Expanding public oral healthcare to all vulnerable groups would represent an affordable cost of between 208 and 277 million euros

  • The DONTE GROUP – coinciding with the first anniversary of the brand – presents the report “Oral health and financial exclusion: an avoidable social cost”.
  • 9.25% of Spaniards cannot go to the dentist for financial reasons.
  • In Spain, the public expenditure allocated to oral health represents 2% of the total healthcare expenditure, versus an average of 31% in the European Union.



Madrid, 21 September 2023. .-

The DONTE GROUP, a leading oral care group in Spain, has presented the report Oral health and financial exclusion: an avoidable social cost. The report is a study that analyses the current situation of oral healthcare in Spain, and it was presented today on the first anniversary of the group. The main conclusion drawn from the report is the cost that would be represented by expanding public oral healthcare, beginning with vulnerable groups: a figure estimated at between 208 and 277 million euros.

This new report, prepared by Alberto Montero, Professor of Applied Economics of the University of Málaga, represents an update of the “Proposal for inclusive expansion of oral healthcare in Spain”, presented in 2020, which put the cost of publicly financing all dental treatments under a model of public-private cooperation at the figure of 5,423 million euros.

Taking a closer look at the relevance of financial vulnerability, it can be observed that oral health diseases have a socio-economic gradient, which leads to a greater concentration of both the presence of disease and the needs for restorative treatments occurring among the population with fewer resources.

“At the DONTE GROUP, we have identified two obstacles to access to oral health: on the one hand, unawareness among the population of the importance of oral health as a part of overall health; and on the other, the financial difficulty expressed by some people with respect to being able to access dental services in the private system. And we have been working on these two facets for years”, explains Javier Martín Ocaña, CEO of the DONTE GROUP.

With the objective of eliminating situations of vulnerability due to financial reasons, public expenditure varies between 208 million euros – estimated using the methodology of the Ministry based on the expense per capitation – and 277 million euros – estimated based on the expenditure of the Family Budget Survey. “This estimate is certainly a small cost considering the gravity of the oral health problems suffered by these people and the direct and indirect costs that such problems generate in the healthcare system in particular and in society in general”, Alberto Montero points out,for whom this expenditure could be reduced even more by introducing co-payment mechanisms.

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