A toothache that won’t go away

THE COUNTRY’S oral-health picture is changing.

However, the fundamental message remains clear: preventing dental disease is cheaper, easier and less painful than treating it after it has become severe.

The success of Philippine oral-health policy in the coming years will depend on whether that principle becomes routine practice rather than advice given only after a tooth begins to hurt.

Oral health remains a significant public health challenge in the Philippines in 2026, with tooth decay, gum disease and limited access to preventive dental care continuing to affect millions of Filipinos.

The country is entering 2026 with an important new source of information: the Department of Health’s latest National Survey on Oral Health. The nationwide survey, conducted in 2025, was designed to measure the prevalence and severity of dental caries, periodontal disease and other oral conditions among key age groups.  

However, the latest publicly available comprehensive survey data still point to a heavy burden of untreated disease.

The 2018 National Survey on Oral Health found that dental caries remained widespread, particularly among children. About 85 percent of five-year-olds examined had caries in their primary teeth, while approximately 62 percent of 12-year-olds were affected.

The problem extends well into adulthood. The 2018 survey found that adults had an average of more than three teeth affected by coronal or root caries. Older Filipinos also faced substantial tooth loss and untreated dental problems.

Access to professional dental care is another major concern. Department of Health data showed that only about 57.3 percent of Filipinos surveyed in 2018 had consulted a dentist, while 39.8 percent reported visiting a dentist at least once a year. More than four in 10 said they sought dental care only when they experienced toothache.

Cost is an important barrier. PhilHealth noted that the 2018 survey identified financial constraints, fear and lack of time among reasons Filipinos did not seek dental consultation. The agency subsequently approved a preventive oral-health benefit for primary care, intended to expand access to essential services and reduce out-of-pocket costs.

The stakes are considerable. Oral diseases can cause pain, difficulty eating and speaking, school and work absences, and reduced quality of life. Severe untreated disease can also contribute to broader health problems.

The government’s renewed emphasis on prevention is therefore significant. The 2025 National Survey on Oral Health was intended not simply to count cavities but to examine behavioral, environmental and service-related factors—including tooth-brushing practices, dental-seeking behavior, smoking and eating habits.

For 2026, the central challenge is turning those findings into sustained action: affordable preventive care, regular dental visits, stronger school-based programs, fluoride and sealant interventions, better oral-health education and wider access to dentists, particularly among disadvantaged communities.

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Dr. Joseph D. Lim, Ed. D., is the former Associate Dean of the College of Dentistry, University of the East; former Dean, College of Dentistry, National University; Past President and Honorary Fellow of the Asian Oral Implant Academy; Honorary Fellow of the Japan College of Oral Implantologists;  Honorary Life Member of the Thai Association of Dental Implantology; and Founding Chairman of the Philippine College of Oral Implantologists. For questions on dental health, e-mail jdlim2008@gmail.com or text 0917-8591515.

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Dr. Kenneth Lester Lim, BS-MMG, DDM, MSc-OI, graduated Doctor of Dental Medicine, University of the Philippines, College of Dentistry, Manila, 2011; Bachelor of Science in Marketing Management, De la Salle University, Manila, 2002; and Master of Science (MSc.) in Oral Implantology, Goethe University, Frankfurt, Germany, 2019. He is an Associate Professor; Fellow, International Congress of Oral Implantologists; and Fellow, Philippine College of Oral Implantologists. For questions on dental health, e-mail limdentalcenter@gmail.com./PN

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