Periodontal treatment needs and workforce requirements: comparisons between the normative and sociodental approaches using different skill mix models

Abstract

Using the sociodental approach resulted in much lower estimates of dental need and workforce requirements for periodontal treatment than using the normative method. Using dental therapists markedly reduced the numbers of dentists needed for periodontal treatment.

Planning oral health care using the sociodental approach and the index of family living conditions: a cross-sectional study in Brazilian adolescents

“…Similar to previous research, dental need using the sociodental approach was lower compared to the normative method [4, 5, 24, 25]. The evidence is supported by studies involving progressive oral conditions (e.g.…”

“…The evidence is supported by studies involving progressive oral conditions (e.g. dental caries) [5] and malocclusion in adolescents [4], and prosthodontic and periodontal treatment needs assessment in adults [24, 25]. In our study, there was a reduction from 51.6 to 10.1 % on dental caries treatment need when normative need was compared to the sociodental approach.…”

“…The estimate need of orthodontic treatment using the sociodental approach decreased by 70 % compared with normative need [4]. In adults the need of periodontal treatment and prosthodontic treatment using the sociodental approach were 90 and 75 %, respectively, lower than using the normative need method [24, 25]. …”

Comparing self‐reported and clinically diagnosed unmet dental treatment needs using a nationally representative survey

“…Aside from self-reports on periodontal and dental caries status, orthodontic need and treatment history (1,3,4,(6)(7)(8)(9)(10)(11)(12)(13)(14)(15), few studies have explored variations in consistencies in selfreported and normative treatment needs between different treatment categories, such as preventive, restorative, endodontic, and surgical needs (1,6,11,14). While comparisons of socio-dental and normative approaches on treatment needs have been assessed (3,4,(13)(14)(15), a comparison of the accuracy of self-reports on estimating their unmet clinical dental conditions by different of treatment categories has been seldom explored (1). Understanding the level of diagnostic accuracy of self-reports on estimating the presence of unmet dental conditions provides insight into individuals' understanding of oral health and disease which could influence their oral health behaviors and dental care utilization patterns.…”

Comparing human resource planning models in dentistry: A case study using Canadian Armed Forces dental clinics

“…10,11 The needs-based model requires some form of treatment needs data, such as normative or sociodental need, in order for it to be operationalized; however, estimates produced from these approaches are sensitive to the choice of need assessed. 10 Sociodental needs have been preferred over normative needs as normative needs do not consider health behaviour and patient compliance, although both affect utilization of dental services. 12 Given that Regular Force CAF personnel are required to have an annual dental examination in order to assess whether they are dentally fit for deployment and to establish a treatment plan for the provision of care, when treatment is needed, 13 a normative needs-based model may yield more accurate estimates of dental human resource requirements in this context.…”