Ett tandvårdsperspektiv på förebyggande och hälsofrämjande verksamhet – exempel på kariesprevention från Västra Götaland

Under 1900-talet har utvecklingen gått från att i stort sett alla hade karies till att många idag är helt friska. Tyvärr har också en ojämn fördelning av kariessjukdomen blivit allt tydligare. Denna positiva utveckling av munhälsan är ett resultat av framgångsrika insatser men har också påverkat tandvårdens verksamhet. Från att siktet varit inställt på att borra bort sjukdomen har ett preventivt och hälsofrämjande synsätt kompletterat synen på symtomatisk behandling. Exempel på förebyggande insatser beskrivs utifrån olika åldrar. Vikten av register för att följa hälsoutvecklingen och kunna utvärdera insatta åtgärder lyfts fram. I framtiden är samverkan mellan olika professioner inom hälso- och sjukvården samt inom skola och omsorg angelägen. Samverkan kan med fördel riktas till utsatta grupper med ett holistiskt och salutogent anslag.  During the 20th century, the incidence of dental caries changed dramatically; from almost a 100 percent prevalence to a majority of people being caries-free. However, what has become evident is the uneven distribution of the disease. This development towards a population with less dental caries influences how the dental care sector is organized but is also a result of successful efforts within the sector. The thought that caries could be cured by drilling has been replaced by a preventive and health promotive way of thinking. Preventive actions aimed towards different age groups is here described, and the importance of assessing and evaluating the interventions is highlighted. In the future, an interprofessional cooperation between the health, school and care sector is important and could preferably be aimed towards groups with low socioeconomic status using holistic and salutogenic approaches

Swedish Quality Registry for Caries and Periodontal Diseases : a framework for quality development in dentistry

OBJECTIVES: There is a need for monitoring dental health and healthcare, as support for quality development, allocation of resources and long-term planning of dental care. The aim of this paper is to describe the concept and implementation of the Swedish Quality Registry for Caries and Periodontal Diseases (SKaPa). MATERIALS AND METHODS: The SKaPa receives information by automatic transfer of data daily from electronic patient dental records via secure connections from affiliated dental care organisations (DCOs). The registry stores information about DCOs, dental professionals and patients. Information on a patient level includes personal identifier, gender, age, living area, dental status, risk assessments for caries and periodontitis, and dental care provided. In addition, data generated from a global question on patient-perceived oral health are uploaded. In total, more than 400 variables are transferred to the registry and updated daily. RESULTS: In 2018, all of the 21 public DCOs and the largest private DCO in Sweden were affiliated to SKaPa, representing a total of 1,089 public and 234 private dental clinics. The accumulated amount of information on dental healthcare covers 6.9 million individuals out of the total Swedish population of 10 million. SKaPa produces reports on de-identified data, both cross-sectional and longitudinal. CONCLUSION: As a nationwide registry based on automatic retrieval of data directly from patient records, SKaPa offers the basis for a new era of systematic evaluation of oral health and quality of dental care. The registry supports clinical and epidemiological research, data mining and external validation of results from randomised controlled trials

Swedish Quality Registry for Caries and Periodontal Diseases : a framework for quality development in dentistry

OBJECTIVES: There is a need for monitoring dental health and healthcare, as support for quality development, allocation of resources and long-term planning of dental care. The aim of this paper is to describe the concept and implementation of the Swedish Quality Registry for Caries and Periodontal Diseases (SKaPa). MATERIALS AND METHODS: The SKaPa receives information by automatic transfer of data daily from electronic patient dental records via secure connections from affiliated dental care organisations (DCOs). The registry stores information about DCOs, dental professionals and patients. Information on a patient level includes personal identifier, gender, age, living area, dental status, risk assessments for caries and periodontitis, and dental care provided. In addition, data generated from a global question on patient-perceived oral health are uploaded. In total, more than 400 variables are transferred to the registry and updated daily. RESULTS: In 2018, all of the 21 public DCOs and the largest private DCO in Sweden were affiliated to SKaPa, representing a total of 1,089 public and 234 private dental clinics. The accumulated amount of information on dental healthcare covers 6.9 million individuals out of the total Swedish population of 10 million. SKaPa produces reports on de-identified data, both cross-sectional and longitudinal. CONCLUSION: As a nationwide registry based on automatic retrieval of data directly from patient records, SKaPa offers the basis for a new era of systematic evaluation of oral health and quality of dental care. The registry supports clinical and epidemiological research, data mining and external validation of results from randomised controlled trials