A functional natural dentition for all – and for life? The oral healthcare system needs revision
Identifieur interne : 003D20 ( Istex/Corpus ); précédent : 003D19; suivant : 003D21A functional natural dentition for all – and for life? The oral healthcare system needs revision
Auteurs : O. Fejerskov ; G. Escobar ; M. J Ssing ; V. BaelumSource :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2013-09.
English descriptors
- KwdEn :
- Aarhus, Approximal, Approximal carious lesions, Average dmfs, Baelum, Biological problems, Bitewing, Bitewing radiographs, Caries, Caries control, Caries decline, Caries experience, Caries lesions, Caries levels, Caries prevention, Case story, Clinical disciplines, Cohort, Community dent, Craniofacial diseases, Danish children, Danish health, Dent, Dent educ, Dental, Dental care, Dental caries, Dental caries experience, Dental curriculum, Dental education, Dental profession, Dental professionals, Dental schools, Dental service, Dental services, Dental specialties, Dental team, Dental treatment, Dentistry, Dentition, Disease control, Dmfs, Drinking water, Educ, Enamel, Epidemiol, Fejerskov, General health, Healthcare, Healthcare system, Iatrogenic damage, John wiley sons, Lesion, Many populations, Medicines authority, Multiple medications, Municipality, National data, Odder, Odder municipality, Operative treatment, Oral disease, Oral disease control, Oral diseases, Oral health, Oral health care, Oral health status, Oral healthcare, Oral healthcare system, Oral rehabilitation, Oral surgery, Organisation, Periodontal, Periodontal disease, Periodontal diseases, Primary molars, Private dentist, Programme, Public health, Public health dent, Radiograph, Restorative dentistry, Restorative treatment, Restorative treatment decisions, Tooth loss, Tooth retention, Toothpaste, Traditional dentists, Treatment decisions, Twentieth century, Uoridated, Uoridation, Uoridation programmes, Uoride, Uorides, Young adults.
- Teeft :
- Aarhus, Approximal, Approximal carious lesions, Average dmfs, Baelum, Biological problems, Bitewing, Bitewing radiographs, Caries, Caries control, Caries decline, Caries experience, Caries lesions, Caries levels, Caries prevention, Case story, Clinical disciplines, Cohort, Community dent, Craniofacial diseases, Danish children, Danish health, Dent, Dent educ, Dental, Dental care, Dental caries, Dental caries experience, Dental curriculum, Dental education, Dental profession, Dental professionals, Dental schools, Dental service, Dental services, Dental specialties, Dental team, Dental treatment, Dentistry, Dentition, Disease control, Dmfs, Drinking water, Educ, Enamel, Epidemiol, Fejerskov, General health, Healthcare, Healthcare system, Iatrogenic damage, John wiley sons, Lesion, Many populations, Medicines authority, Multiple medications, Municipality, National data, Odder, Odder municipality, Operative treatment, Oral disease, Oral disease control, Oral diseases, Oral health, Oral health care, Oral health status, Oral healthcare, Oral healthcare system, Oral rehabilitation, Oral surgery, Organisation, Periodontal, Periodontal disease, Periodontal diseases, Primary molars, Private dentist, Programme, Public health, Public health dent, Radiograph, Restorative dentistry, Restorative treatment, Restorative treatment decisions, Tooth loss, Tooth retention, Toothpaste, Traditional dentists, Treatment decisions, Twentieth century, Uoridated, Uoridation, Uoridation programmes, Uoride, Uorides, Young adults.
Abstract
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.
