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In Germany, there is a high utilization of dental services, and oral health has significantly improved over the past decades. However, a more specific assessment of burden exerted by oral health conditions, namely carious disease, periodontitis and edentulism is required. In contrast to the Global Burden of Disease (GBD) study which often relies on multiple sources of data to report its estimates, this study uses a nationally representative dataset to provide a focused and detailed assessment of the oral disease burden in Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study analyses nationally representative, cross-sectional oral health data collected by the Institute of German Dentists (IDZ) as part of the Fifth German Oral Health Study (DMS V) study conducted from 2013 to 2014. The data consists of clinical oral health examinations and socio-demographic information for predefined age groups. Prevalence of carious disease, periodontitis, and edentulism was estimated using standardized clinical indices. Disease burden was quantified as Years Lived with Disability (YLDs), applying disability weights and severity distributions from the GBD framework. Estimates were stratified by age and sex, weighted to reflect the German population and compared with corresponding GBD estimates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The burden of Carious Disease is higher in males than in females. In females aged 35\u201339 years, the burden of severe carious disease was nearly double that of mild cases, 55.1 YLDs per 100,000 compared to 25.9 YLDs per 100,000, respectively. The prevalence of periodontitis exceeded 97.5% in adults aged 65\u201369 years, with an approximate burden of 700 YLDs per 100,000 across both sexes. Edentulism affected 47.2% of females aged 85 years and older and had the highest burden of 3162.4 YLDs per 100,000 people.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the marked burden exerted by oral diseases specifically periodontitis and edentulism, especially in older age groups. There are notable sex differences across the oral diseases, and nationally representative DMS V data fills the gaps present in modelled data used be the GBD. Future research can focus on assessing burden estimates for oral conditions under treatment to elucidate differences in treatment strategies and public health decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12903-026-08134-8","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T06:04:01Z","timestamp":1773900241000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the burden of oral health conditions in the German population: a focus on dental caries, periodontitis, and edentulism"],"prefix":"10.1186","volume":"26","author":[{"given":"Meyyammai","family":"Meyyappan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Krause","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Rommel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"8134_CR1","volume-title":"status report: towards universal health coverage for oral health by 2030","author":"Global oral health","year":"2022","unstructured":"Global oral health. status report: towards universal health coverage for oral health by 2030. 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Oral health in the elderly: results of the 6th German Oral Health Study (DMS \u2022 6). Quintessence Int. 2025;56(11):S112-S119. https:\/\/doi.org\/10.3290\/j.qi.b5982021. PMID: 40091730.","DOI":"10.3290\/j.qi.b5982021"},{"issue":"Suppl 1","key":"8134_CR49","doi-asserted-by":"publisher","first-page":"S159","DOI":"10.1002\/JPER.18-0006","volume":"89","author":"MS Tonetti","year":"2018","unstructured":"Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018;89(Suppl 1):S159\u201372. https:\/\/doi.org\/10.1002\/JPER.18-0006. Erratum in: J Periodontol. 2018;89(12):1475. doi: 10.1002\/jper.10239. PMID: 29926952.","journal-title":"J Periodontol"},{"key":"8134_CR50","doi-asserted-by":"publisher","unstructured":"Jordan A, Rainer, Baudisch F. Nicolas. Verbesserung der Mund- und Zahngesundheit in Deutschland Public Health Forum. 2018;26(3):229\u2013231. https:\/\/doi.org\/10.1515\/pubhef-2018-0051.","DOI":"10.1515\/pubhef-2018-0051"}],"container-title":["BMC Oral Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12903-026-08134-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-026-08134-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-026-08134-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T20:27:18Z","timestamp":1781641638000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12903-026-08134-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,19]]},"references-count":50,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["8134"],"URL":"https:\/\/doi.org\/10.1186\/s12903-026-08134-8","relation":{},"ISSN":["1472-6831"],"issn-type":[{"value":"1472-6831","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,19]]},"assertion":[{"value":"12 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Fifth German Oral Health Study (DMS V) has been approved by the Institutional Review Board (IRB) of the North Rhine medical association, D\u00fcsseldorf (DMS V registration number 2013384). This study is registered at the German Health Services Research Data Bank (DMS V registration number VfD_DMSV_13_002152). DMS were conducted in accordance with national law and the Declaration of Helsinki of 1975 (in its current, revised version) [\n                      \n                      ,\n                      \n                      ]. Participation in the study required written and signed informed consent from the selected participants. For participants younger than 16 years of age (12-year-olds in the DMS V sample), written informed consent was obtained from their parents or legal guardians. In cases where adult participants (possibly in advanced years) were under legal guardianship, written consent was obtained from the respective legal guardian. All participants received detailed information about the purpose of the study and data protection procedures prior to participation.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"614"}}