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China's oral care system in transition: lessons to be learned from Germany.
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MedLine Citation:
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.
Ruediger Saekel
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International journal of oral science     Volume:  2     ISSN:  1674-2818     ISO Abbreviation:  Int J Oral Sci     Publication Date:  2010 Sep 
Date Detail:
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    
Other Details:
Languages:  eng     Pagination:  158-76     Citation Subset:  D; IM    
Department of Dental Care in the Federal Ministry of Health, Bonn, Germany.
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MeSH Terms
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
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

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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
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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
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*
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:

Article Categories:
  • Original Scientific Article

Keywords: dental care systems, preventive oral care approach, minimal-invasive dentistry, oral health outcomes, restorative treatment in high-income countries.

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