{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T16:30:24Z","timestamp":1792773024620,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["U23A20496"],"award-info":[{"award-number":["U23A20496"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82173577"],"award-info":[{"award-number":["82173577"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To analyze the global burden, drivers, and disparities of oral diseases among adults aged 70\u2009years and older from 1990 to 2021 and project trends to 2040.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using Global Burden of Disease Study 2021 data, we analyzed incidence, prevalence, and disability\u2010adjusted life\u2010years (DALYs). Decomposition, inequality, and Bayesian age\u2010period\u2010cohort modeling assessed trends, drivers, and future burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 1990 to 2021, global incidence, prevalence, and DALYs of oral diseases in adults aged 70\u2009years and older increased substantially (prevalence: 133.26 to 313.37 million), although age\u2010standardized rates all declined slightly. Decomposition analysis showed population growth accounted for 107.01% to 111.36% of the increase, exceeding 100% due to an offsetting reduction from favorable epidemiological changes. Critically, the disease burden exhibited clear stratification: trends diverged by disease type, and significant disparities persisted across gender and geographic regions. By 2040, the age\u2010standardized incidence rate is projected to reach 18,024 per 100,000 population, and the age\u2010standardized DALY rate is expected to increase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The global burden of elderly oral diseases is growing in absolute terms, driven by population growth. Given the stratified patterns identified by disease type, gender, and region, targeted and context\u2010specific public health strategies are urgently needed to improve elderly oral health worldwide.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.70300","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T04:52:11Z","timestamp":1773723131000},"page":"2503-2514","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Burden of Oral Diseases in Adults Aged 70\u2009Years and Older: Time\u2010Trend Analysis of Global Burden of Disease Study 2021"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6651-0141","authenticated-orcid":false,"given":"Wei","family":"Shan","sequence":"first","affiliation":[{"name":"Department of Stomatology, Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianqian","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Department of Emergency Medicine, Second Affiliated Hospital, the Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingzi","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Department of Emergency Medicine, Second Affiliated Hospital, the Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengting","family":"Cen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Department of Emergency Medicine, Second Affiliated Hospital, the Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofei","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Department of Emergency Medicine, Second Affiliated Hospital, the Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8440-5788","authenticated-orcid":false,"given":"Liyang","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Department of Emergency Medicine, Second Affiliated Hospital, the Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Department of Emergency Medicine, Second Affiliated Hospital, the Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenkai","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Department of Emergency Medicine, Second Affiliated Hospital, the Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province Zhejiang University School of Medicine  Hangzhou 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