Url:
DOI: 10.1111/joor.12082
Links to Exploration step
ISTEX:7BC4CCAF5FF9E55275FA9B29D3B14B87C01F1E6ELe document en format XML
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The oral healthcare system needs revision</title><author><name sortKey="Fejerskov, O" sort="Fejerskov, O" uniqKey="Fejerskov O" first="O." last="Fejerskov">O. Fejerskov</name><affiliation><mods:affiliation>Department of Biomedicine, University of Aarhus, Aarhus, Denmark</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: of@ana.au.dk</mods:affiliation></affiliation></author><author><name sortKey="Escobar, G" sort="Escobar, G" uniqKey="Escobar G" first="G." last="Escobar">G. Escobar</name><affiliation><mods:affiliation>Faculty of Dentistry, Universidad de Antioquia, Medellin, Colombia</mods:affiliation></affiliation></author><author><name sortKey="J Ssing, M" sort="J Ssing, M" uniqKey="J Ssing M" first="M." last="J Ssing">M. J Ssing</name><affiliation><mods:affiliation>Odder Municipality, Odder, Denmark</mods:affiliation></affiliation></author><author><name sortKey="Baelum, V" sort="Baelum, V" uniqKey="Baelum V" first="V." last="Baelum">V. 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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.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>caries</json:string><json:string>healthcare</json:string><json:string>uoride</json:string><json:string>dental caries</json:string><json:string>oral health</json:string><json:string>dentition</json:string><json:string>odder</json:string><json:string>john wiley sons</json:string><json:string>community 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Fejerskov</name><affiliations><json:string>Department of Biomedicine, University of Aarhus, Aarhus, Denmark</json:string><json:string>E-mail: of@ana.au.dk</json:string></affiliations></json:item><json:item><name>G. Escobar</name><affiliations><json:string>Faculty of Dentistry, Universidad de Antioquia, Medellin, Colombia</json:string></affiliations></json:item><json:item><name>M. Jøssing</name><affiliations><json:string>Odder Municipality, Odder, Denmark</json:string></affiliations></json:item><json:item><name>V. Baelum</name><affiliations><json:string>Department of Dentistry, University of Aarhus, Aarhus, Denmark</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>dental caries</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>periodontitis</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oral health</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental care</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oral rehabilitation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental health services</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental education</value></json:item></subject><articleId><json:string>JOOR12082</json:string></articleId><arkIstex>ark:/67375/WNG-L8RHF5C0-H</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>reviewArticle</json:string></originalGenre><abstract>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.</abstract><qualityIndicators><score>9.94</score><pdfWordCount>9609</pdfWordCount><pdfCharCount>59850</pdfCharCount><pdfVersion>1.7</pdfVersion><pdfPageCount>16</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>245</abstractWordCount><abstractCharCount>1545</abstractCharCount><keywordCount>7</keywordCount></qualityIndicators><title>A functional natural dentition for all – and for life? 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The oral healthcare system needs revision</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">O.</forename><surname>Fejerskov</surname></persName><affiliation><orgName>Department of Biomedicine</orgName><orgName>University of Aarhus</orgName><address><settlement type="city">Aarhus</settlement><country key="DK">Denmark</country></address></affiliation><affiliation>Correspondence: Ole Fejerskov, Department of Biomedicine, Aarhus University, Vilh. Meyers Allé 3, 8000 Aarhus C, Denmark. E‐mail: of@ana.au.dk</affiliation></author><author xml:id="author-0001"><persName><forename type="first">G.</forename><surname>Escobar</surname></persName><affiliation><orgName>Faculty of Dentistry</orgName><orgName>Universidad de Antioquia</orgName><address><settlement type="city">Medellin</settlement><country key="CO">Colombia</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">M.</forename><surname>Jøssing</surname></persName><affiliation><orgName>Odder Municipality</orgName><address><settlement type="city">Odder</settlement><country key="DK">Denmark</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">V.</forename><surname>Baelum</surname></persName><affiliation><orgName>Department of Dentistry</orgName><orgName>University of Aarhus</orgName><address><settlement type="city">Aarhus</settlement><country key="DK">Denmark</country></address></affiliation></author><idno type="istex">7BC4CCAF5FF9E55275FA9B29D3B14B87C01F1E6E</idno><idno type="ark">ark:/67375/WNG-L8RHF5C0-H</idno><idno type="DOI">10.1111/joor.12082</idno><idno type="unit">JOOR12082</idno><idno type="toTypesetVersion">file:JOOR.JOOR12082.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL OF ORAL REHABILITATION</title><idno type="pISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><idno type="book-DOI">10.1111/(ISSN)1365-2842</idno><idno type="book-part-DOI">10.1111/joor.2013.40.issue-9</idno><idno type="product">JOOR</idno><imprint><biblScope unit="vol">40</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="707">707</biblScope><biblScope unit="page" to="722">722</biblScope><biblScope unit="page-count">16</biblScope><date type="published" when="2013-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="joor12082-abs-0001"><head>Summary</head><p>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.