Prevention in practice – a summary.

BMC Oral Health

Proceedings

Michael Helgeson¹  Stephen Birch²  Juliana Gomez³  Iain A Pretty³  Svante Twetman⁴  Angelo Mariotti⁵  Amid Ismail⁶  Paul Brocklehurst⁷  Colette Bridgman⁸  Philip M Preshaw⁹  Helen Whelton^1,10  Richard Macey^1,11  Roger Ellwood^1,12 

[1] Apple Tree Dental, 8960 Springbrook Drive, Suite 150 Minneapolis, 55433, MN, USA;Centre for Health Economics and Policy Analysis, McMaster University, Canada;Manchester Centre for Health Economics, University of Manchester, UK;Dental Health Unit, School of Dentistry, University of Manchester, Manchester, England, UK;Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark;Division of Periodontology, College of Dentistry, The Ohio State University, 43210, Columbus, Ohio, USA;Maurice H. Kornberg School of Dentistry, Temple University, Philadelphia, USA;NWORTH, Y Wern, The Normal Site, Bangor University, Holyhead Road, Gwynedd, UK;Public Health England, 4th Floor, 3 Piccadilly Place, London Road Manchester, M1 3BN, England, UK;School of Dental Sciences and Institute of Cellular Medicine, Newcastle University, NE2, 4BW, Newcastle upon Tyne, UK;School of Dentistry, University of Leeds, LS2 9LU, Leeds, UK;School of Dentistry, University of Manchester, Manchester, England, UK;The Colgate Palmolive Company, Piscataway, NJ, United States;Dental Health Unit, School of Dentistry, University of Manchester, Manchester, England, UK;

关键词: Oral Health;    Periodontal Disease;    Oral Cancer;    Dental Caries;    Dental Care;   

DOI  :  10.1186/1472-6831-15-S1-S12

来源: Springer

【 摘 要 】

BackgroundThis paper is a summary document of the Prevention in Practice Conference and Special Supplement of BMC Oral Health. It represents the consensus view of the presenters and captures the questions, comments and suggestions of the assembled audience.MethodsUsing the prepared manuscripts for the conference, collected materials from scribes during the conference and additional resources collated in advance of the meeting, authors agreed on the summary document.ResultsThe Prevention in Practice conference aimed to collate information about which diseases could be prevented in practice, how diseases could be identified early enough to facilitate prevention, what evidence based therapies and treatments were available and how, given the collective evidence, could these be introduced in general dental practice within different reimbursement models.ConclusionsWhile examples of best practice were provided from both social care and insurance models it was clear that further work was required on both provider and payer side to ensure that evidence based prevention was both implemented properly but also reimbursed sufficiently. It is clear that savings can be made but these must not be overstated and that the use of effective skill mix would be key to realizing efficiencies. The evidence base for prevention of caries and periodontal disease has been available for many years, as have the tools and techniques to detect, diagnose and stage the diseases appropriately. Dentistry finds itself in a enviable position with respect to its ability to prevent, arrest and reverse much of the burden of disease, however, it is clear that the infrastructure within primary care must be changed, and practitioners and their teams appropriately supported to deliver this paradigm shift from a surgical to a medical model.

【 授权许可】

Unknown   
© Birch et al. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.