|China's oral care system in transition: lessons to be learned from Germany.|
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|PMID: 21125794 Owner: NLM Status: MEDLINE|
|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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|Type: Comparative Study; Journal Article|
|Title: International journal of oral science Volume: 2 ISSN: 1674-2818 ISO Abbreviation: Int J Oral Sci Publication Date: 2010 Sep|
|Created Date: 2010-12-03 Completed Date: 2010-12-23 Revised Date: 2012-10-22|
Medline Journal Info:
|Nlm Unique ID: 101504351 Medline TA: Int J Oral Sci Country: China|
|Languages: eng Pagination: 158-76 Citation Subset: D; IM|
|Department of Dental Care in the Federal Ministry of Health, Bonn, Germany. email@example.com|
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China / epidemiology
Delivery of Health Care / organization & administration*
Dental Caries / epidemiology
Dental Health Services / organization & administration*
Dentists / supply & distribution
Germany / epidemiology
Health Care Reform
Mouth, Edentulous / epidemiology
Outcome Assessment (Health Care)
Periodontal Diseases / epidemiology
Tooth Loss / epidemiology
Universal Coverage / organization & administration
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Journal ID (nlm-ta): Int J Oral Sci
Journal ID (iso-abbrev): Int J Oral Sci
Publisher: Nature Publishing Group
Copyright © 2010 West China School of Stomatology
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
Publisher Item Identifier: ijos201022
|China's Oral Care System in Transition: Lessons to be Learned from Germany|
1Formerly at Department of ”Dental Care“ in the Federal Ministry of Health, Bonn, Germany
|*Marienburger Str. 28, D- 53340 Meckenheim, Germany Fax: 0049-(0)2225-703163 E-mail: firstname.lastname@example.org
Keywords: dental care systems, preventive oral care approach, minimal-invasive dentistry, oral health outcomes, restorative treatment in high-income countries.
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