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Risk-benefit analysis calls for greater use of oral health indicators in health care decision-making. This chapter uses oral health indicators to illustrate the value of oral health information in health care decision-making and to identify potential problems in applying oral health information.
Oral health problems and diseases may have a significant impact on an individual's general health and well-being. In many cases, the oral cavity is the first portal of entry for infectious agents that then can spread to the rest of the body, sometimes causing significant morbidity or even death. The mouth may be a reflection of what is happening deep inside the body. It senses and responds to what is happening in the body and can be used to help diagnose disease states and measure the effectiveness of treatments. Cells and fluids in the mouth can be used to measure levels of a wide variety of substances, providing information on the health status of an individual. The tooth and supporting structures are the body's primary source of information about health status. A tooth can indicate the presence of disease, injury, or even genetic risk factors. It can also indicate whether a person is likely to develop a specific disease in the future. The health and well-being of an individual can be reflected in the state of the mouth and the oral cavity. People who present with various levels of oral health are likely to have a different health status and are likely to respond differently to health care interventions. For most of the population, dental problems are a reflection of general health.
The mouth may appear healthy, but changes in the mouth may indicate a shift in health status of an individual. Within the mouth, the gums, teeth, mucosa, epithelial lining, and tissues of the oral and pharyngeal cavity provide a direct reflection of health. Diseases that affect the mouth and pharynx can have a profound impact on an individual's health and well-being and can even pose a threat to life itself. Oral health problems and diseases can affect speech, eating, swallowing, and facial appearance.
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