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Related Experiment Videos

Does dentistry as we know it have a future?

M H Schoen

    Journal of Public Health Dentistry
    |January 1, 1985
    PubMed
    Summary

    The American Dental Association's strategic plan may not address evolving population oral health needs, potentially incentivizing overtreatment due to excess supply. A shift towards hygienists as primary providers is proposed for better prevention and care.

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    Area of Science:

    • Dental Public Health
    • Healthcare Policy
    • Oral Health Services Research

    Background:

    • The American Dental Association's Strategic Plan for the Future of Dentistry is critiqued for prioritizing provider protection over population health needs.
    • Current dental market dynamics, including maintenance care and supply-demand imbalances, may not align with optimal public oral health outcomes.
    • The traditional role of the dentist may lack sufficient motivation and training for preventive care.

    Purpose of the Study:

    • To critically evaluate the American Dental Association's strategic plan concerning population oral health needs.
    • To propose a restructured dental care model that enhances preventive services and addresses economic incentives.
    • To suggest a redefined role for dental hygienists and dentists within a new healthcare system.

    Main Methods:

    • Critical analysis of the American Dental Association's strategic plan.
    • Economic and service-demand modeling of dental care utilization.
    • Conceptual framework development for a modified dental provider system.

    Main Results:

    • The current strategic plan may not adequately address the changing oral health needs of the population.
    • Marketing dental services does not increase absolute demand due to reduced need in maintenance care patients.
    • Excess dental supply can incentivize overtreatment, and dentists may lack motivation for prevention.

    Conclusions:

    • A modified dental hygienist, with enhanced diagnostic capabilities, should serve as the primary provider.
    • A better-trained dentist should function as a secondary provider, focusing on complex problem-solving and surgical procedures.
    • This restructured model would be most effective within a system integrating group practice and a national health service.

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