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Dental Clinics of North America

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https://www.readbyqxmd.com/read/29478462/the-intersection-of-clinical-practice-and-dental-public-health
#1
EDITORIAL
Michelle M Henshaw, Astha Singhal
No abstract text is available yet for this article.
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478461/a-public-health-perspective-on-paying-for-dentistry-the-affordable-care-act-and-looking-to-the-future
#2
REVIEW
Burton L Edelstein
Health care costs have traditionally been provider generated whereas payment has been split between public and private sources. There has been little pressure on health care providers to demonstrate value. The quest for value in health care financing is now widely evident as demonstrated by governmental and private sector pursuits of a 3-part aim: better health outcomes at lower cost with improved patient and population experience. Value-based approaches involve payment innovation with its attendant constraints and opportunities for innovation...
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478460/innovative-models-of-dental-care-delivery-and-coverage-patient-centric-dental-benefits-based-on-digital-oral-health-risk-assessment
#3
REVIEW
John Martin, Shannon Mills, Mary E Foley
Innovative models of dental care delivery and coverage are emerging across oral health care systems causing changes to treatment and benefit plans. A novel addition to these models is digital risk assessment, which offers a promising new approach that incorporates the use of a cloud-based technology platform to assess an individual patient's risk for oral disease. Risk assessment changes treatment by including risk as a modifier of treatment and as a determinant of preventive services. Benefit plans are being developed to use risk assessment to predetermine preventive benefits for patients identified at elevated risk for oral disease...
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478459/trends-in-pediatric-dental-care-use
#4
REVIEW
Natalia I Chalmers, Joseph S Wislar, Matt Hall, Cary Thurm, Man Wai Ng
This article explores trends in 3 areas of dental services use for children less than 21 years of age. First, it examines the change in access to prevention, diagnostic, and treatment services over time among Medicaid-enrolled children and how access to care is affected by state-level factors. Second, it evaluates trends and health care costs associated with the treatment of oral health conditions in the operating room of pediatric hospitals. Third, it examines the trends in use of emergency departments for dental needs among children in the United States...
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478458/role-of-dentists-in-prescribing-opioid-analgesics-and-antibiotics-an-overview
#5
REVIEW
Ralph Dana, Amir Azarpazhooh, Nima Laghapour, Katie J Suda, Christopher Okunseri
Opioid analgesics and antibiotics prescribed by dentists is a useful and cost-effective measure when prescribed appropriately. Common dental conditions are best managed by extracting the offending tooth, restoring the tooth with an appropriate filling material, performing root canal therapy, and/or fabricating a prosthesis for the edentulous space. Unnecessary prescription of opioid analgesics and antibiotics to treat dental pain and bacterial infection is a growing public health concern. This article highlights the state of the literature on opioid analgesic and antibiotic prescribing practices in dentistry, the impact of opioid analgesic overdose, and prevention strategies to reduce opioid analgesics and antibiotic overprescription...
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478457/providing-health-screenings-in-a-dental-setting-to-enhance-overall-health-outcomes
#6
REVIEW
Barbara L Greenberg, Michael Glick
Data suggest that providers and patients have a favorable attitude toward chairside screening in the dental setting and are willing to participate in these activities. Likewise, efficacy studies indicate this strategy can effectively identify patients who are at increased risk of disease or have the presence of disease risk factors and could benefit from medical follow-up. Studies suggest it is feasible to conduct these screenings in the dental setting. Although the American Dental Association has established screening treatment codes, challenges to widespread implementation still exist, including developing a provider reimbursement strategy and the need for adequate provider training...
