Screening and Preventive Interventions for Oral Health in Adults: US Preventive Services Task Force Recommendation Statement

JAMA. 2023 Nov 14;330(18):1773-1779. doi: 10.1001/jama.2023.21409.

Abstract

Importance: Oral health is fundamental to health and well-being across the life span. Dental caries (cavities) and periodontal disease (gum disease) are common and often untreated oral health conditions that affect eating, speaking, learning, smiling, and employment potential. Untreated oral health conditions can lead to tooth loss, irreversible tooth damage, and other serious adverse health outcomes.

Objective: The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate screening and preventive interventions for oral health conditions in adults.

Population: Asymptomatic adults 18 years or older.

Evidence assessment: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for oral health conditions (eg, dental caries or periodontal disease) performed by primary care clinicians in asymptomatic adults. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of preventive interventions for oral health conditions (eg, dental caries or periodontal disease) performed by primary care clinicians in asymptomatic adults.

Recommendations: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of routine screening performed by primary care clinicians for oral health conditions, including dental caries or periodontal-related disease, in adults. (I statement) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of preventive interventions performed by primary care clinicians for oral health conditions, including dental caries or periodontal-related disease, in adults. (I statement).

Publication types

  • Comment

MeSH terms

  • Adult
  • Dental Caries* / diagnosis
  • Dental Caries* / etiology
  • Dental Caries* / prevention & control
  • Humans
  • Mass Screening / adverse effects
  • Oral Health
  • Periodontal Diseases* / diagnosis
  • Periodontal Diseases* / prevention & control
  • Preventive Health Services
  • Primary Health Care