Disease Management of Early Childhood Caries: ECC Collaborative Project
Until recently, the standard of care for early childhood caries (ECC) has been primarily surgical and restorative treatment with little emphasis on preventing and managing the disease itself. It is now recognized that surgical treatment alone does not address the underlying etiology of the disease....
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | International Journal of Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2014/327801 |
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| _version_ | 1850233362849988608 |
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| author | Man Wai Ng Francisco Ramos-Gomez Martin Lieberman Jessica Y. Lee Richard Scoville Cindy Hannon Peter Maramaldi |
| author_facet | Man Wai Ng Francisco Ramos-Gomez Martin Lieberman Jessica Y. Lee Richard Scoville Cindy Hannon Peter Maramaldi |
| author_sort | Man Wai Ng |
| collection | DOAJ |
| description | Until recently, the standard of care for early childhood caries (ECC) has been primarily surgical and restorative treatment with little emphasis on preventing and managing the disease itself. It is now recognized that surgical treatment alone does not address the underlying etiology of the disease. Despite costly surgeries and reparative treatment, the onset and progression of caries are likely to continue. A successful rebalance of risk and protective factors may prevent, slow down, or even arrest dental caries and its progression. An 18-month risk-based chronic disease management (DM) approach to address ECC in preschool children was implemented as a quality improvement (QI) collaborative by seven teams of oral health care providers across the United States. In the aggregate, fewer DM children experienced new cavitation, pain, and referrals to the operating room (OR) for restorative treatment compared to baseline historical controls. The teams found that QI methods facilitated adoption of the DM approach and resulted in improved care to patients and better outcomes overall. Despite these successes, the wide scale adoption and spread of the DM approach may be limited unless health policy and payment reforms are enacted to compensate providers for implementing DM protocols in their practice. |
| format | Article |
| id | doaj-art-05b86aec31c441d7a8869442ffabf2a4 |
| institution | OA Journals |
| issn | 1687-8728 1687-8736 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Dentistry |
| spelling | doaj-art-05b86aec31c441d7a8869442ffabf2a42025-08-20T02:02:57ZengWileyInternational Journal of Dentistry1687-87281687-87362014-01-01201410.1155/2014/327801327801Disease Management of Early Childhood Caries: ECC Collaborative ProjectMan Wai Ng0Francisco Ramos-Gomez1Martin Lieberman2Jessica Y. Lee3Richard Scoville4Cindy Hannon5Peter Maramaldi6Boston Children’s Hospital, Harvard School of Dental Medicine, Boston, MA 02115, USASection of Pediatric Dentistry, UCLA School of Dentistry, Los Angeles, CA 90095, USANeighborcare Health, 6200 13th Avenue South, Seattle, WA 98103, USADepartment of Pediatric Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC 27599, USAHealth Policy Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27510, USADentaQuest Institute, 2400 Computer Drive, Westborough, MA 01580, USASimmons School of Social Work, 300 The Fenway, Boston, MA 02115, USAUntil recently, the standard of care for early childhood caries (ECC) has been primarily surgical and restorative treatment with little emphasis on preventing and managing the disease itself. It is now recognized that surgical treatment alone does not address the underlying etiology of the disease. Despite costly surgeries and reparative treatment, the onset and progression of caries are likely to continue. A successful rebalance of risk and protective factors may prevent, slow down, or even arrest dental caries and its progression. An 18-month risk-based chronic disease management (DM) approach to address ECC in preschool children was implemented as a quality improvement (QI) collaborative by seven teams of oral health care providers across the United States. In the aggregate, fewer DM children experienced new cavitation, pain, and referrals to the operating room (OR) for restorative treatment compared to baseline historical controls. The teams found that QI methods facilitated adoption of the DM approach and resulted in improved care to patients and better outcomes overall. Despite these successes, the wide scale adoption and spread of the DM approach may be limited unless health policy and payment reforms are enacted to compensate providers for implementing DM protocols in their practice.http://dx.doi.org/10.1155/2014/327801 |
| spellingShingle | Man Wai Ng Francisco Ramos-Gomez Martin Lieberman Jessica Y. Lee Richard Scoville Cindy Hannon Peter Maramaldi Disease Management of Early Childhood Caries: ECC Collaborative Project International Journal of Dentistry |
| title | Disease Management of Early Childhood Caries: ECC Collaborative Project |
| title_full | Disease Management of Early Childhood Caries: ECC Collaborative Project |
| title_fullStr | Disease Management of Early Childhood Caries: ECC Collaborative Project |
| title_full_unstemmed | Disease Management of Early Childhood Caries: ECC Collaborative Project |
| title_short | Disease Management of Early Childhood Caries: ECC Collaborative Project |
| title_sort | disease management of early childhood caries ecc collaborative project |
| url | http://dx.doi.org/10.1155/2014/327801 |
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