Hygiene Tribune U.S. No. 2, 2020
A new framework for a more sustainable oral health system / Barrier protection critical with gloves
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HYGIENE TRIBUNE
The World’s Dental Hygiene Newspaper · U.S. Edition
NOVEMBER 2020 — Vol. 13, No. 2
www.dental-tribune.com
A new framework for a more
sustainable oral health system
Three Domain Framework might be the future of dentistry
By DentaQuest Partnership for Oral
Health Advancement Staff
E
ven as the COVID-19 pandemic
exacerbates the nation’s broken
oral health care system, it has
created an opportunity for the
industry to move toward a new, more
sustainable model centered around the
patient, primary care and prevention.
The DentaQuest Partnership for Oral
Health Advancement released a report
in late October — based on the work of
the Community Oral Health Transformation Initiative learning community
— that establishes a primary care-like
structure for oral health care delivery,
facilitates value-based payment models
and enables patients to invest in their
own oral health.
One hundred twenty of the industry’s
most prominent organizations and leaders contributed to the development of
the Three Domain Framework, which
lays out a clear path for providers and
practices to expand access to care, improve health outcomes and reduce the
cost burdens associated with poor quality of life because of oral disease.
The framework gives patients and dental and medical providers the freedom to
collaborate on treatment plans that work
best for a given situation within the context of overall health. It emphasizes patient and provider safety while addressing critical gaps in both patients’ access
to care and providers’ financial viability.
“Oral health is directly linked to overall health, but our current system doesn’t
reflect that reality,” said Dr. Sean Boynes,
vice president of health improvement
for the DentaQuest Partnership for Oral
Health Advancement. “And COVID-19
has shined a bright spotlight on this flaw.
The Three Domain Framework outlines a
new approach for oral health — one that
focuses on prevention and healthy outcomes, facilitates value-based payment
models and will help address deep disparities in care and access. We are grateful to the many contributors who are
working together to put our oral health
Photo/Provided by The DentaQuest Partnership for Oral Health Advancement
system on a new and better path. This is
the future of dentistry.”
The three domains can be adopted in
any order, meaning the care team can
determine where to begin. Providers can
begin shifting models of dentistry by
starting in a domain that supports their
unique needs and those of their patients.
Domain One: Advancements in
teledentistry
The pandemic has increased interest in
and utilization of teledentistry, but widespread adoption requires defining new
treatment codes and rethinking the flow
of care for a variety of dental visits.
Domain One focuses on the identification, development and adoption of
telehealth strategies and builds an accessible evidence-based virtual delivery
approach specific to oral health that can
enhance disease prevention and wholeperson health.
Domain Two: Prioritization of
minimally invasive care
The pandemic also sparked interest in
minimally invasive care (MIC), as providers sought treatment methods, such
as sealants and silver diamine fluoride,
that limit aerosols and the spread of
COVID-19. MIC can reverse or slow early
disease stages using a program of anticipatory guidance and collaborative decision-making with patients. Domain Two
prioritizes the use of MIC for oral health
management and maintenance.
Domain Three: Integration and
personalization of oral care delivery
Domain Three outlines an integrated
care approach personalized for each patient, using risk stratification, care coordination, specialty referrals and predictive analytics that can prolong the health
of the mouth from the tissue to the bone.
Poor systemic health can lead to deterioration of oral health, and poor oral health
can lead to systemic health complications. This domain addresses both sides
of that coin, relying on evidence-based
practices to enhance a person’s overall
health.
In the coming months, the DentaQuest
Partnership and other framework contributors will work to engage a broader
set oral health care providers, payors and
stakeholders to pilot and implement elements of each of the domains.
“A strong, sustainable health system is
built on prevention, value and equity,”
said Dr. David Krol, vice president for
health initiatives at the Child Health
and Development Institute of Connecticut. “The Three Domain Framework,
with its primary care approach, patientcentered focus and evidence-based
foundation, provides the framework for
increased alignment of the dental and
medical communities in our shared
quest for improved health outcomes for
all.”
Read the Three Domain Framework report, review an executive summary and
watch a short video at www.dentaquestpartnership.org/learn/online-learningcenter/resource-library/three-domainframework.
The list of national organizations con” See FRAMEWORK, page C2
[2] =>
C2
INDUSTRY NEWS
Hygiene Tribune U.S. Edition | November 2020
Barrier protection
critical with gloves
HYGIENE TRIBUNE
PUBLISHER & CHAIRMAN
Torsten Oemus
t.oemus@dental-tribune.com
PRESIDENT & CHIEF EXECUTIVE OFFICER
Eric Seid
e.seid@dental-tribune.com
GROUP EDITOR
Kristine Colker
k.colker@dental-tribune.com
EDITOR IN CHIEF DENTAL TRIBUNE
Dr. David L. Hoexter
feedback@dental-tribune.com
While caring for their patients, dental
and health care professionals are constantly exposed to bodily fluids that
may carry viruses and other infectious
agents. It is critical the gloves these professionals use provide the best possible
barrier protection, especially today.
