A functional natural dentition for all – and for life? The oral healthcare system needs revision
Identifieur interne : 002E24 ( Main/Merge ); précédent : 002E23; suivant : 002E25A functional natural dentition for all – and for life? The oral healthcare system needs revision
Auteurs : O. Fejerskov [Danemark] ; G. Escobar [Colombie] ; M. J Ssing [Danemark] ; V. Baelum [Danemark]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2013-09.
Descripteurs français
- Wicri :
- topic : Eau potable, Commune, Société, Santé publique.
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
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<term>Approximal</term>
<term>Approximal carious lesions</term>
<term>Average dmfs</term>
<term>Baelum</term>
<term>Biological problems</term>
<term>Bitewing</term>
<term>Bitewing radiographs</term>
<term>Caries</term>
<term>Caries control</term>
<term>Caries decline</term>
<term>Caries experience</term>
<term>Caries lesions</term>
<term>Caries levels</term>
<term>Caries prevention</term>
<term>Case story</term>
<term>Clinical disciplines</term>
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<term>Community dent</term>
<term>Craniofacial diseases</term>
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<term>Danish health</term>
<term>Dent</term>
<term>Dent educ</term>
<term>Dental</term>
<term>Dental care</term>
<term>Dental caries</term>
<term>Dental caries experience</term>
<term>Dental curriculum</term>
<term>Dental education</term>
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<term>Healthcare</term>
<term>Healthcare system</term>
<term>Iatrogenic damage</term>
<term>John wiley sons</term>
<term>Lesion</term>
<term>Many populations</term>
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<term>Multiple medications</term>
<term>Municipality</term>
<term>National data</term>
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<term>Odder municipality</term>
<term>Operative treatment</term>
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<term>Oral healthcare</term>
<term>Oral healthcare system</term>
<term>Oral rehabilitation</term>
<term>Oral surgery</term>
<term>Organisation</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal diseases</term>
<term>Primary molars</term>
<term>Private dentist</term>
<term>Programme</term>
<term>Public health</term>
<term>Public health dent</term>
<term>Radiograph</term>
<term>Restorative dentistry</term>
<term>Restorative treatment</term>
<term>Restorative treatment decisions</term>
<term>Tooth loss</term>
<term>Tooth retention</term>
<term>Toothpaste</term>
<term>Traditional dentists</term>
<term>Treatment decisions</term>
<term>Twentieth century</term>
<term>Uoridated</term>
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<term>Uoridation programmes</term>
<term>Uoride</term>
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<term>Approximal carious lesions</term>
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<term>Biological problems</term>
<term>Bitewing</term>
<term>Bitewing radiographs</term>
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<term>Caries control</term>
<term>Caries decline</term>
<term>Caries experience</term>
<term>Caries lesions</term>
<term>Caries levels</term>
<term>Caries prevention</term>
<term>Case story</term>
<term>Clinical disciplines</term>
<term>Cohort</term>
<term>Community dent</term>
<term>Craniofacial diseases</term>
<term>Danish children</term>
<term>Danish health</term>
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<term>Dental</term>
<term>Dental care</term>
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<term>Dental caries experience</term>
<term>Dental curriculum</term>
<term>Dental education</term>
<term>Dental profession</term>
<term>Dental professionals</term>
<term>Dental schools</term>
<term>Dental service</term>
<term>Dental services</term>
<term>Dental specialties</term>
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<term>Educ</term>
<term>Enamel</term>
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<term>Healthcare</term>
<term>Healthcare system</term>
<term>Iatrogenic damage</term>
<term>John wiley sons</term>
<term>Lesion</term>
<term>Many populations</term>
<term>Medicines authority</term>
<term>Multiple medications</term>
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<term>Odder municipality</term>
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<term>Oral disease control</term>
<term>Oral diseases</term>
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<term>Oral health care</term>
<term>Oral health status</term>
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<term>Oral healthcare system</term>
<term>Oral rehabilitation</term>
<term>Oral surgery</term>
<term>Organisation</term>
<term>Periodontal</term>
<term>Periodontal disease</term>
<term>Periodontal diseases</term>
<term>Primary molars</term>
<term>Private dentist</term>
<term>Programme</term>
<term>Public health</term>
<term>Public health dent</term>
<term>Radiograph</term>
<term>Restorative dentistry</term>
<term>Restorative treatment</term>
<term>Restorative treatment decisions</term>
<term>Tooth loss</term>
<term>Tooth retention</term>
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<term>Treatment decisions</term>
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<front><div type="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.</div>
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