Rethinking dental insurance

An interesting article titled “Time to rethink dental “insurance”” written by Marko Vujicic appears in the Nov. 2017 issue of JADA (vol. 147 issue 12, pp. 907–910). The article explorers some issues surrounding the Affordable Care Act (ACA) in the U.S. and it’s impact and medical insurance and dental insurance and argues that dental insurance should be combined into dental insurance. It says that the percentage of Americans lacking health insurance coverage has fallen to 9.2%, which is lower than pre-ACA levels. In addition more Americans than before now now have a personal physician, health care costs are growing at much lower rates, and amount out-of-pocket health spending is declining. The article states “Earlier predictions that the ACA would cause dramatic increases in premiums, the elimination of health insurance coverage by employers, and a slowdown in the US economy have not happened. (emphasis […]

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Fluoride Mouthrinse May reduce Dental Caries in Children and Adolescents

An interesting article titled “Limited evidence suggests fluoride mouthrinse may reduce dental caries in children and adolescents” appears in the April 2017 issue of JADA written by Linda L. Cheng (issue 7, p263–266). The article explores the following question “In children and adolescents, does fluoride mouthrinse prevent dental caries compared with a placebo or no treatment?” The article discusses how reviewers searched 9 databases with no restriction on language or date of publication up through April 22, 2016. At least 2 reviewers independently selected the studies, extracted data, and assessed risk of bias. Dental caries were defined as clinical and radiographic lesions recorded at the dentin level of diagnosis. A total of  37 trials involving 15,813 children and adolescents, aged 6-14 years, were included in the results. Nearly all of the trials were conducted in schools on the supervised use of fluoride mouthrinse except […]

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The Rise of Foreign Trained Dentists in the U.S.

An interesting article titled “Will we see more foreign-trained dentists in the United States?” appears in the July 2017, issue of JADA written by Marko Vujicic (issue 7, pp. 538-540). The article explores the H-1B program with a focus on dentistry. The article presents a figure which shows the number of dentists practicing in the U.S. who received a foreign degree is rising. The article states “Across all US dental schools, there were 896 foreign nationals admitted in 2016, representing approximately 14% of total admissions. “ The article later says that around 1,165 H-1B applications for dentists were received in 2016 which is up from 414 H-1B applications in 2011. The article states “The top 3 companies applying for H-1B visas for dentists were Jefferson Dental Clinics, Western Dental, and Kool Smiles. Combined, these 3 companies account for 12% of total […]

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The ethics of a fair and honest treatment plan

An interesting article titled “The ethics of presenting a fair and honest treatment plan,” is written by Marvin Elwood Rice, appearing in JADA, April 2017, vol. 148, issue 4. The article discusses a dentist who has had numerous occasions in which a relative, past patient, or a new patient has called for a second opinion because of what another dentist has shown them on the oral camera screen. These are patients who take care of their teeth and are familiar with their conditions. In each instance, the patient was in a panic because the dentist enlarged his or her teeth on the overhead screen and pointed to a dark developmental groove or a stained pit and tried to convince the patient that they had a cracked tooth and needed a crown or that the stained areas were active carious lesions and they […]

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How to Cope with Dental Fear

An interesting article titled “Coping skills for facing dental fears” appears in the February 2017, issue of JADA, vol. 148, issue 2. The article discusses some things you can do if you are afraid of the dentist to help you get through the entire appointment. The first thing the article suggests is to speak up and let the office and dentist know you have dental fear. You can address any coping skills you have used in the past and the dental team may suggest new coping skills that can be tried. You ask the dentist to talk you through what is going to be done for your treatment prior to him or her doing it to help further put your mind at ease. If you need to take a break during treatment you can agree on a signal to use […]

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