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Prevention in practice--a summary.

Stephen Birch, Colette Bridgman, Paul Brocklehurst

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    Implementing evidence-based preventive dental care requires infrastructure changes and adequate reimbursement. Shifting from a surgical to a medical model in dentistry is key for better oral health outcomes.

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    Area of Science:

    • Oral Health
    • Dental Public Health
    • Preventive Dentistry

    Background:

    • Summary document of the Prevention in Practice Conference and BMC Oral Health Special Supplement.
    • Represents consensus view of presenters, audience questions, comments, and suggestions.

    Purpose of the Study:

    • Identify preventable oral diseases in practice.
    • Determine early detection methods for effective prevention.
    • Evaluate evidence-based therapies and treatments for implementation.
    • Explore reimbursement models for integrating preventive care.

    Main Methods:

    • Consensus document developed from conference manuscripts.
    • Incorporated scribe notes and pre-collated resources.
    • Authors agreed on the final summary document.

    Main Results:

    • Conference focused on preventable oral diseases, early detection, and evidence-based therapies.
    • Discussed integration into general dental practice with various reimbursement models.

    Conclusions:

    • Further work needed on provider and payer sides for proper implementation and reimbursement of preventive care.
    • Savings are possible but must be realistic; effective skill mix is crucial for efficiency.
    • Strong evidence base exists for caries and periodontal disease prevention and detection.
    • Dental infrastructure must adapt to a medical model, supporting practitioners in shifting from surgical to preventive care.