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DR. ZACK STUDSTILL EXECUTIVE DIRECTOR ALABAMA DENTAL ASSOCIATION PowerPoint Presentation
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MID-LEVEL PROVIDERS IN DENTISTRY “TO BE OR NOT TO BE” THAT IS NOT THE QUESTION THE QUESTION IS “WHICH ONE WILL BE LEFT STANDING”. DR. ZACK STUDSTILL EXECUTIVE DIRECTOR ALABAMA DENTAL ASSOCIATION. MID-LEVEL DENTAL PROVIDER MODELS. NEW ZEALAND DENTAL NURSE/THERAPIST

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MID-LEVEL PROVIDERS IN DENTISTRY “TO BE OR NOT TO BE” THAT IS NOT THE QUESTIONTHE QUESTION IS “WHICH ONE WILL BE LEFT STANDING”

DR. ZACK STUDSTILL

EXECUTIVE DIRECTOR

ALABAMA DENTAL ASSOCIATION

mid level dental provider models
MID-LEVEL DENTAL PROVIDERMODELS

NEW ZEALAND DENTAL NURSE/THERAPIST

ALASKA DENTAL HEALTH AIDE

ADVANCED DENTAL HYGIENE PRACTITIONER

COMMUNITY DENTAL HEALTH COORDINATOR

MINNESOTA DENTAL THERAPISTS

EXPANDED FUNCTION DENTAL ASSISTANT

new zealand dental nurse therapist
NEW ZEALAND DENTAL NURSE/THERAPIST

New Zealand Dental Therapist

  • Program was initiated in 1921-treat children
  • Educated in a two year program
  • Perform oral examinations
  • Develop treatment plans
  • Provide preventive services
  • Administer local anesthesia
  • Prepare and restore primary and permanent teeth
  • Extract primary teeth.
  • Work under the general supervision of a Ministry of Health dentist.
alaska dental health aide therapist dhat
ALASKA DENTAL HEALTH AIDE THERAPISTDHAT

Alaska Dental Health Aide Therapist

  • Deployed by the Alaska Native Tribal Health Consortium to remote Alaska Tribal Villages
  • Scope of practice includes preventive services
  • Basic dental restorative services focused on children’s dental health needs
  • Tooth extractions
  • Use of local anesthesia
  • Training is a two-year program following high school
advanced dental hygiene practitioner
ADVANCED DENTAL HYGIENE PRACTITIONER

Advanced Dental Hygiene Practitioner

  • Proposed by the American Dental Hygienists’ Association
  • Scope of practice would include traditional dental hygiene services
  • Basic dental restorative services
  • Use of local anesthesia
  • Tooth extractions
  • Administration, policy, and research
  • Suggested training is a one- or two-year

post- bachelor’s masters degree program

community dental health coordinator cdhc
COMMUNITY DENTAL HEALTH COORDINATORCDHC

Community Dental Health Coordinator

  • Proposed by the American Dental Association Now being piloted
  • Scope of practice is limited to preventive, palliative care and care coordination services
  • Pilot training program currently for high school graduates to learn both community health worker skills and preventive, palliative dental procedures in an 18 month program
minnesota dental therapists
MINNESOTA DENTAL THERAPISTS

Minnesota Dental Therapist

  • Now being implemented
  • Scope of practice includes preventive services
  • Basic dental restorative services focused on children’s needs
  • Tooth extractions
  • Training options include a bachelor’s masters degree or a two-year post-bachelor’s degree program.
expanded function dental assistant
EXPANDED FUNCTION DENTAL ASSISTANT

Expanded Function Dental Assistant (EFDA)

  • Perform chair side assistant duties in all phases of restorative, surgical, endodontic, prosthodontic and periodontal treatment
  • Restores teeth prepared by a dentist
  • Cements crowns, bridges after dentist approval
  • Takes impressions for partial and full dentures
  • Adjusts partial or full dentures per dentist approval
will the use of mid level providers result in a two tiered system of dental care
WILL THE USE OF MID-LEVEL PROVIDERS RESULT IN A TWO-TIERED SYSTEM OF DENTAL CARE?
  • New Zealand has employed MLPs since 1921.
  • If this strategy had been successful, New Zealand would not now be experiencing pockets of oral health disease at the level of regions traditionally characterized by poor oral health status
  • In some areas the severity is at the level of developing or Eastern European countries
does everyone deserve the same high standard of dental care
DOES EVERYONE DESERVE THE SAME HIGH STANDARD OF DENTAL CARE?
  • Some say that some care is better than no care at all?
  • Others say that we should strive to give children and adults the best care possible?
  • Ultimately, we should always strive to do what is best for the patient!
  • Will mid-level providers be the answer in dentistry?
one viable proven solution
ONE VIABLE PROVEN SOLUTION

Use of EFDAs

  • Federally Qualified Health Centers
  • Community Health Centers
  • Private Practice
  • 501(c)(3) Medicaid Providers

Why?

  • EFDAs extend productivity about 30%
  • EFDAs maintain direct supervision by dentists
policy statement of the american dental association
POLICY STATEMENT OF THE AMERICAN DENTAL ASSOCIATION

The American Dental Association, by all appropriate means, will strive to maintain the highest quality of oral health care by maintaining that the dentist be the healthcare provider that performs examinations/evaluations, diagnoses, and treatment planning, and that the dentist be the health care provider that performs surgical/irreversible procedures.

Surgical procedures are defined as the cutting or

removal of hard or soft tissue.