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478456/dental-care-for-geriatric-and-special-needs-populations
#7
REVIEW
Elisa M Chávez, Lynne M Wong, Paul Subar, Douglas A Young, Allen Wong
This article reviews considerations for oral health care associated with the most common causes of mortality and morbidity in older adults. Many of these diseases result in functional or cognitive impairments that must be considered in treatment planning to ensure appropriate, safe, and effective care for patients. Many of these considerations parallel those of adults who have lived with developmental disabilities over a lifetime and similar principles can be applied. Systemic diseases, conditions, and their treatments can pose significant risks to oral health, which requires prevention, treatment, and advocacy for oral health care as integral to chronic disease management...
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478455/infant-oral-health-an-emerging-dental-public-health-measure
#8
REVIEW
Paul S Casamassimo, Kimberly Hammersmith, Erin L Gross, Homa Amini
Infant oral health (IOH) is a preventive service advocated by major medical and dental organizations. IOH aims to prevent early childhood caries (ECC) and impart health strategies to families for continued oral health and prevention of future caries. IOH reaches across disciplines, is low cost, and is covered by Medicaid and many private dental payers. Increasing evidence points to immediate and long-term positive oral health outcomes of reduced disease, reduction in costly care, and reduction in ECC-associated morbidities...
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478454/fluorides-and-other-preventive-strategies-for-tooth-decay
#9
REVIEW
Jeremy A Horst, Jason M Tanzer, Peter M Milgrom
We focus on scalable public health interventions that prevent and delay the development of caries and enhance resistance to dental caries lesions. These interventions should occur throughout the life cycle, and need to be age appropriate. Mitigating disease transmission and enhancing resistance are achieved through use of various fluorides, sugar substitutes, mechanical barriers such as pit-and-fissure sealants, and antimicrobials. A key aspect is counseling and other behavioral interventions that are designed to promote use of disease transmission-inhibiting and tooth resistance-enhancing agents...
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478453/the-expanding-dental-workforce-the-impact-of-nondental-providers
#10
REVIEW
Hugh Silk
This article describes the evolution of nondental health providers engaging in oral health and the influences that have played a role. This discussion is followed by a review of why oral health is a natural fit for medical care, an examination of the current trends and successes in oral health education and practice in the health professions, and the need for a comprehensive approach. The article concludes by reviewing the impact these efforts are having and defining roles for each profession in the future with thoughts about what will be required to obtain these goals...
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478452/oral-health-disparities-across-the-life-span
#11
REVIEW
Michelle M Henshaw, Raul I Garcia, Jane A Weintraub
Despite improvements in the oral health status of the US population as a whole, a disproportionately higher burden of oral diseases and disorders are borne by those individuals from low-income and racial and ethnic minority groups. These differences in health status, health outcomes, or health care use between distinct socially disadvantaged and advantaged groups are well documented and known as health disparities. It is vital that members of the dental profession understand the distribution of oral health and disease across different populations and the life span and participate in developing innovative and sustainable approaches to eliminate oral health disparities...
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29478451/dental-public-health-practice-infrastructure-and-workforce-in-the-united-states
#12
REVIEW
Astha Singhal, Susan C McKernan, Woosung Sohn
Dental public health is a unique specialty of dentistry that focuses on prevention of oral diseases among populations rather than individual patients. It encompasses several complementary disciplines and greatly varies in its functions and activities. Several federal, state, local, and nonpublic entities operationalize the mission of dental public health to improve population oral health through a diverse and vibrant workforce.
April 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29126498/oral-cancer
#13
EDITORIAL
Eric T Stoopler, Thomas P Sollecito
No abstract text is available yet for this article.
January 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29126497/radiation-therapy-for-oral-cavity-and-oropharyngeal-cancers
#14
REVIEW
Alexander Lin
Radiotherapy is a key therapeutic modality used in the treatment of oral cavity and oropharyngeal cancers, whether as definitive treatment or postoperatively for those with high-risk factors after surgery. Although radiotherapy is a proven, effective treatment of cancer control, it can result in significant acute and late toxicities. Pretreatment patient education, supportive care, and posttreatment adherence to rehabilitative and preventive care can help mitigate toxicities. Advances in radiation delivery, such as through continued technological advances, or novel approaches to customizing radiation dose and volume, to maximize the therapeutic efficacy while minimizing side effects, are warranted...
