Dentistry in the 21st century: challenges of a globalising world
Open accessAbstract
Oral health is - literally - vital to good general health, not least because the mouth is the sentinel of the body. Dentistry, the Cinderella of health care, faces immense challenges of globalisation. Governments, having spent freely on everything from defence to social security, face mountains of debts which make budget cutbacks essential. Simultaneously, most developed countries have to pay increasing costs of caring for rapidly ageing populations. Dentistry is being pulled two ways: wealthy members of society demand high-end expensive treatment, much of it cosmetic rather than necessary to deal with disease, whereas many millions of poor people in developing countries cannot afford basic dental treatment and may never see a dentist. Too many governments and dentists persist with the expensive and destructive regime of 'drill and fill (and bill)'. International advances in care may not reach the clinician's chair because treatment guidelines and payments are set locally. An international symposium to celebrate Mikako Hayashi becoming Professor of Restorative Dentistry and Endodontology at Osaka University concluded that dentistry should move from an increasingly un-affordable curative model to a cost-effective evidence-based preventive model. The goal is to help people retain healthy natural teeth throughout their lives, as an essential part of enhancing their general health.
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These commercial, for-profit organisations can provide high-quality care, but also need to ensure adequate returns on their investments for their shareholders, and therefore have a tendency for promoting excessive diagnostic testing and over-provision of treatment.
“These commercial, forprofit, organisations can provide high-quality care, but also need to ensure adequate returns on their investments for their shareholders, and therefore have a tendency for promoting excessive diagnostic testing and over-provision of treatment.10,15,16”
From Ending the neglect of global oral health: time for radical action. (2019) · cites this paper as [16]
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- Authors
- Hayashi, M., Haapasalo, M., Imazato, S., Lee, J. I., Momoi, Y., Murakami, S., Whelton, H., & Wilson, N.
- Affiliations
- The University of Osaka (JP)
- University of British Columbia (CA)
- Seoul National University (KR)
- Tsurumi University (JP)
- University of Leeds (GB)
- King's College London (GB)
- Corresponding author
- Hayashi, Mikako
- ORCID
- Venue
- International Dental Journal
- Publisher
- Elsevier BV
- Published
- 2014-12
- Volume
- 64
- Issue
- 6
- Pages
- 333-342
- ISSN
- 0020-6539 (ISSN-L)
- PMC
- PMC9376391
- OpenAlex
- W2041663907
- Cited by
- 28
- References
- 18
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 8 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 2 · 2017: 2 · 2016: 5 · 2015: 1
- FWCI
- 3.56
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- International Dental Journal (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- JSPS Grant in Aid (25293387)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Health Professions › General Health Professions › Dental Education, Practice, Research
- Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
- Keywords
- oral health, access to dental care, dental care costs, population aging, preventive dentistry, evidence-based dentistry, cost-effective care, developing countries, esthetic dentistry
- MeSH terms
- Aged, Clinical Competence, Computer Simulation, Dental Care, Dental Caries, Dental Materials, Dentistry, Dentistry, Operative, Education, Dental, Forecasting, Health Promotion, Health Services Needs and Demand, Humans, Oral Health, Patient Care Team, Preventive Dentistry, Quality of Life, Social Class, User-Computer Interface, Global Health, Dental Care for Aged, Guided Tissue Regeneration, Periodontal, Health Care Costs, Health Care Reform, Biofilms, Biomimetic Materials, Evidence-Based Dentistry
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