Tag Archives | dentistry

Shared decision making in cases of conflicted evidence

An interesting article titled “When clinical evidence is conflicted, who decides how to proceed? An opportunity for shared decision making,” appears in the October 2015 issue of JADA (vol. 146 issue 10, pp. 713-714) and written by Arthur H. Friedlander and et al. The article discusses the concept of shared decision making “…particularly necessary in dentistry at this juncture, given recommendations but inconclusive data available to support abandoning the provision of prophylactic antibiotics to patients with total joint prostheses.” I have previously talked about shared medical decision making in the blog post The Well Informed Patient http://blog.teethremoval.com/the-well-informed-patient/. The article talks about how historically patients were expected to consent to the recommendations of their doctors without much discussion. However, since this is not enough to be legally and ethically correct shared decision making can be used which is a “…collaborative process encouraging patients and their providers to make health care decisions together, taking into account the best scientific evidence available as well as the patient’s values and preferences.” The authors go on to state “This bioethical, patient-centered, informed consent process demonstrates respect for the patient’s autonomy and supports their empowerment at a time when illness renders them dependent and vulnerable. Furthermore, it enhances […]

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Preserving Research Funding in Dentistry

An interesting article titled “The vital role of research funding in preserving the oral health of the public and the dental profession,” appears as a guest editorial in the June 2015, issue of JADA and written by Maxine Feinber and et. al. The article discusses how it is critical that investments in dental, oral, and craniofacial research continue in the United States to help improve the nations oral health. The article states “…oral diseases persist on a scale that is poorly understood and wholly unacceptable… 3.9 billion people had oral conditions, with untreated dental caries in permanent teeth the most prevalent disease, affecting 35% of the world’s population….1 in 5 Americans is afflicted with dental caries…” The article says that around 4% of health care spending in the U.S. is for dental services. Even so we know little about oral disease and what it takes to eradicate it. The authors feel we need research on many different fronts and we need research on how to best prepare dental professionals. The authors state “Research also helps define us as a profession. The dental profession must continue to support clinically relevant science to advance our knowledge of comprehensive patient care, or it has the potential […]

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Are Dentists Not Busy Enough?

An interesting article titled “Solving dentistry’s ‘busyness’ problem” appears in the August 2015 edition of JADA and written by Marko Vujicic. The author states that nationally (U.S.) around 1 in 3 dentists say they are not busy enough. This differs by state and whether or not the dentist accepts Medicaid. The author states that the number of working age adults who have seen a dentist within 12 months has been declining over the past 10 years. In addition, inflation adjusted dental spending has been flat for several years. So the demand for dentistry is declining. The author also states that the number of dentists has increased over the last 10 years. So decreasing demand and increasing supply creates a problem for dentistry. Even so the author feels that dentist utilization by seniors will increase over the coming years and dentist utilization by children will also increase over the comings years due health benefits created through the Affordable Care Act. The author then says that it is possible to try to increase the demand for dentistry. The perceived value of dentistry can be affected through the person who visits the dentist, through the employer who provides dental benefits, through government agencies who […]

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Can Dentistry Learn from the National Basketball Association (NBA)?

An interesting article titled “What the ADA can learn from the NBA” appears in the July 2015 issue of JADA by Marko Vujicic. The article discusses how the National Basketball Association (NBA) implemented some changes that are relevant to health care workers. What the NBA did was start reviewing and evaluating all referee decisions during the last 2 minutes of any close games. The NBA wanted to be more transparent, more accountable, and show that most calls by a referee are correct. The NBA publicly discloses the results of their review of the calls of any close games. No longer do they wait until controversy causes them to act and instead are proactive instead of reactive. The author of the article feels “…that the underlying trends toward increased transparency, accountability, data-driven metrics, and emphasis on quality and outcomes that drove the NBA’s decision are precisely the same forces that are radically transforming the health care system.” What is occurring in health care is a movement away from a fee for service and provider focused model to a team based and patient centric model. He attributes some of this change due to the Affordable Care Act but other drivers for this change include out of pocket costs for […]

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The Benefits of CAD/CAM Technology in Dentistry

This is a sponsored post designed to get you excited about CAD/CAM technology in dentistry. In today’s world, CAD/CAM technology has made it very easy for dental patients. CAD stands for Computer aided designing and CAM stands for computer aided manufacturing. The technology has been implemented recently into dental laboratories and made it smooth and simple for dentists to treat their patients within the shortest period of time. In this way, CAD/CAM Technology has gained a lot of popularity. This technology is utilized the best due to the less amount of time used for the procedures. The prosthesis can be designed and developed on the same day itself. A digital impression is taken by the dentist after correcting the particular teeth. The picture is created in the computer and then accordingly the manufacturing unit receives the information in the form of the image. This leads to the formation of the replacement structure. Various other minute descriptions are easily implemented into the prosthesis. The ceramic or composite material are used in order to mill the prosthesis with this technology. The best part is that this technology can be used even in the chair-side. Therefore, the dentist can treat the patient as […]

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