| China's oral care system in transition: lessons to be learned from Germany. | |
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MedLine Citation:
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PMID: 21125794 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: The objective of this discussion paper is to investigate whether the experience gained through the German paradigm shift in dental care can be of benefit in China's deliberations on the introduction of universal dental care for its people. METHODOLOGY A comparison of representative oral health outcome data from China and Germany, two countries at different stages in their development, is presented here in order to analyse whether the findings meet expected outcome and confirm the presumption that more developed countries perform better. RESULTS: The epidemiological comparison reveals surprising findings concerning the severity of dental diseases and, in particular, missing teeth per person in adults and rates of total edentulousness in seniors. In all of these areas German adults and seniors show significantly inferior outcomes compared with the Chinese population. The main reason for these striking discrepancies, as it turned out, is the decisive role played by the treatment philosophies and strategies of German dentists. CONCLUSION AND RECOMMENDATIONS: If dentists take a less interventionist approach, checking as well as treating dental diseases with preventive and strictly tooth-preserving methods, dental treatment results in oral health. Under these conditions it can be assumed that modern dentistry is generally good for the teeth. These findings are important for developing countries that are seeking to integrate dental care into their health care system. On the basis of long-term experience from highly industrialized Western countries and especially from Germany we will attempt to put forward proposals for creating an effective and efficient dental care system in China. |
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Authors:
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Ruediger Saekel |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: International journal of oral science Volume: 2 ISSN: 1674-2818 ISO Abbreviation: Int J Oral Sci Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-12-03 Completed Date: 2010-12-23 Revised Date: 2012-10-22 |
Medline Journal Info:
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Nlm Unique ID: 101504351 Medline TA: Int J Oral Sci Country: China |
Other Details:
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Languages: eng Pagination: 158-76 Citation Subset: D; IM |
Affiliation:
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Department of Dental Care in the Federal Ministry of Health, Bonn, Germany. ruediger@saekel.de |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Child Child, Preschool China / epidemiology Community Dentistry Delivery of Health Care / organization & administration* Dental Caries / epidemiology Dental Health Services / organization & administration* Dentists / supply & distribution Germany / epidemiology Health Care Reform Health Policy Health Priorities Health Transition Humans Insurance, Health Middle Aged Mouth, Edentulous / epidemiology Oral Health Outcome Assessment (Health Care) Periodontal Diseases / epidemiology Philosophy, Dental Preventive Dentistry Reimbursement Mechanisms Tooth Loss / epidemiology Universal Coverage / organization & administration Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
| Full Text | |
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Journal Information Journal ID (nlm-ta): Int J Oral Sci Journal ID (iso-abbrev): Int J Oral Sci ISSN: 1674-2818 ISSN: 2049-3169 Publisher: Nature Publishing Group |
Article Information Download PDF  Copyright © 2010 West China School of Stomatology open-access: Received Day: 21 Month: 06 Year: 2010 Revision Received Day: 10 Month: 07 Year: 2010 Accepted Day: 10 Month: 07 Year: 2010 Print publication date: Month: 09 Year: 2010 pmc-release publication date: Day: 1 Month: 9 Year: 2010 Volume: 2 Issue: 3 First Page: 158 Last Page: 176 PubMed Id: 21125794 ID: 3475601 Publisher Item Identifier: ijos201022 DOI: 10.4248/IJOS10054 |
| China's Oral Care System in Transition: Lessons to be Learned from Germany | |
| Ruediger Saekel1* | |
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1Formerly at Department of ”Dental Care“ in the Federal Ministry of Health, Bonn, Germany |
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| *Marienburger Str. 28, D- 53340 Meckenheim, Germany Fax: 0049-(0)2225-703163 E-mail: ruediger@saekel.de |
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Article Categories:
Keywords: dental care systems, preventive oral care approach, minimal-invasive dentistry, oral health outcomes, restorative treatment in high-income countries. |
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