Exploring the use of strategic frameworks in dental practice

This paper explores the use of strategic frameworks in NHS and private dental practice. It reviews the policy context of dentistry and suggests the challenges in this context will require dental practices to prioritise understanding and engagement with a strategic approach. A strategic approach will be required in order to enhance and improve performance. Two specific strategic frameworks will be explored in terms of their relevance to NHS and private dental practic

International Profiles of Health Care Systems

Compares the healthcare systems of Australia, Canada, Denmark, England, France, Germany, Italy, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States, including spending, use of health information technology, and coverage

Evaluating the Impact of an Interprofessional Practice Experience Involving Pharmacy and Dental Students on Medication Histories within an Urban Academic Dental Admissions Clinic

Primary Objective: To compare interprofessional (IP) care versus standard care on medication history clarifications in dental patients. Secondary Objectives: To assess the clinical significance of these clarifications with regards to the potential impact on dental treatment plans. To describe the interventions provided by IP care to clarify discrepancies and/or resolve medication-related problems

Teledentistry: An Innovative Workforce Model for Dental Hygienists

Objective/Aims: This review of literature seeks to explore teledentistry as an alternative dental hygiene workforce model that places a dental hygienist in the role of the mid-level practitioner as part of a digitally-connected oral healthcare team. It will also emphasize the innovative methods of teledentistry giving better health care delivery to diverse populations. Methods: The review of literature analyzed the conclusions and discussions of primary and secondary scholarly articles from PubMed, Google Scholar, Embase, and CINAHL. Specific key terms included teledentistry, telehealth, teleconsultation, dental hygiene, dentistry, workforce model, health care delivery. Articles included in this review were published within the five last years. Results: Multiple scholarly articles were compiled together to emphasize the importance of technology-centered dental health care for patients who were unable to travel long distances to retrieve the care they were seeking, Key limitations the research often indicated include geographic, socioeconomic barriers or distance. Conclusion: The teledentistry-assisted model presents one way to answer the call to expand overall access to oral healthcare. The comparison of articles supported the efficiency and cost-effectiveness method of teledentistry in comparison to face to face consultations. Teledentistry is especially beneficial to addressing the access to care issue particularly populations in rural areas and even penitentiary institutions.https://scholarscompass.vcu.edu/denh_student/1025/thumbnail.jp

The Effect of Print Angulation on the Accuracy and Precision of 3D-Printed Orthodontic Retainers

Purpose: The aims of this study were: 1) to compare the accuracy and precision of 3- dimensional (3D) printed retainers at various angulations, 2) to evaluate the effect of angulation on printing time and the amount of resin consumed. Methods: Using a stereolithography (SLA) 3D printer, a total of 60 clear retainers were printed at five angulations (n=12, each): 15, 30, 45, 60, and 90 degrees. Six retainers were printed each cycle at a random order for all print angulations as print 1 and print 2. Digital images of the original and printed retainers were superimposed. Discrepancies on eight landmarks were measured by two independent examiners. 0.25 mm was set as the clinically acceptable threshold to determine the accuracy of the retainers. Results: Deviations ranged from 0.074 mm to 0.225 mm from the reference retainer at the cusp tips and incisal edges at all angulations, falling within the threshold of clinical acceptance. Smooth surfaces ranged from 0.263 mm to 0.480 mm, falling beyond the level of clinical acceptance. Printing at 15 degrees was estimated to be the most time-efficient, while printing at 45 degrees was estimated to be the most cost-effective. Conclusions: 3D-printed retainers, using an SLA printer, were found to be accurate within 0.25 mm at all print angulations at the cusp tips and incisal edges when compared to the reference digital file. Smooth facial surfaces fell beyond of the level of clinical acceptability. Printing at 15 degrees was estimated to be the most time-efficient, while printing at 45 degrees was estimated to be the most cost-effective

REFORMING THE DELIVERY OF PUBLIC DENTAL SERVICES IN IRELAND: POTENTIAL COST IMPLICATIONS. ESRI RESEARCH SERIES NUMBER 80 APRIL 2019

This report details the results of an analysis of the potential cost implications of proposed changes to aspects of the model of delivery of publicly-financed dental services in Ireland, as set out in the new National Oral Health Policy (Department of Health, 2018b). Currently, dental services in Ireland are financed and delivered in a mixed public-private system, with most individuals paying out-of-pocket fees to independent dental practitioners. The public system currently finances the delivery of dental healthcare services to adult medical cardholders via the Dental Treatment Services Scheme (DTSS); to non-medical cardholder eligible adults via the Treatment Benefit Scheme (TBS); and to children and adults requiring special and complex care via the Public Dental Service (PDS). This report deals with proposed changes to the delivery of preventive dental healthcare services under the DTSS and PDS

Dissemination of evidence-based standards of care.

Standards of care pertain to crafting and implementing patient-centered treatment interventions. Standards of care must take into consideration the patient's gender, ethnicity, medical and dental history, insurance coverage (or socioeconomic level, if a private patient), and the timeliness of the targeted scientific evidence. This resolves into a process by which clinical decision-making about the optimal patient-centered treatment relies on the best available research evidence, and all other necessary inputs and factors to provide the best possible treatment. Standards of care must be evidence-based, and not merely based on the evidence - the dichotomy being critical in contemporary health services research and practice. Evidence-based standards of care must rest on the best available evidence that emerges from a concerted hypothesis-driven process of research synthesis and meta-analysis. Health information technology needs to become an every-day reality in health services research and practice to ensure evidence-based standards of care. Current trends indicate that user-friendly methodologies, for the dissemination of evidence-based standards of care, must be developed, tested and distributed. They should include approaches for the quantification and analysis of the textual content of systematic reviews and of their summaries in the form of critical reviews and lay-language summaries

International Profiles of Health Care Systems, 2012

This publication presents overviews of the health care systems of Australia, Canada, Denmark, England, France, Germany, Japan, Iceland, Italy, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. Each overview covers health insurance, public and private financing, health system organization, quality of care, health disparities, efficiency and integration, care coordination, use of health information technology, use of evidence-based practice, cost containment, and recent reforms and innovations. In addition, summary tables provide data on a number of key health system characteristics and performance indicators, including overall health care spending, hospital spending and utilization, health care access, patient safety, care coordination, chronic care management, disease prevention, capacity for quality improvement, and public views

Dental Dam Utilization by Dentists in an Intramural Faculty Practice

Objectives: From casual observation of our colleagues, only a few individuals use the dental dam for operative procedures in their faculty practice. The purpose of this study was to obtain faculty perceptions of the dental dam, quantify its utilization in their intramural faculty practice, and determine the factors that influence dental dam usage.Materials and Methods: A survey containing 11 questions was sent to 19 faculty members who teach full time and maintain an intramural dental practice involving operative dentistry. Thirty electronic dental health records of the 19 providers were reviewed to gather the following information from restorative procedures they completed: isolation methods, tooth location and involved surfaces, and dental restorative material.Results: Overall, dental dam was utilized for 30% of all restorative procedures and was used less than 20% of the time for placement of class II and class III composite resins. Dental dam utilization rate by general dentists was 37% and 17.6% for prosthodontists. Those general dentists with prior history of military dental practice had a utilization rate of 78.6% and nonmilitary dentists only 7.6%. Eight faculty members responded to the questionnaire for a 42% return rate. Those who practiced dentistry in the military strongly agreed that the dental dam is the standard of care, improves their quality of restorative work, and should be documented in the dental record.Conclusions: There were significantly different dental dam utilization rates between general dentists and prosthodontists and between dentists with prior military experience and those without