Fifth German oral health study

Logo of the DMS V

The Fifth German Oral Health Study ( DMS V) provides important information about dental care in Germany. At the same time, it is a comprehensive database for evidence-based fundamental decisions in the health policy discussion and for the design of future care concepts. The Fifth German Oral Health Study was carried out from October 2013 to June 2014 in accordance with the budget decisions of November 2012 of the General Assembly of the National Association of Statutory Health Insurance Dentists and the General Assembly of the German Dental Association and was then scientifically evaluated. It was presented to the public on August 16, 2016.

history

In 1981 the World Health Organization (WHO) together with the World Dental Association ( Fédération Dentaire Internationale , FDI) formulated global oral health goals for the year 2000 for the first time. The Institute of German Dentists has been researching since the first German oral health study (DMS I) in 1989 (IDZ) on behalf of the National Association of Statutory Health Insurance Dentists (KZBV) and the German Dental Association (BZÄK), the oral health of the population in Germany. On the occasion of the FDI General Assembly in Sydney 2003, these objectives were taken up again by an international working group made up of representatives of the FDI, the WHO and the International Association for Dental Research (IADR) and revised for the new millennium by 2020. In 2005, over 4500 people from all social classes and age groups in Germany were surveyed in a representative survey and examined for dental purposes in the DMS IV. The group of 15-year-olds was included in this study for the first time in order to gain a deeper insight into the situation of the teeth after the change of teeth. As a repeat examination of the DMS III carried out eight years earlier, it was able to show epidemiological trends in the development of oral health during the intervening decade and to provide a solid database for health reporting and health services research. Due to the same study design, the previous oral health studies can serve as a comparison to the latest DMS V.

methodology

It is a representative, cross-sectional social-epidemiological study that documents the most important diseases of the oral cavity and teeth as well as the dental care status in four age cohorts . In a multi-stage random selection process , 90 cities and municipalities across Germany were drawn. 10,000 target persons were again randomly asked to participate via the residents' registration offices. The examinations were carried out by dentists specially trained for this study , who and their study teams questioned and examined 4609 test subjects .

Results

81 percent of 12-year-old children are now caries-free. The number of caries-free dentures doubled between 1997 and 2014. In the 35 to 44 year olds, the number of teeth with experience of caries has decreased by 30 percent since 1997. The number of teeth with root caries has halved during this period. Serious periodontal diseases have halved.

Among the 65 to 74 year olds there is a downward trend in periodontal disease despite the fact that more teeth are preserved.

Only one in eight of the 65 to 74 age group is toothless, in 1997 it was one in four. They have an average of five more teeth than they did in 1997.

Older people in need of care have a greater experience of caries, fewer teeth of their own and more often removable dentures than the entire age group of older seniors (75 to 100 year olds). Almost 30 percent of people in need of care are no longer able to clean and care for their teeth and dentures themselves. 60 percent of people in need of care are no longer able to organize a dentist appointment and visit a dental practice alone.

45 percent of children and 31 percent of adults know the recommendations for dental care and report good tooth- brushing behavior. Compared to 1997, three times more of the 65 to 74 year olds state that they practice good oral hygiene.

The burden of disease is shifting into old age: Older seniors (75 to 100 year olds) have an oral health condition in 2014 like the younger seniors (65 to 74 year olds) in 2005.

Web links

Portal: Dentistry - Overview of Wikipedia content on dentistry

Oral health study: This is how healthy Germany's teeth are , Spiegel online, August 16, 2016. Accessed August 17, 2016

German Oral Health Study (DMS V) , National Association of Statutory Health Insurance Dentists. Retrieved August 19, 2016.

Individual evidence

↑ M. Hobdell, PE Petersen, J. Clarkson, N. Johnson: Global goals for oral health 2020. In: International dental journal. Volume 53, Number 5, October 2003, pp. 285-288, PMID 14560802 .
↑ DMS IV - a brief overview , German Society for Dentistry, Oral and Maxillofacial Medicine (DGZMK). Retrieved August 17, 2016.
^ RA Jordan, C. Bodechtel et al. a .: The Fifth German Oral Health Study (Fifth German Oral Health Study, DMS V) - rationale, design, and methods. In: BMC oral health. Volume 14, 2014, p. 161, doi: 10.1186 / 1472-6831-14-161 , PMID 25547464 , PMC 4417261 (free full text).
↑ A. Rainer Jordan and Wolfgang Micheelis, Fifth German Oral Health Study (DMS V), series of materials, Volume 35, 617 pages, Deutscher Ärzteverlag . 2016 ISBN 978-3-7691-0020-4 .

[1] M. Hobdell, PE Petersen, J. Clarkson, N. Johnson: Global goals for oral health 2020. In: International dental journal. Volume 53, Number 5, October 2003, pp. 285-288, PMID 14560802 .

[2] DMS IV - a brief overview , German Society for Dentistry, Oral and Maxillofacial Medicine (DGZMK). Retrieved August 17, 2016.

[3] RA Jordan, C. Bodechtel et al. a .: The Fifth German Oral Health Study (Fifth German Oral Health Study, DMS V) - rationale, design, and methods. In: BMC oral health. Volume 14, 2014, p. 161, doi: 10.1186 / 1472-6831-14-161 , PMID 25547464 , PMC 4417261 (free full text).

[DMS_V-4] A. Rainer Jordan and Wolfgang Micheelis, Fifth German Oral Health Study (DMS V), series of materials, Volume 35, 617 pages, Deutscher Ärzteverlag . 2016 ISBN 978-3-7691-0020-4 .