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The declining affordability of dental care in New Zealand from 1978 to 2023

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Authors:
Summary:

While increases in personal income over the period 2008 to 2023 have largely kept pace with the rising cost of dental treatments in New Zealand, Māori and Pacific individuals need to spend a higher proportion of their weekly income to access the same treatment as New Zealand Europeans. These were the findings of a study which surveyed dentists and reviewed earnings and personal income data from Statistics New Zealand and New Zealand Official Yearbooks. For the five dental treatments with data available from 1978 to 2023, fees increased by 75% to 236%, while earnings increased by 46%. The overall increase in personal income from 2008 to 2023 (approximately 21%) was enough to counter the increased cost of most dental treatments. However, in 2023, Māori and Pacific individuals needed to spend 16% and 23% more of their weekly income, respectively, than New Zealand Europeans to receive the same dental treatments.

Comment:
I’ve seen over many years the lobbying to our public health leaders for dental care to be offered in the ‘universal health care system’, recognising that cost is the major barrier for timely access to care. There is a growing body of syndemic research linking poor dental health to chronic disease including heart attacks, and this too has impacts on our health system. Decision makers in oral health – including local councils – must step up to address this.
Reference: Community Dent Oral Epidemiol. 2025;53(1):17-25.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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