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News Bulletin : ADA News Bulletin September 2011
41 SePtember 2011 1 introduction 1.1 Oral diseases, especially dental caries and periodontal disease, are largely preventable. 1.2 As understanding of these diseases has increased, management and treatment has progressed from being surgical to preventive in nature. 1.3 When first introduced, the term ‘minimal intervention dentistry’ (MID) referred to the use of more conservative cavity preparation. Currently, it involves the comprehensive management of oral diseases. 1.4 Evolution of restorative and preventive materials has enhanced MID. 1.5 Definitions 1.5.1 BOARD is a Federal, State or Territory dental registration board. 1.5.2 A DENTAL TEAM comprises a mix of dentists and appropriate allied dental personnel and should at all times be headed by a dentist. 1.5.3 A DENTIST is an appropriately qualified oral care provider, registered by a Board to practise all areas of dentistry. 1.5.4 DENTISTRY is the science and art of preventing, diagnosing and treating diseases, injuries, and developmental and acquired defects of the teeth, joints, oral cavity and associated structures within the context of general health. 1.5.5 MINIMAL INTERVENTION DENTISTRY (MID) is the philosophy of care related to risk assessment of individual patients, the early detection of oral disease, targeted preventively orientated strategies and limited surgical intervention appropriate to the level of disease. 2 principles 2.1 MID is an essential part of and can be applied to all areas of dental practice. 2.2 Risk assessment is fundamental to the application of MID. 2.3 A goal of MID is to maximise preservation of tooth structure. 2.4 Remineralisation of tooth structure and prevention of a restoration maintains tooth integrity and contributes to tooth longevity. 2.5 MID can be successfully delivered through appropriate use of the dental team. 3 policy 3.1 Dentists should incorporate MID into their clinical practices. 3.2 The public must be educated to the benefits of MID. 3.3 Funding agencies including governments must adequately fund MID. 3.4 Oral disease risk assessment and patient education should be described using the Australian Schedule and Glossary of Dental Services. Though these services may be difficult to measure, third parties should acknowledge MID principles and allow for their incorporation in data collection, and, if applicable, contribution to the fee. 1 This Policy Statement is linked to other Policy Statements: 2.2.1 Community Oral Health Promotion: Fluoride, 2 .2.2 Community Oral Health Promotion: Diet and Nutrition, 2.2.3 Community Oral Health Promotion: Oral Hygiene, 2 .2 .4 Community Oral Health Promotion: Tobacco, 5 .1 Dentistry in the Presence of Third Parties & 6.10 Oral Cancer Screening Policy Statement 6.19 Adopted by ADA Federal Council, April 14/15, 2011. new AdA policy statement 6.19 minimal intervention DenTiSTRY1
ADA News Bulletin August 2011
ADA News Bulletin October 2011