The Effect of Chairside Chronic Disease Screenings by Oral Health Professionals on Health Care Costs

Nasseh, Kamyar; Greenberg, Barbara; Vujicic, Marko; Glick, Michael

doi:10.2105/ajph.2013.301644

Cited by 60 publications

(43 citation statements)

References 40 publications

(36 reference statements)

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“…5 Furthermore, the ADA's Council on Dental Practice has most recently pro-to pay for such services. 24 The cost incurred by the provider to offer point-of-care screenings and subsequent referrals is less than traditional medical laboratory fees. 24 The cost incurred by the provider to offer point-of-care screenings and subsequent referrals is less than traditional medical laboratory fees.…”

Section: Integrating Ohcps Into Medical Carementioning

confidence: 99%

The Role of Oral Health Care Professionals in Providing Medical Services

Glick¹,

Greenberg

2017

Journal of Dental Education

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Integration of oral health care professionals (OHCPs) into medical care could advance efforts to control increasingly prevalent conditions such as cardiovascular disease, diabetes mellitus, human immunodeficiency virus infection, and hepatitis C infection, each of which is associated with significant morbidity and health care costs. Prevention and early intervention are effective for reducing the incidence and severity of these diseases, while increasing cost of health care may drive the need for nontraditional models of health education and delivery. Studies have suggested that a dental office is a suitable setting for the purpose of screening and referrals for these conditions and may result in medical expenditure savings. Such innovations would challenge the current dental educational model and the education and training of faculty. Implementing this change would require recognizing opportunities and challenges for the profession and the need for new competencies in dental curricula. Challenges and opportunities are described, including reimbursement models and integration of OHCPs into emerging health care delivery models. Ideas for curricular change are presented, including the need for added emphasis on biological sciences and the introduction of new courses to address systems thinking and forces driving preventive behavior. To embrace the evolving health care arena and be a part of the future interprofessional health care delivery dynamic, dental curricula should also include substantive interprofessional education opportunities. Such opportunities would provide the basic skills and training to recognize and appreciate patients' oral health issues in the broader context of their overall health and well-being. This article was written as part of the project "Advancing Dental Education in the 21 Century."

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Section: Integrating Ohcps Into Medical Carementioning

confidence: 99%

The Role of Oral Health Care Professionals in Providing Medical Services

Glick¹,

Greenberg

2017

Journal of Dental Education

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“…Are dentists interested, for example, in seizing the unprecedented opportunities to contribute to whole-body health that are emerging as a result of health care reform? 14 On the cost side, how can cost barriers to dental care be reduced significantly for US adults? How do private dental benefits arrangements and Medicaid policies need to change to reduce financial barriers and promote increased access to dental care?…”

Section: Looking Forwardmentioning

confidence: 99%

Where have all the dental care visits gone?

Vujicic¹

2015

The Journal of the American Dental Association

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“…Many studies were done on screening of diabetes and hypertension because of their prevalence in society and the availability of well-validated, safe, and easy-to-use screening tools. 9 A British study found that few dentists screened for high blood pressure, although more than 25% felt it was a good idea. 10 Early detection of the chronic condition can save more than 75% of the total cost of the treatment and decrease the chance of causing deaths by 70%.…”

Section: Introductionmentioning

confidence: 99%

“…10 Early detection of the chronic condition can save more than 75% of the total cost of the treatment and decrease the chance of causing deaths by 70%. 9 According to the medical expenditure panel survey, only 10 to 20% of the adults have seen physician yearly, whereas about 40% of the adults visit the dentist on a yearly basis. 9 As a result, the dentist may play a major role in early detection and screening of chronic diseases, especially diabetes and hypertension.…”

Section: Introductionmentioning

confidence: 99%

Early Screening of Diabetes and Hypertension in Primary Care Dental Clinics at King Saud University in Riyadh, Kingdom of Saudi Arabia

Hadlaq

Faraj

Gamdi

et al. 2017

The Journal of Contemporary Dental Practice

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Introduction Diabetes mellitus and hypertension are the leading chronic diseases in Saudi Arabia; 23.1% of the Saudi population are diabetic and 25.5% are hypertensive. This cross-sectional study was made on dental setting to determine the effectiveness of screening of diabetes and hypertension in dental clinics. Materials and methods This study was carried out in the primary care dental clinics at the Dental College in King Saud University in Riyadh, Saudi Arabia. Before starting any treatment, a face-to-face interview was administered to collect a brief medical history and personal data followed by measurement of body mass index (BMI). After that, blood pressure level reading was obtained using electrical sphygmomanometer. Finally, a glucose level reading was obtained from capillary blood from the patient's third fingertip using glucose reader. Results Our study included 283 participants, 118 of whom were females (41.7%). Our study showed that a significant amount of the participants are at risk of having hypertension (44.8%). In addition, a significant number (10.2%) of the participants are at risk of having diabetes. Furthermore, 35.7% of the sample had obesity as a risk factor for diabetes and hypertension. Conclusion The dental team can play an important role in screening of diabetes, hypertension, and other chronic diseases. In Saudi Arabia, public awareness of the chronic diseases is still critically insufficient. Clinical significance Our study showed the importance of the screening even for patients with negative history of diabetes or hypertension. How to cite this article Hadlaq EM, Faraj ZT, Al Gamdi FM, Al Obathani FA, Abuabat MF, Awan KH. Early Screening of Diabetes and Hypertension in Primary Care Dental Clinics at King Saud University in Riyadh, Kingdom of Saudi Arabia. J Contemp Dent Pract 2017;18(8):652-659.

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The Effect of Chairside Chronic Disease Screenings by Oral Health Professionals on Health Care Costs

Abstract: Oral health professionals can potentially play a bigger role in detecting chronic disease in the US population. Additional prevention and monitoring activities over the long term could achieve even greater savings and health benefits.

Cited by 60 publications

References 40 publications

The Role of Oral Health Care Professionals in Providing Medical Services

The Role of Oral Health Care Professionals in Providing Medical Services

Where have all the dental care visits gone?

Early Screening of Diabetes and Hypertension in Primary Care Dental Clinics at King Saud University in Riyadh, Kingdom of Saudi Arabia

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