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Background Global health systems are entering a decade defined by aging populations, multimorbidity, workforce shortages, and constrained fiscal capacity. Within this context, dentistry is transitioning from a procedure-centered specialty to an integral component of population health. The convergence of digital technologies, biological innovation, and policy reform presents both opportunity and disruption. This review examines the macro- and meso-forces shaping oral health care from 2025 to 2035 and identifies principles for advancing equitable, connected, and prevention-oriented care.Methods A structured narrative synthesis was conducted using peer-reviewed literature, regulatory documents, and policy reports published between 2015 and 2025. Searches across PubMed, Scopus, and Web of Science identified sources on public-health integration, workforce transformation, digitalization, fiscal trends, and educational reform. Grey literature from WHO, FDI, OECD, and industry sources were included to capture real-world adoption signals. Findings were thematically coded and interpreted through the Quadruple Aim and Learning Health System frameworks.Results Three primary forces are driving dentistry’s evolution: integration into public-health policy and universal health coverage ; transformation toward distributed, digitally enabled, interprofessional workforce models; and fiscal realignment toward value-based efficiency. Additional forces include accelerating digital and artificial intelligence adoption, cultural shifts toward transparency, and educational reform emphasizing data literacy and ethics. Together, these dynamics support an emerging oral-health ecosystem characterized by interoperability, predictive analytics, and regenerative approaches.Conclusions Dentistry’s future is defined by convergence across technology, biology, policy, and human experience. Progress will depend on integration, value-based care, and preserving empathy within increasing digital systems.
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Adkins et al. (2026) studied this question.
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