Trends in the Development of the Dental Service Organization Model: Implications for the Oral Health Workforce and Access to Services

Dental services in the US have been traditionally provided in private dental practices operating as small businesses. Organizational structures for oral health service delivery and for managing business functions are changing, resulting in a variety of options for patients selecting providers. Perhaps the most noticeable change in the dental practice paradigm is the consolidation of…

The Impact of Federal and State Policy on Oral Health Care Delivery in Long-term Care Settings

Reforms to address the oral health care needs of vulnerable populations in long-term care (LTC) settings should start with defining a clearer standard of oral care required for this population. This will allow best practices in policy, practice, and accountability to be structured around care that improves patients’ oral health. This article identifies and classifies…

Practice Patterns of Postgraduate Dental Residency Completers from Select Long-Term HRSA-Funded Primary Dental Care Training Programs

The Health Resources and Service Administration’s (HRSA) mission is “To improve health outcomes and address health disparities through access to quality services, a skilled health workforce, and innovative, high-value programs.” To support this mission, HRSA supports primary care postgraduate dental (PGD) training programs through competitive grant funding. A recent research study conducted by the Oral…

Authorization Status of Dental Therapists by State

Dental therapists (DTs) are primary dental care practitioners that have been deployed in many countries around the world. There is increasingly strong evidence supporting the safety and effectiveness of DTs, including their ability to promote community-based services and enhance oral health equity. Following the approval of education standards by the Commission on Dental Accreditation (CODA)…

Dental Workforce Trends: A National Study of Gender Diversity and Practice Patterns

Between 2010 and 2016, the proportion of women working in dentistry increased from 24.5% to 29.8%. Overall, female dentists were more racially/ethnically diverse, more likely to be foreign-trained, and more likely to work in pediatric dentistry than male dentists. Gender diversification in dentistry and other factors, including generational differences and changes in public policy, continue…

How Evidence-based is US Dental Workforce Policy for Rural Communities?

Populations residing in rural America have lower rates of dental care utilization, higher rates of dental caries, less water fluoridation, and fewer dentists per capita when compared to those living in urban environments. Dental workforce shortages in rural communities are endemic, despite the research on best practices for enhancing the rural workforce. This report examines…

Implementing Care Coordination in a Large Dental Care Organization in the United States by Upskilling Front Office Personnel

Care coordination is a strategy used to improve health outcomes and efficiency, but has not been widely adopted in the dental field. To test out care coordination in the field, a large dental accountable care organization participated in a pilot project where they retrained existing administrative staff to coordinate the care of high-risk patients. Following…

Medicare Support for Dental and Podiatry Graduate Medical Education Programs

One of the major challenges the oral health workforce faces is those that affect patient access and outcomes.  Although Medicare programs provide almost 15 million a year in GME payments to teaching hospitals, there is little information about how the US invests in training the podiatry workforce. This article evaluates Medicare GME payments to teaching…

A Comparison of Opioid Prescribing Patterns by Dentists in New York and Oregon, 2014-2016

Dentists are 1 of the top 5 opioid analgesic prescribers among health care professionals in the US. However, most of these prescriptions remain unused after dental surgery, with upwards of 100 million opioid analgesic pills estimated to be left unused. This report describes dentists’ opioid prescribing patterns for Medicaid beneficiaries in 2 very different states—Oregon…

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