A pioneering pilot program led by University of Sydney researchers delivering targeted dental care to older Australians has demonstrated that equitable, integrated oral health care is both achievable and impactful.

An interim evaluation report, led by Dr Arash Rudman and Associate Professor Bradley Christian from the Sydney Dental School, and Dr Zoe Szewczyk from the School of Public Health presents a compelling case for a national scheme.

The pilot provided comprehensive dental care to 70 older Australians, primarily pensioners with chronic conditions and low incomes, through an integrated medical-dental centre.

Services included oral health assessments, fillings, extractions, prosthodontics, and health education, all guided by the goal of achieving “oral stability.”

“This project showed that when you embed oral health into a holistic model of care, you don’t just treat teeth, you improve quality of life,” said Dr Rudman.

“We reached those most likely to fall through the cracks, people living with chronic disease, financial hardship, and social disadvantage. The outcomes speak for themselves.”

“The average cost per patient was $1,099, but 39% of patients exceeded a proposed $1,032 benefit cap, raising questions about how such a cap might affect access and equity if applied nationally," said Dr Dr Zoe Szewczyk.

“A nationwide rollout limited to pensioners would cost at least $2.9 billion over two years.

"It’s a significant figure, but doesn’t take into account the potential downstream savings associated with avoided hospitalisations, improved chronic disease outcomes, and quality of life.”

Associate Professor Bradley Christian notes the program is a a real-world proof-of-concept that equity-focused, integrated care is both feasible and valued.

“Oral health is not a luxury, it’s essential to healthy ageing, chronic disease management, and overall wellbeing," said Associate Professor Christian.

"A national scheme could be transformative, but it must be built on evidence and equity.”