The recent World Health Organization (WHO) Oral Health Resolution and the subsequent WHO Global Oral Health Action Plan highlight the key relevance of providing information on the economic impacts of oral conditions. The purpose of this study was to provide updated estimates for the global, regional, and country-level economic impacts of oral conditions in 2019. Extending previously established methods, dental expenditures (costs for treatments) and productivity losses for 5 oral conditions (caries in deciduous and permanent teeth, periodontitis, edentulism, other oral diseases) were estimated for the year 2019. The estimated total worldwide economic impacts of oral conditions in 2019 were US $710B, of which US $387B (US $327B to US $404B) was due to direct costs and US $323B (US $186 to US $460) was due to productivity losses for the 5 main oral conditions. Low-income countries spent an average of US $0.52 (US $0.22 to US $0.96) per capita on dental care, while high-income countries spent an average of US $260 (US $257 to US $268) per capita—a 500-fold difference. These findings suggest that oral conditions continue to substantiate an enormous economic burden to individuals and society. The comprehensiveness of estimates supersedes that of previous work as the primary information on direct costs was identified for a larger number of countries. The need for more and better routine reporting and monitoring of the economic impact of oral conditions is emphasized. The relevance of such information is also highlighted by its inclusion in the first-ever WHO Global Oral Health Status Report and Global Strategy on Oral health 2023 to 2030. Given the persistently high economic burden of oral conditions, there is a key role for better prioritization of cost-efficient oral health programs as well as needs-responsive capacity planning.

中文翻译：

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2019 年口腔疾病对全球、区域和国家层面的经济影响


最近的世界卫生组织 （WHO） 口腔卫生决议和随后的 WHO 全球口腔卫生行动计划强调了提供有关口腔疾病经济影响的信息的关键相关性。本研究的目的是为 2019 年口腔疾病的全球、区域和国家层面的经济影响提供最新的估计。扩展先前建立的方法，估计了 2019 年 5 种口腔疾病（乳牙和恒牙龋齿、牙周炎、无牙颌、其他口腔疾病）的牙科支出（治疗费用）和生产力损失。据估计，2019 年口腔疾病对全球经济的总影响为 US $710B，其中 US $387B（US $327B 至 US $404B）是由于直接成本，US $323B（US $186 至 US $460）是由于 5 种主要口腔疾病的生产力损失。低收入国家平均人均花费 0.52 美元（0.22 美元至 0.96 美元）用于牙科保健，而高收入国家平均人均花费 260 美元（257 美元至 268 美元），相差 500 倍。这些发现表明，口腔疾病继续证实对个人和社会造成巨大的经济负担。估计的全面性超过了以前的工作，因为为更多的国家确定了直接成本的主要信息。强调需要更多、更好地对口腔疾病的经济影响进行更多和更好的常规报告和监测。此类信息的相关性还被纳入世卫组织有史以来第一份《全球口腔卫生状况报告》和《2023 年至 2030 年全球口腔卫生战略》中。 鉴于口腔疾病的持续高经济负担，更好地优先考虑具有成本效益的口腔健康计划以及需求响应能力规划具有关键作用。