Outcomes Data Registry for Dentistry

Using large amounts of data from many different dentists or surgeons is a way to improve the quality of healthcare. From such clinical data registries in healthcare many things can be gleaned regarding information about individual surgeries or medical devices. The American Association of Oral and Maxillofacial Surgeons (AAOMS) has recently launched OMS Quality Outcomes Registry or OMSQOR for short which is discussed on pages 7-12 of the March/April 2019 issue of AAOMS Today. The groundwork for OMSQOR actually began in 2014 and OMSQOR officially launched in January 2019. The way OMSQOR works is that treatment data from all members who participate will be collected in a national registry that will be used to help improve the quality of care and patient outcomes. Such quality data will allow for tracking surgical outcomes, complications, and possible gaps in treatment. OMSQOR will … Read more

Difference between Cosmetic Surgeon and Plastic Surgeon for Facial Procedures

Many patients are interested in having procedures done to improve the functional and aesthetic aspects of the face. However many may not know that there is a difference between a cosmetic surgeon and a plastic surgeon. Nowadays many practitioners from plastic surgery backgrounds and non–plastic surgery backgrounds alike are offering cosmetic services to patients. In a 2013 study only 8 of the 96 study participants were aware that any physician with a medical degree was legally qualified to perform cosmetic surgery. This study was conducted in an article titled “Factors Influencing Patient Interest in Plastic Surgery and the Process of Selecting a Surgeon” written by Galanis et al. appearing in the Aesthetic Surgery Journal (vol. 33, no. 4, May 2013, pp. 585–590). Therefore many surgeons that perform cosmetic surgery may be board certified but not by the American Board of … Read more

Difference Between Oral Surgeons and Dentists

If a patient is in need of dental treatment there are different specialists to consider. Depending on the type of dental treatment being received a patient may be better off seeing a dentist or may be better off seeing an oral surgeon. Thus it is important to better understand the types of treatments a dentist and oral surgeon performs to be able to determine who to seek out. Treatments Performed by Dentists General dentists provide preventative care and maintenance. Preventive care includes performing dental cleanings, taking and interpreting x-rays, performing oral examinations, and monitoring the growth and development of teeth and jaws. Maintenance includes performing fillings of cavities, root canals for teeth that can not be restored, placing crowns, and other surgical procedures of the teeth, bone and soft tissues of the oral cavity. By seeing a dentist patients are … Read more

Profit Motives in Oral and Maxillofacial Surgery Utilizing Sedation

Recently on this site it was discussed how guidelines have come out from the American Academy of Pediatric Dentistry (AAPD) and American Academy of Pediatrics (AAP) recommending when deep sedation or general anesthesia is given to children in dental offices there should be two trained individuals present. One individual should provide the dentistry and the other individual is responsible to administer the sedation or anesthesia and to observe the patient for any adverse events. This goes against the single provider model that has been advocated by the American Association of Oral and Maxillofacial Surgeons (AAOMS) and is typically utilized for wisdom teeth removal in the United States of America, where the oral surgeon performs both the dentistry and the administration of sedation or anesthesia. Some have criticized the AAOMS position of a single provider model for its focus on profit … Read more

Delivering Cognitive-Behavioral Treatment in Dental Practices

An interesting article titled “Dentist-Perceived Barriers and Attractors to Cognitive-Behavioral Treatment Provided by Mental Health Providers in Dental Practices,” written by Heyman et al. appears in Advances in Dental Research (vol. 29, no. 1, pp. 35-41, February 2018). The article discusses how over 20% of dental patients report having dental fear and how over 20 randomized controlled trials have show that Cognitive-Behavioral Treatment (CBT) can help. Even though such CBT treatment has been shown to help it has not been widely used beyond dental fear specialty clinics according to the authors. The authors feel that the treatment is recognized but the way to disseminate it throughout the US health care system is needed. The authors explore enhancing the dental home via an approach known as evidence-based collaborative care where specialized mental health providers work within the dental home to provide … Read more