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Special Assistants Making Inroads in Dentistry
Date:2/25/2011

llogg Foundation found that dental therapists in Alaska provide appropriate treatment to patients. The dental therapists successfully prevented children's tooth decay and competently performed such procedures as filling cavities with amalgam fillings, the study found.

Dental therapists also extended care to people in remote villages who might otherwise have had to wait months or travel hours to have their dental pain treated, according to the study.

However, the concept faces high-level opposition. The American Dental Association has come out against the idea of dental therapists and criticized the Kellogg report, saying it assessed only a limited sample -- five therapists and 300 patients -- in perhaps the only state in the nation where geography creates a major barrier to access to dental care.

The association has offered up an alternative concept called the community dental health coordinator. This would be a member of the oral health-care team who would mainly serve an educational role, teaching people how to prevent cavities, gum disease and other oral-health problems. Coordinators also would perform basic clinical services, such as dental screenings, fluoride treatments, placement of dental sealants and simple teeth cleanings, and would help patients find a dentist to fill cavities and treat more serious problems.

"We feel this direction is a lot more protective of our patients," said Dr. Raymond Gist, the association's president and a dentist from Flint, Mich. "We just have a concern for safety. If a patient has pain, then that patient has a serious dental disease. I feel a licensed, professional dentist should be the person to take care of advanced dental disease."

The association, a professional society for dentists, is putting its money where its mouth is, funding a pilot training program for a handful of community dental health coordinators. The first group of five graduated in November, and a second group will graduate in th
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