Putting the population back into oral health; decoupling oral health improvement from clinical dental practice
Identifieur interne : 005232 ( Istex/Curation ); précédent : 005231; suivant : 005233Putting the population back into oral health; decoupling oral health improvement from clinical dental practice
Auteurs : A. John Spencer [Australie]Source :
- Community Dentistry and Oral Epidemiology [ 0301-5661 ] ; 2012-10.
English descriptors
- KwdEn :
- Australian children, Barmes, Caries, Caries experience, Cavitated lesions, Clinical services, Community dent, Coronal caries, Dent, Dental care, Dental caries, Dental practice, Dental practices, Dental services, Dentist practice activity, Dentistry, Diagnostic services, Different type, Educational imperatives, Expert committee, Expert committee model, Health activities, Health improvement, Higher rate, Immediate future, Initial carious lesions, Intervention level, John spencer, Lesion, Long term, Main diagnoses, Main diagnosis, Medium intervention level, Much speculation, Oral disease, Oral health, Oral health improvements, Oral health personnel, Periodontal disease, Periodontal services, Permanent teeth, Population level, Preventive success, Primary teeth, Primary teeth caries experience, Removable prosthodontics, Social determinants, Teeth caries experience, Time series, Time trend, Total work effort, Treatment philosophy, Treatment services, Unusual condition, Work effort.
- Teeft :
- Australian children, Barmes, Caries, Caries experience, Cavitated lesions, Clinical services, Community dent, Coronal caries, Dent, Dental care, Dental caries, Dental practice, Dental practices, Dental services, Dentist practice activity, Dentistry, Diagnostic services, Different type, Educational imperatives, Expert committee, Expert committee model, Health activities, Health improvement, Higher rate, Immediate future, Initial carious lesions, Intervention level, John spencer, Lesion, Long term, Main diagnoses, Main diagnosis, Medium intervention level, Much speculation, Oral disease, Oral health, Oral health improvements, Oral health personnel, Periodontal disease, Periodontal services, Permanent teeth, Population level, Preventive success, Primary teeth, Primary teeth caries experience, Removable prosthodontics, Social determinants, Teeth caries experience, Time series, Time trend, Total work effort, Treatment philosophy, Treatment services, Unusual condition, Work effort.
Abstract
Some 20 years ago, there was much speculation about improving oral health and the subsequent emergence of a vastly different type of clinical dental practice and visa versa. Few of the predictions have come to pass in Australia. Caries in children has somewhat rebounded, new treatment philosophies have not gained widespread adoption, and work effort in clinical dental practice remains dominated by diagnostic services, restorations and removable prosthodontics. What was behind the wayward predictions was a failure to separate the potency of ‘care’ from ability to ‘cure’ and an overestimation of the improvement in child oral health attributable to clinical dental services. If progress is to be made in improving oral health, an understanding of the mid‐ and upstream determinants of oral health needs to guide new population oral health activities. The contribution of clinical dental services to oral health should also be enhanced, but this should not divert attention from necessary population oral health activities to improve oral health.
Url:
DOI: 10.1111/j.1600-0528.2012.00712.x
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ISTEX:A4641E90E8EA59CBD133442D65176725F1283C8CLe document en format XML
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<term>Cavitated lesions</term>
<term>Clinical services</term>
<term>Community dent</term>
<term>Coronal caries</term>
<term>Dent</term>
<term>Dental care</term>
<term>Dental caries</term>
<term>Dental practice</term>
<term>Dental practices</term>
<term>Dental services</term>
<term>Dentist practice activity</term>
<term>Dentistry</term>
<term>Diagnostic services</term>
<term>Different type</term>
<term>Educational imperatives</term>
<term>Expert committee</term>
<term>Expert committee model</term>
<term>Health activities</term>
<term>Health improvement</term>
<term>Higher rate</term>
<term>Immediate future</term>
<term>Initial carious lesions</term>
<term>Intervention level</term>
<term>John spencer</term>
<term>Lesion</term>
<term>Long term</term>
<term>Main diagnoses</term>
<term>Main diagnosis</term>
<term>Medium intervention level</term>
<term>Much speculation</term>
<term>Oral disease</term>
<term>Oral health</term>
<term>Oral health improvements</term>
<term>Oral health personnel</term>
<term>Periodontal disease</term>
<term>Periodontal services</term>
<term>Permanent teeth</term>
<term>Population level</term>
<term>Preventive success</term>
<term>Primary teeth</term>
<term>Primary teeth caries experience</term>
<term>Removable prosthodontics</term>
<term>Social determinants</term>
<term>Teeth caries experience</term>
<term>Time series</term>
<term>Time trend</term>
<term>Total work effort</term>
<term>Treatment philosophy</term>
<term>Treatment services</term>
<term>Unusual condition</term>
<term>Work effort</term>
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<term>Barmes</term>
<term>Caries</term>
<term>Caries experience</term>
<term>Cavitated lesions</term>
<term>Clinical services</term>
<term>Community dent</term>
<term>Coronal caries</term>
<term>Dent</term>
<term>Dental care</term>
<term>Dental caries</term>
<term>Dental practice</term>
<term>Dental practices</term>
<term>Dental services</term>
<term>Dentist practice activity</term>
<term>Dentistry</term>
<term>Diagnostic services</term>
<term>Different type</term>
<term>Educational imperatives</term>
<term>Expert committee</term>
<term>Expert committee model</term>
<term>Health activities</term>
<term>Health improvement</term>
<term>Higher rate</term>
<term>Immediate future</term>
<term>Initial carious lesions</term>
<term>Intervention level</term>
<term>John spencer</term>
<term>Lesion</term>
<term>Long term</term>
<term>Main diagnoses</term>
<term>Main diagnosis</term>
<term>Medium intervention level</term>
<term>Much speculation</term>
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<term>Oral health</term>
<term>Oral health improvements</term>
<term>Oral health personnel</term>
<term>Periodontal disease</term>
<term>Periodontal services</term>
<term>Permanent teeth</term>
<term>Population level</term>
<term>Preventive success</term>
<term>Primary teeth</term>
<term>Primary teeth caries experience</term>
<term>Removable prosthodontics</term>
<term>Social determinants</term>
<term>Teeth caries experience</term>
<term>Time series</term>
<term>Time trend</term>
<term>Total work effort</term>
<term>Treatment philosophy</term>
<term>Treatment services</term>
<term>Unusual condition</term>
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<front><div type="abstract" xml:lang="en">Some 20 years ago, there was much speculation about improving oral health and the subsequent emergence of a vastly different type of clinical dental practice and visa versa. Few of the predictions have come to pass in Australia. Caries in children has somewhat rebounded, new treatment philosophies have not gained widespread adoption, and work effort in clinical dental practice remains dominated by diagnostic services, restorations and removable prosthodontics. What was behind the wayward predictions was a failure to separate the potency of ‘care’ from ability to ‘cure’ and an overestimation of the improvement in child oral health attributable to clinical dental services. If progress is to be made in improving oral health, an understanding of the mid‐ and upstream determinants of oral health needs to guide new population oral health activities. The contribution of clinical dental services to oral health should also be enhanced, but this should not divert attention from necessary population oral health activities to improve oral health.</div>
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