Defining The Acceptable Oral and Dental Health and Its Criteria: A Step Towards Universal Health Coverage

Abstract Background: The definition of acceptable oral health level for population could be different based on the purpose of its use and practical considerations. The present study aimed to establish a definition of acceptable oral and dental health that reflects socio-economic and cultural context by integrating clinical indicators with psychosocial and functional dimensions. Methods: The study employed a multi-phase methodology including a literature review, expert consultations, and an expert panel. Initially, a comprehensive literature review was conducted to identify existing models and definitions for assessing oral health, particularly focusing on frameworks by the World Health Organization (WHO) and the World Dental Federation (FDI). Based on this review, a primary model was developed, comprising three key domains: physiological function, psychosocial function, and absence of disease. Following this step, a panel of experts from diverse dental specialties was convened to review and refine the model, ensuring that the operational definition of oral health was adapted to the specific socio-economic and cultural conditions in Iran. Results: A refined model of oral health was developed based on existing frameworks, incorporating physiological, psychosocial, and clinical domains, consisted of 5, 4, and 15 subdomains, respectively. Expert input from 20 professionals prioritized treating conditions like oral cancer (95%) and infections (90%). The expert panel's consensus yielded a practical definition of oral health outlined through 23 specific statements to guide assessment and policy development. Conclusion: This study developed a context-specific practical definition of oral and dental health for Iran, integrating clinical indicators with psychosocial and functional dimensions. By addressing socio-economic factors and cultural nuances, this framework can serve as a crucial tool for policymakers and healthcare providers, facilitating targeted resource allocation and informing the creation of effective healthcare packages.