{
  "abstract": "Introduction: Climate change is a major public-health concern, but short-term population-level evidence linking annual climate variability to oral-health outcomes remains limited. This study evaluates within-country associations between temperature, extreme heat days, and three oral-health indicators across EU member states.\n\nMethods: A longitudinal ecological panel analysis was conducted for the 27 EU member states from 2016 to 2023. Daily temperatures at each country centroid were obtained from the Open-Meteo Historical Weather API and aggregated to annual mean temperature and days with maximum temperature above 30 °C. Outcomes were GBD 2023 carries and periodontal prevalence and Eurostat unmet dental care. Two-way fixed-effects models used country-clustered finite-sample-corrected standard errors and 999-replication wild-cluster bootstrap p -values.\n\nResults: Neither mean annual temperature nor extreme heat days were associated with any outcome in the two-way fixed-effects models. Within R-squared values were 0.056 for caries, 0.032 for periodontal disease, and 0.044 for unmet dental care. Wild-cluster bootstrap inference confirmed the absence of associations at the 5% level. Quadratic temperature terms and climate-by-expenditure interactions were also non-significant.\n\nConclusion: Over the eight-year study period, short-term within-country variation in the reconstructed climate indicators was not associated with the examined oral-health outcomes. Nonlinear and expenditure-interaction models were also null. Longer panels, spatially resolved exposure measures, and oral-health-specific financing, coverage, and utilization indicators are needed.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Oral Pathology, Multidisciplinary Center for Research, Evaluation, Diagnosis and Therapies in Oral Medicine, “Victor Babes” University of Medicine and Pharmacy Timisoara , ,",
    "Department of Organization, Professional Legislation and Management of the Dental Office, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy , ,",
    "Finance, Business Information Systems and Modeling Department, Faculty of Economics and Business Administration, West University of Timisoara , ,",
    "Department of Pediatric Dentistry, Faculty of Dental Medicine, “Victor Babes”, University of Medicine and Pharmacy Timisoara , ,"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Cassandra Lupita"
    },
    {
      "affs": [
        1
      ],
      "name": "Anca-Cristina Perpelea"
    },
    {
      "affs": [
        0
      ],
      "name": "Laura-Cristina Rusu"
    },
    {
      "affs": [
        0
      ],
      "name": "Iulia Muntean"
    },
    {
      "affs": [
        0
      ],
      "name": "Edida Maghet"
    },
    {
      "affs": [
        2
      ],
      "name": "Oana Ramona Lobonț"
    },
    {
      "affs": [
        3
      ],
      "name": "Magda-Mihaela Luca"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/14gf999vjc8me.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1939057",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661443/?tool=EBI",
  "id": "14gf999vjc8me",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13661443",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2307|Climate Change and Health Impacts"
    ]
  ],
  "openalex": "W7214955832",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661443/pdf/?tool=EBI",
  "pmcid": "PMC13661443",
  "pmid": null,
  "published": "2026-09-30",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/14gf999vjc8me.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:20Z",
      "native_id": "PMC:PMC13661443",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13661443"
    },
    {
      "first_seen": "2026-10-30T12:20:22Z",
      "native_id": "10.3389/fpubh.2026.1939057",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1939057/full"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2307|Climate Change and Health Impacts",
      "subfield": "pharmacology-toxicology"
    }
  ],
  "title": "Climate risk or healthcare investment? Explaining oral health outcomes across European Union member states",
  "title_text": "Climate risk or healthcare investment? Explaining oral health outcomes across European Union member states",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:22Z",
  "url": "https://research.draconitic.com/paper/14gf999vjc8me",
  "venue": "Frontiers in public health",
  "versions": []
}