In lots of of communities across the U.S., finding a dentist is like pulling teeth — but in 14 states, dental therapists are filling the gap

Dr. Donald Chi discusses the role of dental therapists.

Who lacks adequate dental care within the United States?

Donald Chi: People with low incomes often have difficulties Finding and accessing dental care. This population includes racial and ethnic minorities, individuals with disabilities or special health needs, and folks in rural areas who live removed from a dental office.

What are the consequences of poor oral health?

Chi: Oral health touches every a part of our lives as humans. You need your teeth to eat, socialize, have a job, and learn, and you would like them to be healthy.

Painful tooth decay can affect your ability to sleep, chew your food, and keep you occupied. Imagine you might have missing teeth within the front of your mouth because they were removed on account of extensive tooth decay. There are quite a few studies that show that folks lose their front teeth cannot find or keep jobs. Both the pain and aesthetic elements of poor oral health may cause real problems.

What are dental therapists, what training do they receive and what services do they provide?

Chi: Dental therapists are very much like medical assistants. They are usually not full-fledged dentists, but have sufficient training to perform a limited variety of dental procedures. Dental therapists typically complete two to 4 years of coaching after highschool, and that is the case trained to offer preventative care.

Dental therapists also can provide cleanings and fluoride treatments sealantsi.e. coatings that protect your teeth from bacteria. And they’ll perform some relatively easy procedures—for instance, small fillings and easy tooth extractions. However, dentists are still needed for more complex treatments similar to larger fillings, complicated tooth extractions, root canals, crowns and dentures.

Dental therapists are usually not a substitute for dentists. Dental therapists' scope of practice is restricted, however it is critically vital.

In a community with many unmet dental care needs, dental therapists can put out small fires. Dentists can then think about putting out the main fires. It's a team effort – dental therapists work with dentists to make sure all of a community's needs are met.

In 2006, Alaska became the primary state to license dental therapists. What has your research revealed about how Alaska's plan works?

Chi: We found that Medicaid recipients, each children and adults, were less more likely to have teeth removed after dentists approved it. That's what that meant More and more persons are keeping their teeth longerthey usually were more more likely to seek preventive treatments similar to fluoride treatments and cleanses.

What other lessons have you ever learned from other states with dental therapists?

Chi: The remaining 13 states which have licensed dental therapists have dental therapy programs which have been running for lower than 20 years, which is concerning the same because the length of this system in Alaska.

But we've seen data from Minnesota showing that Medicaid enrollees usually tend to seek dental care after the introduction of dental therapy. And we see similar results in other areas supervised by dental therapists. It was just remarkable to see this almost immediate impact.

Besides visiting the dentist, what other ways are there to advertise good oral health?

Chi: Healthy eating is an excellent solution to promote oral hygiene, preserve tooth enamel and reduce the chance of gum disease.

I understand that healthy eating will be difficult on account of the limited availability and comparatively high cost of healthy foods. But minimizing the quantity of sugar in your weight loss plan and avoiding juices and sugary drinks are also good ways to guard your teeth.

Brush twice a day with a Toothpaste that incorporates fluoride and drinking fluoridated water also helps maintain good oral health.

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