Is dental practice science based?
This paper explores the thesis that the changing medical needs of dental patients, advances in biomedical research, and the confluence of the financing of medical and dental care will result in closer linkages between the medical and dental care delivery systems during the next century. Five trends have been documented in support of this thesis: the increasing number of elderly and their retention of teeth means there is a greater need for restorative dental care than in previous generations; the elderly have chronic diseases and are taking more medications; younger patients are presenting more frequently with infectious, systemic diseases such as HIV/AIDS. New scientific discoveries are opening new possibilities for patient care, which generate even higher expectations on the part of future consumers of medical and dental services. The health and fitness trend is not a fad; new knowledge regarding diet, nutrition, and exercise is identifying systemic risk factors related to common oral pathologies. Medical and dental educators are paying increased attention to the application of basic sciences to patient care. HMOs are increasing their market share of medical care delivery and expanding their services with preventive care and total patient care, including dental services. Data are provided documenting that dentists see these trends occurring in their private practices. The paper concludes that the application of advances in science and technology to oral health will improve the quality of dentistry. However, only new, effective preventive agents will decrease the cost of care, while improved diagnostics and restorative technologies could increase dental care costs.(ABSTRACT TRUNCATED AT 250 WORDS)
Douglass
C W
CW
Department of Oral Health and Epidemiology, Harvard School of Dental Medicine, Boston, MA 02115.
D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003695:Delivery of Health Care / Q000458:organization & administration; D003729:Dental Care / Q000592:standards / Q000639:trends*; D017742:Dental Care for Chronically Ill / Q000639:trends; D004497:Education, Dental / Q000639:trends; D006801:Humans; D011785:Quality Assurance, Health Care; D012106:Research