The current paper aimed to examine the challenges of optimal oral and dental health care for all in accordance with Vision 2030, through public preventive health services programs for the mouth and teeth, and discussed optimal oral health according to available epidemiological evidence on the epidemiological situation related to oral health in the population, especially adults and the elderly, with regard to Two highly prevalent oral infections (dental caries and tooth decay). loss), and the main healthcare models for dealing with this situation, by analyzing relevant historical processes in order to reveal the potential social, political and epidemiological implications of the different models, and the potential challenges for collective dentistry and oral health in overcoming these obstacles. The main findings of the study indicate that, from an epidemiological point of view, some societies are experiencing a transition in dental caries and tooth loss, which is not yet reflected in the profile of the elderly, but is initially evident in the young. Tooth loss remains high. Some aspects of the economic and political superstructure of society have an important influence on oral health indicators and existing inequalities. Oral healthcare models have relative importance and should not be neglected. Remnants of ideological movements, such as preventive medicine, may explain the current impasse in mass oral health practices, such as the superiority of definitive treatment in clinics and preventive care in schools promoted by community-based programs. Therefore, it is important to develop conceptual and theoretical ideas and increase the goals, objectives and methods of intervention to try to achieve optimal oral and dental health.

     The current paper aimed to examine the challenges of optimal oral and dental health care for all in accordance with Vision 2030, through public preventive health services programs for the mouth and teeth, and discussed optimal oral health according to available epidemiological evidence on the epidemiological situation related to oral health in the population, especially adults and the elderly, with regard to Two highly prevalent oral infections (dental caries and tooth decay).( loss), and the main healthcare models for dealing with this situation, by analyzing relevant historical processes in order to reveal the potential social, political and epidemiological implications of the different models, and the potential challenges for collective dentistry and oral health in overcoming these obstacles.

  The main findings of the study indicate that, from an epidemiological point of view, some societies are experiencing a transition in dental caries and tooth loss, which is not yet reflected in the profile of the elderly, but is initially evident in the young. Tooth loss remains high. Some aspects of the economic and political superstructure of society have an important influence on oral health indicators and existing inequalities. Oral healthcare models have relative importance and should not be neglected. Remnants of ideological movements, such as preventive medicine, may explain the current impasse in mass oral health practices, such as the superiority of definitive treatment in clinics and preventive care in schools promoted by community-based programs. Therefore, it is important to develop conceptual and theoretical ideas and increase the goals, objectives and methods of intervention to try to achieve optimal oral and dental health.

Keywords: Challenges - Optimal Oral - Dental Health care - Vision 2030.