Repositioning dentistry

Wylie, Ian

doi:10.1038/sj.bdj.4801503a

Cited by 3 publications

(2 citation statements)

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“…As a consequence, our patients as well as society at large, including decision‐makers, remain oblivious to the problems and continue to consider traditional dentists a sine qua non to cover the need for treatment and rehabilitation resulting from the unfortunate consequences of ‘inevitable’ oral disease progression. While the dental profession has a strong self‐perception as a free and liberal profession with a well‐established code of ethics and a sense of social purpose , the reality is that it remains detached from the public health aspects of its profession . The fee‐for‐service payment model reinforces the bias towards overtreatment and unnecessary care delivered to those with the lesser needs, while the less privileged groups who account for the major oral healthcare needs remain unserved or underserved .…”

Section: Evidence‐based Oral Health Care and The Dental Professionmentioning

confidence: 99%

A functional natural dentition for all – and for life? The oral healthcare system needs revision

Fejerskov

Escobar

Jøssing

et al. 2013

J of Oral Rehabilitation

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The cost of dental care adds to the costs of the already overburdened health sector. Do we - as patients and as society -receive oral health care that is both aligned with the actual disease experience and also, critically based on up-to-date scientific knowledge about the major oral diseases? In many places, the practice of dentistry reflects a response to disease patterns that once existed and is based on diagnostic and therapeutic approaches that are no longer valid. Instead, a new cadre of dental professionals is needed, one that is capable of meeting the actual health needs of our populations. This cadre should ensure that patients maintain a functioning dentition from cradle to grave based on cost-effective disease control principles. There is an urgent need to: (i) reconsider the roles of the different oral health cadres involved in the provision of oral health care; (ii) integrate oral health into general healthcare services; and (iii) restructure the training of oral health personnel. We advocate a radical reform of the oral healthcare system involving the training of two new types of professionals integrated with the general healthcare system: The oral healthcare provider - a highly skilled professional specialised in the diagnosis and control of oral diseases and with a profound understanding of oral health as part of general health - and the oral clinical specialist - whose role is the provision of advanced oral rehabilitation, able also to treat people with complex chronic diseases and multiple medications.

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Section: Evidence‐based Oral Health Care and The Dental Professionmentioning

confidence: 99%

A functional natural dentition for all – and for life? The oral healthcare system needs revision

Fejerskov

Escobar

Jøssing

et al. 2013

J of Oral Rehabilitation

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“…However, despite the stated commitment to a societal responsibility, it is also clear, that the dental profession most of all perceives itself as a ‘free and liberal profession’ (6). One result of this is that the profession remains somewhat detached from the developments in many countries towards increasing public involvement in the extent, content and type of health care provided to the populations at large (1, 7). The dental profession often seems more engaged in enforcing its statutory rights as a learned profession with a high degree of autonomy and monopoly than in providing solutions to imminent problems regarding the availability of and access to dental services for underserved regions and population groups, of which the recent Alaska debate is just one example (8–10).…”

Section: The Supply Side: the Dental Servicesmentioning

confidence: 99%

A global perspective on changes in the burden of caries and periodontitis: implications for dentistry*

Bælum

Helderman

Hugoson

et al. 2007

J of Oral Rehabilitation

135

124

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The structure and contents of most oral health care systems and the contents of dental curricula reflect a deep-rooted tradition for attempting to cure oral diseases by refined technological means. However, better oral health conditions for the world's populations necessitate the application of up-to-date scientific knowledge to control the major oral diseases. This review points out that not only should the structure and contents of oral health care delivery systems be based on state-of-the-art knowledge about the biology of the oral diseases; they must also take into account the trends for change in caries and periodontal diseases within and between populations, and acknowledge the impact of changes in treatment philosophies for these trends. The oral disease profiles for populations in low- and high-income countries are briefly described, and it is concluded that the rapidly changing disease profiles observed in high-income countries necessitate re-thinking of the future role and organization of dentistry in such countries. The priorities for low- and middle-income countries must be to avoid repeating the mistakes made in the high-income countries. Instead, these societies might take advantage of setting priorities based on a population-based common risk factor approach. If such an approach is adopted, the training of personnel with oral health care competence must be rethought. The authors suggest three different cadres of dental care providers to be considered for an approach that allows health care planners in different populations around the world to prioritize appropriate oral health care with due respect for the socio-economic conditions prevailing.

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A delicate balance

Renshaw¹

2002

Br Dent J

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Repositioning dentistry

Cited by 3 publications

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A functional natural dentition for all – and for life? The oral healthcare system needs revision

A functional natural dentition for all – and for life? The oral healthcare system needs revision

A global perspective on changes in the burden of caries and periodontitis: implications for dentistry*

A delicate balance

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