</p></abstract><textClass><keywords><term xml:id="joor12082-kwd-0001">dental caries</term><term xml:id="joor12082-kwd-0002">periodontitis</term><term xml:id="joor12082-kwd-0003">oral health</term><term xml:id="joor12082-kwd-0004">dental care</term><term xml:id="joor12082-kwd-0005">oral rehabilitation</term><term xml:id="joor12082-kwd-0006">dental health services</term><term xml:id="joor12082-kwd-0007">dental education</term></keywords><keywords rend="articleCategory"><term>Review Article</term></keywords><keywords rend="tocHeading1"><term>Review Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/7BC4CCAF5FF9E55275FA9B29D3B14B87C01F1E6E/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="joor12082" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2842</doi><issn type="print">0305-182X</issn><issn type="electronic">1365-2842</issn><idGroup><id type="product" value="JOOR"></id></idGroup><titleGroup><title sort="JOURNAL OF ORAL REHABILITATION" type="main">Journal of Oral Rehabilitation</title><title type="short">J Oral Rehabil</title></titleGroup></publicationMeta><publicationMeta level="part" position="09109"><doi origin="wiley">10.1111/joor.2013.40.issue-9</doi><copyright ownership="publisher">Copyright © 2013 John Wiley & Sons Ltd</copyright><numberingGroup><numbering type="journalVolume" number="40">40</numbering><numbering type="journalIssue">9</numbering></numberingGroup><coverDate startDate="2013-09">September 2013</coverDate></publicationMeta><publicationMeta level="unit" position="90" status="forIssue" type="reviewArticle"><doi>10.1111/joor.12082</doi><idGroup><id type="unit" value="JOOR12082"></id></idGroup><countGroup><count number="16" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Review Article</title><title type="tocHeading1">Review Articles</title></titleGroup><copyright ownership="publisher">© 2013 John Wiley & Sons Ltd</copyright><eventGroup><event date="2013-06-15" type="manuscriptAccepted"></event><event agent="SPS" date="2013-06-26" type="xmlCreated"></event><event type="publishedOnlineEarlyUnpaginated" date="2013-07-16"></event><event type="firstOnline" date="2013-07-16"></event><event type="publishedOnlineFinalForm" date="2013-08-09"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-20"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-01"></event></eventGroup><numberingGroup><numbering type="pageFirst">707</numbering><numbering type="pageLast">722</numbering></numberingGroup><correspondenceTo>Correspondence: Ole Fejerskov, Department of Biomedicine, Aarhus University, Vilh. 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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.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>A functional natural dentition for all – and for life? The oral healthcare system needs revision</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>A functional natural dentition for all – and for life? The oral healthcare system needs revision</title></titleInfo><name type="personal"><namePart type="given">O.</namePart><namePart type="family">Fejerskov</namePart><affiliation>Department of Biomedicine, University of Aarhus, Aarhus, Denmark</affiliation><affiliation>E-mail: of@ana.au.dk</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G.</namePart><namePart type="family">Escobar</namePart><affiliation>Faculty of Dentistry, Universidad de Antioquia, Medellin, Colombia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.</namePart><namePart type="family">Jøssing</namePart><affiliation>Odder Municipality, Odder, Denmark</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">V.</namePart><namePart type="family">Baelum</namePart><affiliation>Department of Dentistry, University of Aarhus, Aarhus, Denmark</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="review-article" displayLabel="reviewArticle" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-L5L7X3NF-P">review-article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-09</dateIssued><dateCreated encoding="w3cdtf">2013-06-26</dateCreated><dateValid encoding="w3cdtf">2013-06-15</dateValid><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>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.</abstract><note type="funding">Bagger‐Sorensen Foundation</note><subject><genre>keywords</genre><topic>dental caries</topic><topic>periodontitis</topic><topic>oral health</topic><topic>dental care</topic><topic>oral rehabilitation</topic><topic>dental health services</topic><topic>dental education</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Oral Rehabilitation</title></titleInfo><titleInfo type="abbreviated"><title>J Oral Rehabil</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Review Article</topic></subject><identifier type="ISSN">0305-182X</identifier><identifier type="eISSN">1365-2842</identifier><identifier type="DOI">10.1111/(ISSN)1365-2842</identifier><identifier type="PublisherID">JOOR</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>40</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>707</start><end>722</end><total>16</total></extent></part></relatedItem><identifier type="istex">7BC4CCAF5FF9E55275FA9B29D3B14B87C01F1E6E</identifier><identifier type="ark">ark:/67375/WNG-L8RHF5C0-H</identifier><identifier type="DOI">10.1111/joor.12082</identifier><identifier type="ArticleID">JOOR12082</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 John Wiley & Sons Ltd© 2013 John Wiley & Sons Ltd</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/7BC4CCAF5FF9E55275FA9B29D3B14B87C01F1E6E/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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