A new report published today by Dental For All explores eight overseas approaches to oral healthcare and shows another way is possible for Aotearoa New Zealand.
Adult dental care currently sits outside of the public health system, leaving nearly half of the population unable to afford it.[1] The report, titled ‘There Are Alternatives: Analysis of Overseas Models of Expanding Access to Oral Healthcare within Public Health Systems’, is the third released by Dental for All, a group calling for free, universal, Te Tiriti o Waitangi-consistent oral healthcare in Aotearoa New Zealand.
“This research draws together examples of how other countries provide oral healthcare and shows how we can transform our approach to ensure everyone has access to the care they need,” says Dental for All campaigner and report coordinator, Kayli Taylor.
The countries included in the report (Niue, Japan, Colombia, Canada, Cuba, Finland, the United Kingdom, and Brazil) all take a more comprehensive approach to oral healthcare and provide publicly-funded care to a wider population. The report explores the benefits of each example and lessons for Aotearoa New Zealand. Research work was done by a researcher and a dentist with the support of the Dental for All team. It included desk research and conversations with oral health professionals working in these countries, or familiar with their contexts.
“In Aotearoa, children can access funded oral healthcare until their 18th birthday, however adult oral healthcare is fully privatised, making it inaccessible to many. This report shows that there are alternatives; a better approach to oral healthcare is possible,” says oral health researcher and co-author Anne Campbell.
“Rather than being the ambulance at the bottom of the cliff, the approaches researched for this report show that investing in good, regular oral healthcare provides long-term benefits for individuals, communities and the country as a whole,” continues Campbell.
In 2024, Dental for All released a report by FrankAdvice which found that the social, economic and fiscal costs of people not being able to afford dental care exceed the cost of funding free dental care for everyone.[2] Following this, a 2025 report focused on lived experience and shared ten stories from people who have struggled to access necessary dental care – highlighting the stress, shame and stigma that results from our current approach to oral healthcare.
“There is a strong public mandate to change how we approach oral health in Aotearoa, and we have the economic case and human stories to back this up,” says Dental for All campaigner Hana Pilkinton-Ching.
“People often ask the question, ‘What do other countries do?’. This research provides an answer. We can learn from these overseas examples, as well as local case studies and Māori leadership in the oral health space, to move towards a system which provides everyone the care that they need and upholds Te Tiriti o Waitangi,” says Pilkinton-Ching.
Dental for All will release a fourth report in the coming months which outlines a policy model for free, universal and Te Tiriti o Waitangi-consistent oral healthcare in Aotearoa New Zealand, and aims to secure policy commitments from political parties ahead of the 2026 General Election.
The report is publicly viewable here: https://drive.google.com/file/d/1G29aZ-OFKbYiDDxSFFeX0e6jAt0rLYx2/view?usp=drive_link
and linked on the Dental for All website: https://www.dentalforall.nz/research
[1] In the latest NZ Health Survey, 43% of adults reported unmet need for dental care due to cost, with higher rates of unmet need for Māori, Pacific and disabled communities.
[2] This research finds more than $6 billion in social costs, $5 billion in economic costs, and further fiscal costs (including impacts on the health system) as a result of unmet dental need in NZ adults. The cost of funding free, universal dental care is estimated to be less than $2 billion per year (based on costings published by ASMS, Stuff and the Green Party).
