the treatment of caries are falling, particularly for younger age groups. However, because of the overall ageing of populations in many industrialised countries the workload for older age groups is increasing, as older adults increase in number, a greater proportion retain their teeth and are afflicted by a range of problems, which include, but are not exclusive to, dental caries. There are fewer data for these older age groups than for caries levels in 12-year-olds.

It was concluded that those planning the EU dental workforce of the future should take account of reliable epidemiological data for all groups of the population and, as these are not currently available, that suitable periodic oral health surveys covering all population age groups should be carried out regularly in all EU member states.

Keywords

Dental caries in 12-year-olds dental workforce planning European Union numbers of dentists

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References

Ainamo J. and Murtomaa H. (1991). Hampaattomuus Suomessa vuosina 1970,1980 ja 1990 . Suomen Hammaslaakarilehti 5/1991

Bartlett D.W. , Evans D.F. , Anggiansah A. , et al (1995 ). The role of the gastro-oesophageal reflux (GOR) in palatal erosion. J Dent Res; 74, 842

Bishop K.A. , Briggs P.F. and Kelleher M G D (1994). Modern restorative management of advanced tooth surface loss. Primary Dent Care; 1, 24-6

Burke F J T , Whitehead S.A. and McCaughey A.D. (1995). Contemporary concepts in the pathogensis of the Class V non-carious lesion. Dent Update; 22, 26-32

Burt B. ( 1994). Trends in caries prevalence in North American children . Int Dent J; 44, 403-13

Downer M. (1995). Children's dental health: the 1993 national survey . Community Dent Health; 12, 1-2

Eurostat (1996). Demographic Statistics. UN: Demographic Yearbook 1996.

Evans R.D. and Briggs P.F. (1994). Tooth surface loss related to pregnancy-induced vomiting. Primary Dent Care; 1, 24-6

Federation Dentaire Internationale — World Health Organisation (1982). Global goals for oral health in the year 2000. Int Dental J; 32, 74-7

10.

Gray P.G. , Todd J.E. , Slack G.L. and Bulman J.S. (1970). Adult Dental Health in England and Wales in 1968 . London: Her Majesty's Stationery Office

11.

Haugejorden O. , Holst D. , Hugoson A. and Widstroem E.A. (1996). Nyere epidemiologisk viten om karies. En oversikt. Den Norske Tanneleforenings Tidende. Painossa

12.

Helm S. and Helm T. ( 1990). Caries among Danish schoolchildren in birth-cohorts 1950-1978 . Community Dent Oral Epidemiol; 18, 66-9

13.

Holst D. (1992). Tannhelsen blant voksne i Norge. Helsdirektoratet . Oslo.

14.

Hugoson A. , Koch G. , Bergendal T. , Hallonsten A.L. , Thorstensson B. and Thorstensson H. (1995). Oral health of individuals aged 3-80 years in Jonkoping, II. Review of clinical and Radiographic findings. Swed Dent J; 19, 243-60

15.

Kidd E A M and Smith B G N (1993). Toothwear histories: a sensitive issue. Dent Update; 20, 174-8

16.

Levitch L.C. , Bader J.D. , Shugars D.A. , et al (1994). Non-carious cervical lesions. J Dent; 22, 195-207

17.

Marthaler T.M. , Steiner M. , Menghini G. and Bandi A. (1994). Caries prevalence in Switzerland. Int Dent J; 44, 393-401

18.

Michaelis W. and Bauch J. (1996). Oral health of representative samples of Germans examined in 1989 and 1992. Community Dent Oral Epidemiol; 24, 62-7

19.

Milosevic A. and Lennon M.A. (1992). The prevalence of toothwear in 14 year-old schoolchildren . J Dent Res; 71, 243

20.

Nadanovsky P. and Sheiham A. (1994). The relative contribution of dental services to the changes and geographical variations in caries status of 5- and 12-year-old children in England and Wales in the 1980s. Community Dent Health; 11, 215-23.

21.

O'Brien M. (1994). Children's Dental Health in the United Kingdom . London: HMSO

22.

O'Mullane D. and Welton H. (1994). Caries prevalence in the Republic of Ireland. Int Dent J; 44, 387-91

23.

Pilot T. and Miyazaki H. (1991). Periodontal conditions in Europe. J Clin Periodontol 18, 353-7

24.

Renson C.E. , Crielaers P J A , Ibikunle S.A. , Pinto V.G. , Ross C.B. , SARDO Infirri J. , Takazoe I. and Tala H. (1985). Changing patterns of oral health and implications for oral health manpower: Part 1. Int Dental J; 35, 325-33

25.

Renson C.E. (1989). Global changes in caries prevalence and dental manpower requirements: 3. The effects on manpower needs. Dental Update; 16, 382-9

26.

Renson C.E. (1993). Dentistry in the European Community: A comparative study 1. Treatment needs and manpower levels. Dental Update ; 20, 328-32

27.

Robb N. ( 1991). Epidemiological Study of Tooth Wear. University of London. PhD Thesis

28.

Salapata G.J. , Bakoula C. , Hawley G.M. and Blinkhorn A.S. (1995). A five year follow up into changes in caries experience amongst a sample of 12 year old children from Athens. Int Dent J; 45, 160-2

29.

Schwarz E. and Lo E C M (1995). Oral health and dental care in Hong Kong. Int Dent J; 45, 169-76

30.

Shaw L. and Smith A. (1994). Erosion in children: an increasing clinical problem . Dent Update; 21, 103-6

31.

Spencer J. , Davies M. , Slade G. and Brennan J. (1994). Caries prevalence in Australasia. Int Dent J; 44, 415-23

32.

Todd J.E. and Walker A.M. (1980). Adult Dental Health, Volume 1. England and Wales 1968-1978. London: Her Majesty's Stationery Office

33.

Todd J.E. and Lader D. (1991). Adult Dental Health 1988, United Kingdom London: Her Majesty's Stationery Office

34.

Truin G.J. , Hof M.A. , Van't Kalsviek H. , Trencken J.E. and Konig K.G. (1993). Secular trends of caries prevalence in 6- and 12-year-old Dutch children. Community Dent Oral Epidemiol ; 21, 249-52.

35.

Von Der Fehr F. ( 1994). Caries prevalence in the Nordic countries. Int Dent J; 44, 371-7

36.

Widstroem E.A. , Eaton K.A. and VAN DEN Heuvel J. (1996). Dentistry in the EU and EEA — a Council of European Chief Dental Officers Survey. Helsinki, Finland: STAKES.

37.

Yap A U J and Neo J C L (1994). Non-carious cervical tooth loss, Parts 1 and 2 . Dent Update; 22, 315-8, 364-8.