Associations of Oral Health Status and Dental Health Service Utilization with Dental and Medical Expenditures

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  • TAKEUCHI Kenji
    Section of Preventive and Public Health Dentistry, Faculty of Dental Science, Kyushu University
  • SATO Yukihiro
    Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry
  • SUMA Shino
    Section of Preventive and Public Health Dentistry, Faculty of Dental Science, Kyushu University
  • FURUTA Michiko
    Section of Preventive and Public Health Dentistry, Faculty of Dental Science, Kyushu University
  • OKABE Yuka
    Section of Preventive and Public Health Dentistry, Faculty of Dental Science, Kyushu University
  • TANAKA Akihiko
    Section of Preventive and Public Health Dentistry, Faculty of Dental Science, Kyushu University
  • OSAKA Ken
    Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry
  • YAMASHITA Yoshihisa
    Section of Preventive and Public Health Dentistry, Faculty of Dental Science, Kyushu University

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Other Title
  • 口腔の健康状態および歯科保健サービスの受給状況と歯科医療費や医療費との関連
  • コウコウ ノ ケンコウ ジョウタイ オヨビ シカ ホケン サービス ノ ジュキュウ ジョウキョウ ト シカ イリョウヒ ヤ イリョウヒ ト ノ カンレン

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<p>It was recently reported that dental care management not only reduces the economic burden caused by dental diseases, but also helps to prevent the deterioration of lifestyle-related diseases. This study was aimed to comprehensively survey the findings to date on how the oral health status and dental health service utilization are associated with dental and medical expenditures. Investigation focused on: (1) association of the oral health status with dental and medical expenses, and (2) association of the utilization of dental health services with dental and medical expenses. An initial combination of electronic-database and hand searches yielded 32 relevant reports, which were then intensively reviewed.</p><p>(1) Many studies revealed that patients with 20 or more teeth incur lower dental costs, and those with more remaining teeth incur lower medical costs. In addition, there were reports that the presence of dental disease, primarily periodontal disease, is associated with higher dental and medical expenses. </p><p>(2) There were reports that participating in regular preventive visits to a dental clinic or dental check-ups is associated with lower dental and medical costs.</p><p>The results of this study reveal that dental and medical expenditures are particularly associated with the number of remaining teeth, and with participation in dental health activity such as regular preventive dental visits. Caries and periodontal disease are the leading causes of tooth loss: the present findings suggest that continuing regular dental check-ups from a young age focused on the prevention of such dental diseases could make a consistent contribution to controlling costs of not only dental care but also general medical care.</p>

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