Many types of gloves are available,
but it is important to know that not all
gloves have the same barrier capability,
depending on the type of material used.
For example, natural rubber latex gloves
have long been acknowledged for their
very effective barrier properties, while
non-latex gloves, such as vinyl (polyvinyl chloride), have inferior barrier capability as shown by numerous studies.
MANAGING EDITOR
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
PRODUCT/ACCOUNT MANAGER
Humberto Estrada
h.estrada@dental-tribune.com
PRODUCT/ACCOUNT MANAGER
Maria Kaiser
m.kaiser@dental-tribune.com
CLIENT RELATIONS COORDINATOR
Leerol Colquhoun
l.colquhoun@dental-tribune.com
ACCOUNTING COORDINATOR
Nirmala Singh
n.singh@dental-tribune.com
Tribune America LLC
118-35 Queens Blvd, Ste 400
Forest Hills, NY 11375
(212) 244-7181
Quality, safety top priorities
Other synthetic gloves, such as nitrile
and polyisoprene, perform much better
than vinyl but are more costly, especially
polyisoprene gloves.
Using gloves with inferior capability
could expose both the patient and user
to harmful infections.
Malaysia is the world’s largest medical
gloves exporter (latex and nitrile). Both
quality and users’ safety are of top priority to the nation’s glove industry. To this
end, a quality certification program (the
Standard Malaysian Glove, or the SMG)
has currently been formulated for latex
examination gloves.
Stringent technical specifications
All SMG-certified gloves must comply
with stringent technical specifications
to ensure the gloves are high in barrier
effectiveness, low in protein and low in
allergy risks, in addition to having excellent comfort, fit and durability — qualities that manufacturers of many synthetic gloves are trying to achieve.
Latex gloves are green products, derived from a natural and sustainable resource, and are environmentally friendly. (You can learn more by visiting www.
smgonline.biz or www.latexgloves.info).
The use of low-protein, powder-
Published by Tribune America
© 2020 Tribune America, LLC
All rights reserved.
Dental Tribune strives to maintain the utmost
accuracy in its news and clinical reports. If you
find a factual error or content that requires
clarification, please contact Group Editor
Kristine Colker at k.colker@dental-tribune.com.
Dental Tribune cannot assume responsibility for
the validity of product claims or for typographical
errors. The publisher also does not assume responsibility for product names or statements made by
advertisers. Opinions expressed by authors are their
own and may not reflect those of Tribune America.
EDITORIAL BOARD
Photo/Provided by Malaysian Rubber Export Promotion Council
free gloves has been demonstrated by
many independent hospital studies to
markedly reduce the incidence of latex
sensitization and allergic reactions in
workplaces.
More important, latex-allergic individuals donning non-latex gloves can now
work alongside their coworkers wearing
the improved low-protein gloves without any heightened allergy concern.
However, for latex-allergic individuals,
it is still important they use appropriate
non-latex gloves, such as quality nitrile
and polyisoprene gloves, which provide
them with effective barrier protection.
Extensive array of brand, prices
Selecting the right gloves should be
an educated consideration to enhance
safety for both patients and users. For
decades, gloves made in Malaysia have
been synonymous with quality and excellence, and they are widely available
in an extensive array of brands, features
and prices. Dental gloves can be sourced
either factory direct (www.mrepc.com/
marketplace) or from established dental products distributors in the United
States and Canada.
(Source: MREPC)
Dr. Joel Berg
Dr. L. Stephen Buchanan
Dr. Arnaldo Castellucci
Dr. Gorden Christensen
Dr. Rella Christensen
Dr. William Dickerson
Hugh Doherty
Dr. James Doundoulakis
Dr. David Garber
Dr. Fay Goldstep
Dr. Howard Glazer
Dr. Harold Heymann
Dr. Karl Leinfelder
Dr. Roger Levin
Dr. Carl E. Misch
Dr. Dan Nathanson
Dr. Chester Redhead
Dr. Irwin Smigel
Dr. Jon Suzuki
Dr. Dennis Tartakow
Dr. Dan Ward
Tell us what you think!
“ FRAMEWORK, page C2
tributing to the Three Domain Framework includes:
• American Academy of Pediatrics
• American Dental Association
• American Dental Education Association
• American Dental Hygiene Association
• American Institute of Dental Public
Health
• America’s ToothFairy, National Children’s Oral Health Foundation
• Association of State and Territorial
Dental Directors
• Hispanic Dental Association
• Medicaid Medicare CHIP Dental Services Association
• National Dental Association
• National Rural Health Association
• Partnership for Integrating Oral
Health Care into Primary Care
Find out more about the Dentaquest
Partnership at www.dentaquestpartner
ship.org.
Do you have general comments or criticism you would like to share? Is there a
particular topic you would like to see
articles about in Hygiene Tribune? Let
us know by sending an email to Group
Editor k.colker@dental-tribune.com. We
look forward to hearing from you!
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