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Interdisciplinary Care: The Health Care Team-I01:21

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Dental Problems in Primary Care.

Mark B Stephens1, Joseph P Wiedemer2, George M Kushner3

  • 1Penn State College of Medicine, State College, PA, USA.

American Family Physician
|November 29, 2018
PubMed
Summary
This summary is machine-generated.

Good oral hygiene is crucial for overall health, impacting conditions like heart disease and diabetes. Primary care providers can help reduce oral diseases through screenings and preventive counseling.

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Area of Science:

  • Oral Health
  • Preventive Medicine
  • Public Health

Background:

  • Oral health is integral to overall health and quality of life.
  • Disparities in dental insurance coverage exist, with more Americans lacking dental than medical insurance.
  • Poor oral health is linked to systemic conditions including respiratory and cardiovascular diseases, adverse pregnancy outcomes, and diabetes mellitus.

Purpose of the Study:

  • To highlight the significance of oral health in relation to general well-being.
  • To underscore the role of primary care clinicians in mitigating oral disease prevalence.
  • To outline preventive strategies for oral health maintenance within primary care settings.

Main Methods:

  • Review of existing literature on oral health and its systemic connections.
  • Identification of common oral conditions and their risk factors.
  • Analysis of the potential for primary care integration in oral health promotion.

Main Results:

  • Early childhood caries is a prevalent issue in children.
  • Drug use (illicit and prescription) poses risks for enamel erosion and caries.
  • Periodontal disease risk factors include smoking, diabetes, HIV, medications, and genetics.
  • Dental injuries are common in children.
  • Gingivitis presents with specific clinical signs.
  • Incision and drainage is standard for dental abscesses.
  • Avulsed permanent teeth require immediate reimplantation.

Conclusions:

  • Primary care clinicians are strategically positioned to improve oral health outcomes.
  • Integrating oral health counseling, fluoride application, and screenings into family practice can reduce oral disease rates.