Integrated care: a new model for dental education

Thomson, Asha; Dickenson, Andrew; Ross-Russell, M.

doi:10.1038/s41415-021-3318-z

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…44 Our workforce needs to feel valued and supported through their career 13 and this has become increasingly challenging within the NHS. 1,45 Financial remuneration is important, but there needs to be personal and professional fulfilment to maintain motivation and commitment. The private sector often has greater flexibility in terms of staff investment and any changes in the NHS contract must take this into consideration, or practices will continue to lose experienced and valuable staff.…”

Section: Discussionmentioning

confidence: 99%

The dental workforce recruitment and retention crisis in the UK

et al. 2023

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The precarious state of NHS dentistry is widely acknowledged, yet there is limited progress in addressing the underlying issues. Further delays will undoubtedly impact patient care, leading to oral health deterioration and unnecessary suffering. This will predominantly affect the most vulnerable in society, resulting in greater oral health inequalities. The underlying issues contributing to the current NHS dental crisis are many, and they include: prolonged delays in contract reform; long-term underinvestment; private sector growth; and fewer dentists working full-time and/or in the NHS. In England, an NHS dental contract that fails to promote prevention or equality of access continues to have a deep and pernicious impact on the future of NHS dentistry. The devastating impact of the COVID-19 pandemic on access cannot be underestimated and neither should the effect of Brexit on the availability of workforce. The recruitment and retention of dentists, and other members of the dental team, is undoubtedly a major issue in terms of capacity and access to NHS dental care. These problems, seen across the UK, are a particular issue in England, with acute challenges within rural and coastal areas. There is an urgent necessity to develop coherent, multifaceted strategies, aided by the collection of clear and accurate workforce data, to tackle these issues.

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Section: Discussionmentioning

confidence: 99%

The dental workforce recruitment and retention crisis in the UK

et al. 2023

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“…Inter-professional collaboration and partnership are advocated for the co-management of medical and dental conditions that are linked, but currently managed by separate groups of healthcare professionals. 77,78 Closer communication, information exchange and decision support will contribute to better quality of care and optimised healthcare outcomes. Co-management of diabetes and periodontal disease, through a multidisciplinary approach, has been advocated by the International Diabetes Federation and the European Federation of Periodontology in their recent consensus report and guidelines.…”

Section: Clinical and Policy Implicationsmentioning

confidence: 99%

“…Evidence of oral-systemic links can be introduced to the undergraduate curriculum, postgraduate courses and continuing professional education programmes to better equip future and current practitioners for integrated patient care. 77…”

Section: Clinical and Policy Implicationsmentioning

confidence: 99%

Periodontal disease and systemic health: An update for medical practitioners

Kalhan

Wong

Allen

et al. 2022

Ann Acad Med Singap

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Introduction: Chronic periodontal disease is a highly prevalent dental condition affecting tooth-supporting tissues. Scientific evidence is accumulating on links between periodontal disease and various systemic conditions. This narrative review provides a holistic yet succinct overview that would assist medical practitioners to deliver integrated care for better clinical outcomes. Method: Scientific evidence on associations between periodontal disease and systemic conditions was synthesised and critically appraised. Key findings of latest prospective cohort studies, randomised clinical trials, and meta-analysis were closely assessed and compiled. Results: A bidirectional relationship has been established, indicating that diabetes and periodontal disease are closely linked and amplify one another, if not successfully controlled. Existing evidence also supports the associations of periodontal disease with cardiovascular diseases and adverse pregnancy outcomes. Successful treatment of periodontal disease and dental prophylaxis has been shown to improve clinical outcomes in these systemic conditions. Other systemic conditions associated with periodontal disease include respiratory diseases, Alzheimer’s disease, rheumatoid arthritis and chronic kidney disease. Although the underlying mechanisms remain to be fully elucidated, it is generally accepted that the inflammatory burden of chronic periodontal disease has an important systemic impact. Conclusion: Oral-systemic links are multifaceted and complex. While evidence linking periodontal disease with a variety of systemic conditions is still emerging, the nature of the relationship is becoming clearer. The updated understanding of these associations warrants the attention of medical experts and policymakers for a concerted effort to develop a patient-centric, integrated model for the treatment of comorbid dental and medical conditions. Keywords: Cardiovascular diseases, dentistry, diabetes, oral health, periodontal diseases, systemic diseases

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