1. Basic oral health goals
for Spain
2015/2020
폴리클 3조 51번 정설화

2. 1. 개요 및 목적
1) The absence of oral health goals makes it impossible to
assess & analyse the response of the health system to oral
health problems
2) Health goals represent the difference between the present
day situation & that desired for the future
& are an essential tool for promoting action & change

3. 1. 개요 및 목적
3)- preventive activities in permanent dentition(6-15yr)
- sharp increase in the Spanish dental workforce
:Dentist : population ratio (from 1:9,506 to 1:1,918)
- population that has visited a dentist within the last three
months has risen from 13.5% (1987) to 17.2% (1997)
4) continuous improvement achieved
regarding many oral health indicators
ex) DMFT index at 12 years : a drop from 4.20(1984) to
1.12(2000), a stabilisation to 1.33(2005)
5) a project to define goals (basic goals) regarding oral
health in Spain for the years 2015-2020 by the
professionals & public and private dentists

4. 2. Methods
 a qualitative research technique
 compliance with the SMART conditions
-> Specific, Measurable, Achievable, Realistic, Time-bound
 The most relevant Documents
• Spanish Oral Health Surveys 1984-200511-16
• The joint document published by WHO, FDI and
IADR establishing an open guide for each country
to define oral health goals for 20201
• The WHO Oral Health Goals for the year 20003
already achieved by Spain15
• A selection of indicators from the European Global Oral
Health Indicators Development (EGOHID) Project20

5. 2. Methods
 The variables used to set up goals were based on
• Caries history
: dft index (decayed and filled deciduous teeth), DMFT index,
SiC index (the mean DMFT of the population with the highest DMFT),
Restoration Index (filled fraction of the DMFT index).
• Gingival health
: the CPI (Community Periodontal Index)
• Daily tooth brushing & difficulty in eating/chewing

6. 3. Results

7. 3. Results
 all indicators related to the objectives
-> these represents…
• an increase in tooth brushing
• an increase in the percentage of people with healthy gingiva
• a decrease in the prevalence of caries
• a decrease in the number of teeth affected (decayed or missing)
• an increase in caries restoration

8. 4. Discussion
 Qualitative methods (vs quantitative methods)
- very useful in subjects
(controversial or have a high degree of uncertainty)
 10 basic goals
- fundamental to oral health
- serve as a starting-point for an indepth analysis of oral health in Spain
- acting as a reference point for a future evaluation

9. 4. Discussion
 oral cancer (not target)
: a wider field than the dental area
desirable to improve dental profession such as health education
programmes (tobacco and alcohol consumption)
or early detection of cancerous and precancerous oral lesions
 the achievement of all the proposed goals
: combined effort
to develop health promotion activities &
to deliver cost-effective, evidence-based, health services
 The involvement of all health system personnel
(health authorities, dental profession, universities, population)
in the maintenance and/or development of new
oral health programmes & strategies
is recommended & desirable

10. 5. Reference
 1. Hobdell M, Petersen PE, Clarkson J et al. Global goals for
oral health 2020. Int Dent J 2003 53: 285-288.
 2. Ziller B, Micheelis W, Osterreich D et al. Goals for oral
health in Germany 2020. Int Dent J 2006 56: 29-32.
 3. WHO. WHO Oral Health Country/Area Profile Programme.
Geneva: WHO Headquarters, Oral Health Programme (NPH)
[cited Dec-25 2007]. Available at:
http:///www.whocollab.od.mah.se/.
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