The case of Singapore

SINGAPORE’S reputation for better dental care is not simply a matter of modern clinics, sophisticated equipment or highly trained dentists.

Its stronger performance is rooted in something more fundamental: oral health is treated as part of the public-health system rather than solely as a private medical expense.

The difference is particularly visible in prevention. Singapore has maintained a long-running school dental program designed to reach children early, providing screening, cleaning, fillings and oral-health education.

The country’s Ministry of Health has credited this sustained emphasis on prevention with helping produce very low levels of tooth decay among schoolchildren.

The result is a system in which dental care does not necessarily begin only when a tooth starts hurting.

Singapore also has a relatively strong dental workforce. A World Health Organization (WHO) country profile reported 2,363 dentists, or about 4.1 dentists per 10,000 people, based on 2018 data. The same WHO profile reported that basic restorative procedures, emergency oral care and oral-health screening were available in public primary-care facilities.

Access is reinforced by government subsidies. Singapore citizens can obtain subsidized basic dental services through public polyclinics and participating private clinics under the Community Health Assist Scheme (CHAS). Services include scaling, polishing and fillings, while patients requiring more complicated treatment can be referred to national specialist dental centers.

The government has recently strengthened that system further. Since October 2025, CHAS subsidies have been expanded to cover preventive dental procedures for a wider group of citizens, while subsidy limits for procedures such as root canals, crowns and dentures have been increased for several senior and lower-income groups.

From mid-2026, eligible seniors can also use Flexi-MediSave for certain dental procedures, including root canals and permanent crowns.

Another advantage is price transparency. Singapore’s Ministry of Health has introduced fee benchmarks for 18 common dental procedures under CHAS. The benchmarks are intended to give patients a reference when evaluating dental charges and to make government subsidies more meaningful by improving transparency around treatment costs.

Singapore’s performance is not perfect. WHO data show that untreated tooth decay remains a significant problem: an estimated 28.5 percent of people aged five and older had untreated caries in permanent teeth in 2019, while severe periodontal disease affected an estimated 17.9 percent of people aged 15 and above. Only 4.3 percent of adults aged 20 and older were estimated to have lost all their natural teeth.

That means Singapore has not eliminated oral disease. Instead, it has built stronger mechanisms for preventing, detecting and treating dental problems before they become severe.

This distinction is important for countries such as the Philippines. Better dental care is not achieved simply by producing more dentists or building more clinics. It requires sustained school programs, accessible primary dental services, government subsidies, affordable preventive treatment, specialist referral systems and policies that encourage people to preserve their natural teeth.

Singapore’s experience demonstrates that the biggest dental advantage may not be the sophistication of the dentist’s chair. It is the system surrounding the chair—and the decision to make prevention and access public-health priorities.

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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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