January 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29126496/chemotherapy-for-oral-cancer
#15
REVIEW
Lee Hartner
The use of chemotherapy, including immunotherapy, in oral squamous cell carcinoma has expanded considerably in the past several years. Its use mirrors that in the treatment of squamous cell carcinoma affecting other structures in the head and neck. This article summarizes the current evidence that guides use of chemotherapy both in combination with radiation and as monotherapy for patients with advanced disease. It also addresses the expanding role of immunotherapy, particularly use of programmed cell death-ligand 1 inhibitors, in the treatment of advanced disease...
January 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29126495/surgical-management-of-oral-cancer
#16
REVIEW
Rabie M Shanti, Bert W O'Malley
Today, most head and neck cancer subsites, such as the larynx, hypopharynx, nasopharynx, and oropharynx, are treated with radiation therapy with or without chemotherapy as a primary treatment modality. Surgery is reserved for the salvage of recurrent tumors that occur within the head and neck in the absence of distant (ie, lung, liver) metastasis. However, unlike all other head and neck subsites, oral cancer should ideally be managed with primary surgery with the possibility of adjuvant radiation therapy with or without chemotherapy depending on the presence of certain high-risk pathologic features...
January 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29126494/adjunctive-diagnostic-techniques-for-oral-and-oropharyngeal-cancer-discovery
#17
REVIEW
Michaell A Huber
The most important prognostic factor in predicting the outcome of oral and oropharyngeal cancer (OPC) is the stage at which it is diagnosed. Only 30% of patients are diagnosed with early-stage disease. The oral health care provider performs an important role in early diagnosis of oral cancer. The conventional oral examination consists of a visual and tactile assessment of accessible oral, and head and neck structures. Any suspicious or equivocal lesion should be reevaluated within 4 weeks. Evidence supporting the use of adjunctive devices to improve the ability to screen for and identify OPCs and oral premalignant lesions remains low...
January 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29126493/evaluation-and-staging-of-oral-cancer
#18
REVIEW
Mel Mupparapu, Rabie M Shanti
Although the American Joint Committee on Cancer developed its first cancer-specific staging system in 1959, the TNM classification, as it has become known, has undergone many revisions mainly due to the advancements in both diagnosis and management of cancer, Although the basic purpose of the cancer staging system has remained fundamentally unchanged, the ease with which the cancer can be staged has evolved with newer methods. This article reviews cancer evaluation for staging, as well as the introduction of a new staging method effective as of 2018...
January 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29126492/oral-cancer-genetics-and-the-role-of-precision-medicine
#19
REVIEW
Chia-Cheng Li, Zhen Shen, Roxanne Bavarian, Fan Yang, Aditi Bhattacharya
Oral squamous cell carcinoma (OSCC) is one of the leading cancers in the world. OSCC patients are managed with surgery and/or chemoradiation. Prognoses and survival rates are dismal, however, and have not improved for more than 20 years. Recently, the concept of precision medicine was introduced, and the introduction of targeted therapeutics demonstrated promising outcomes. This article reviews the current understanding of initiation, progression, and metastasis of OSCC from both genetic and epigenetic perspectives...
January 2018: Dental Clinics of North America
https://www.readbyqxmd.com/read/29126491/impact-of-oral-cancer-on-quality-of-life
#20
REVIEW
Jesus Amadeo Valdez, Michael T Brennan
The clinical manifestations of oral cancer and the effects of treatment can have a negative impact on a patient's quality of life. Physiologic functions, cosmetic appearance, and psychological well-being can become compromised during the diagnosis, treatment, and survivorship of patients with oral cancer. This article addresses the relationship of oral cancer and quality of life, as well as the different aspects affected by this condition.
January 2018: Dental Clinics of North America
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