Global oral health statistics This page brings together the most up-to-date global oral health statistics. It is designed for journalists and media professionals seeking reliable data on oral health, disease burden, and oral health behaviours. Dental disease prevalence Dental caries remains the most common health condition worldwide, with an estimated 2.5 billion people living with untreated tooth decay in permanent teeth. ¹ Around 514 million children have untreated decay in their primary teeth. ¹ Severe periodontal (gum) disease affects almost one-in-five adults globally (19%), which equates to around 1 billion people. ² Edentulism (complete tooth loss) is widespread in older populations, with prevalence exceeding 30% of adults over 65 years in many high-income countries. ³ Mouth cancer Each year, there are more than 377,700 new cases of lip and oral cavity cancer worldwide, leading to around 177,700 deaths. ⁴ The highest incidence is in South Asia, parts of Central and Eastern Europe, and the Pacific Islands, where tobacco, alcohol, betel quid, and HPV are major risk factors. ⁴ Oral health behaviours Global surveys show that toothbrushing twice daily is not universal. In many low- and middle-income countries, fewer than half of children and adults brush their teeth twice a day. ⁵ Use of fluoride toothpaste varies widely, with limited access and affordability a significant barrier in many parts of Africa, Asia, and Latin America. ⁵ Sugar consumption remains a major risk factor. The WHO recommends that free sugar intake should be less than 10% of total energy intake, with further benefits if below 5%. ⁶ Average global intake is well above this threshold. ⁶ Access and workforce Globally, more than 3.5 billion people have no access to essential oral healthcare. ¹ The dental workforce is unevenly distributed. In high-income countries, there may be 60 dentists per 100,000 population, compared with fewer than 5 per 100,000 in many low-income countries. ⁷ Out-of-pocket payment remains the main way people pay for dental treatment worldwide, with oral health care often excluded from universal health coverage. ⁷ Impacts on daily life Untreated oral disease leads to pain, infection, and difficulties eating, speaking, and learning. WHO estimates that oral diseases account for over 20 million disability-adjusted life years (DALYs) annually, making them one of the top contributors to the global disease burden. ¹ Children with poor oral health are more likely to miss school, and adults may lose working days due to untreated pain and emergency dental visits. ⁸ Inequalities Oral health inequalities are stark. Decay rates are highest in children from poorer and disadvantaged groups across all regions. ¹ In low-income countries, oral cancer is often diagnosed late, leading to much higher mortality compared with high-income countries. ⁴ Access to fluoride, whether through toothpaste, water fluoridation, or salt fluoridation, remains highly unequal across regions. ⁵ Economics The global economic impact of dental diseases is estimated at US$ 544 billion per year – around US$ 356 billion in direct treatment costs and US$ 188 billion in productivity losses. ⁹ Dental caries alone accounts for nearly half of these costs, making it one of the most expensive diseases to treat worldwide. ⁹ References WHO. Global Oral Health Status Report. (2022). Kassebaum NJ et al. Global burden of severe periodontitis: 1990–2019. Journal of Dental Research. (2020). Petersen PE, Ogawa H. The global burden of periodontal disease: towards integration with chronic disease prevention. Community Dentistry & Oral Epidemiology. (2012). IARC (GLOBOCAN 2020). Lip and oral cavity cancer statistics. WHO. Oral health fact sheet. (2022). WHO. Guideline: Sugars intake for adults and children. (2015). FDI World Dental Federation. Vision 2030: Delivering Optimal Oral Health for All. (2021). Peres MA et al. Oral diseases: a global public health challenge. The Lancet. (2019). Listl S et al. Global economic impact of dental diseases. Journal of Dental Research. (2015). Manage Cookie Preferences