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- Volume 2, Issue 2, 2009
Journal of Minimum Intervention in Dentistry - Volume 2, Issue 2, 2009
Volume 2, Issue 2, 2009
Source: Journal of Minimum Intervention in Dentistry 2, pp 85 –92 (2009)More Less
The economy today shows very little resemblance to the economy of last year or even last month. A rise in the cost of doing business, we have learned to adjust. New technologies and the higher costs to deliver them, we have been able to adapt. But a seismic shift in the country's core economy produces totally unknown conditions. How do we respond? Every dental practice will at some level be impacted. Some practices only slightly. Some will be walloped. Some will be hit quickly. For some practices it will be a slow descent. But be sure, every dental practice will be impacted. Survival for most is assured, but prosperity and growth through hard times requires mastery.
Source: Journal of Minimum Intervention in Dentistry 2, pp 93 –97 (2009)More Less
When the environment radically changes, some species flourish while others perish. It is the same with business. When the economic environment is fundamentally altered, some business models thrive, others crumble. As the recession continues, this will begin to occur in dentistry. Those practices that cannot change and adapt to the new environment will lose their fiscal footing. In this new environment, new models of dental care will move from the fringe to the core. Given the lack of financing, these will not only take root but some will grow like they're on steroids. With greater science and new technologies available dentistry will move from total repair to minimal repair which will lower need and increase access as well as yield better long term clinical outcomes. As the market begins to understand that this approach minimizes cost and increases health it is likely that minimum intervention dentistry will emerge as a significant delivery model.
Source: Journal of Minimum Intervention in Dentistry 2, pp 103 –124 (2009)More Less
The Minimum Intervention (MI) concept is well described in the literature and summarizes the clinical rationale for the preventive and cause-related approach in the management of dental caries. The GC Europe "MI Advisory Board" which is a Pan-European group of clinical academics and general dental practitioners aims to present an evidence-based, patient-centred MI treatment approach for use in routine dental practice. This treatment methodology is based on four phases of treatment planning : MI Identify, MI Prevent, MI Recall and MI restore. MI Identify : encompasses detection of dental caries and identifying factors affecting the susceptibility of the individual patient. A modified ICDAS detection scoring system is presented to relate the visual appearance of lesions with the histological process and is related to the clinical signs of caries and radiological investigation. In addition, assessment of plaque and saliva is discussed using commercially available chairside kits. All this information can then be evaluated to assess the patient's susceptibility, establish a diagnosis and set up a preventive MI reatment plan. MI Prevent and MI Recall : Depending on the susceptibility and the risk factors of the patient, preventive treatment regimens can be instituted. The "standard" approach includes oral hygiene instruction, dietary advice, patient motivation and maintenance. Those patients with high risk factors need "active" preventive care. This includes the measures to decrease the bacterial content of the oral cavity, placement of transitional restorations and use of remineralisation agents. Repeated diagnosis of the risk factors will be used to assess the need for the precise level of preventive measures and the amount of recall sessions individualized for each patient. MI Restore : MI Restore presents techniques for conservation of tooth structure when restorations have to be placed. Distinctions are made between non-invasive and invasive techniques.
Author Steffen MickenautschSource: Journal of Minimum Intervention in Dentistry 2, pp 125 –134 (2009)More Less
Minimum Intervention (MI) in dentistry aims to empower patients through information, skills, and motivation to take charge of their own oral health and consequently require only minimum intervention from the dental profession. Although MI in dentistry has until now focused mainly on caries-related topics, it follows the 3-step philosophy of disease risk assessment, early disease detection and, if required, minimally invasive treatment. This philosophy is applicable to any type of disease. The subsequent benefit of MI is its focus on disease causes and ultra-conservative, patient-friendly treatment. Successful diffusion of MI depends on substantiation of its beneficial claims through low-bias evidence. Such evidence provides the first step for a wider adoption which, furthermore, depends on complex factors related to adopter behavior. First published in Int Dent SA 2009; 11 (1): 16-26.
Source: Journal of Minimum Intervention in Dentistry 2 (2009)More Less
Interactive Dental Media, in operating a viable business model in association with W&H, introduces the a recession and present examples of Dental Practice Guide 2009, a how dentists and practices are valuable reference guide for harnessing the internet to promote practising dentists, covering essential their businesses and providing a topics on running a successful dental valuable service to the patient practice in the 21st century, free of community.