Oral Health and Public Health Systems in Europe

The current situation is like that the use of oral health services varies significantly by country. In all countries the poor and disadvantaged population group are underserved [5,6]. Price J et all in a retrospective observational study concluded that the socioeconomic status (SES) gradients indicate inequity in the orthodontic outcomes, with children from disadvantaged communities having poorer outcomes compared to their more affluent peers [7]. Over a third of cases had unreported Index of Orthodontic Treatment Need (IOTN) outcome scores, which highlights the need to improve the outcome monitoring systems. While 7.6% of treatments ending in discontinuation (£2.3 m) and 5.2% ending with residual need (£1.6 m), showing Substantial inefficiencies evidence of the National Health Service in England [7].