Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

A health-promoting community dental service in Melbourne, Victoria, Australia: protocol for the North Richmond model of oral health care

Martin Hall A C and Bradley Christian A B
+ Author Affiliations
- Author Affiliations

A North Richmond Community Health Ltd, 23 Lennox Street, Richmond, Vic. 3121, Australia.

B Dentistry and Oral Health, La Trobe Rural Health School, La Trobe University, Edwards Road, Flora Hill, Vic. 3550, Australia.

C Corresponding author. Email: martin.hall@dhsv.org.au

Australian Journal of Primary Health 23(5) 407-414 https://doi.org/10.1071/PY17007
Submitted: 21 January 2017  Accepted: 14 June 2017   Published: 21 August 2017

Abstract

Despite the best efforts and commitment of oral health programs, there is no evidence that the current surgical output-based model of oral health care is delivering better oral health outcomes to the community. In fact, Australian evidence indicates the oral health of the community could be getting worse. It is now well-understood that this traditional surgical model of oral health care will never successfully manage the disease itself. It is proposed that a health-promoting, minimally invasive oral disease management model of care may lead to a sustainable benefit to the oral health status of the individual and community groups. The aim of this paper is to describe such a model of oral health care (MoC) currently being implemented by the North Richmond Community Health Oral Health (NRCH-OH) program in Melbourne, Victoria, Australia; this model may serve as a template for other services to re-orient their healthcare delivery towards health promotion and prevention. The paper describes the guiding principles and theories for the model and also its operational components, which are: pre-engagement while on the waitlist; client engagement at the reception area; the assessment phase; oral health education (high-risk clients only); disease management; and reviews and recall.


References

Alliance for a Cavity-Free Future (2016) Silver diamine fluoride. (ACFF: London, UK) Available at http://www.allianceforacavityfreefuture.org/en/us/technologies/silver-diamine [Verified September 2016]

Australian Bureau of Statistics (2009) Future population growth and ageing. Australian social trends. Australian Bureau of Statistics: Canberra, ACT, Australia.

Australian Bureau of Statistics (2013) Population projections, Australia, 2012 (base) to 2101. (Australian Bureau of Statistics: Canberra, ACT, Australia) Available at http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/3222.0main+features42012%20(base)%20to%202101 [Verified April 2016]

Australian Commission on Safety and Quality in Health Care (2016) ‘Patient and consumer centred care.’ (ACSQHC: Sydney, NSW, Australia).

Australian Institute of Health and Welfare (2012) ‘Dementia in Australia.’ (Australian Institute of Health and Welfare: Canberra, ACT, Australia).

Australian Institute of Health and Welfare (2014a) Australia’s health 2014. The 14th biennial health report of the Australian Institute of Health and Welfare. Australian Institute of Health and Welfare, Canberra, ACT, Australia.

Australian Institute of Health and Welfare (2014b) Australia’s health 2014. Ageing and the health system: challenges, opportunities and adaptations. Australia’s health series number 14. Australian Institute of Health and Welfare, Canberra, ACT, Australia.

Brennan DS (2008) Oral health of adults in the public dental sector. Dental statistics and research series number 47. Australian Institute of Health and Welfare, Canberra, ACT, Australia.

Calache H, Hopcraft MS, Martin JM (2013) Minimum intervention dentistry–a new horizon in public oral health care. Australian Dental Journal 58, 17–25.
Minimum intervention dentistry–a new horizon in public oral health care.CrossRef |

Champion VL, Skinner CS (2008) The health belief model. In ‘Health Behavior and Health Education: Theory, Research and Practice’. (Eds K Glanz, BK Rimer, K Viswanath) pp. 45–62. (Jossey-Bass: San Francisco, CA, USA).

Chapko MK (1991) Time to adoption of an innovation by dentists in private practice: sealant utilization. Journal of Public Health Dentistry 51, 144–151.
Time to adoption of an innovation by dentists in private practice: sealant utilization.CrossRef | 1:STN:280:DyaK38%2FhsFSitA%3D%3D&md5=8b87f25d9977a9f93c54b45e72bafdffCAS |

Chrisopoulos S, Harford J, Ellershaw A (2016) Oral health and dental care in Australia: key facts and figures 2015. Catalogue number DEN 229. Australian Institute of Health and Welfare, Canberra, ACT, Australia.

Christian B, Chattopadhyay A (2014) Determinants and trends in dental expenditures in the adult US population: Medical Expenditure Panel Survey 1996–2006. Community Dental Health 31, 99–104.

Christian B, Chattopadhyay A, Kingman A, Boroumand S, Adams A, Garcia I (2013) Oral health care services utilisation in the adult US population: Medical Expenditure Panel Survey 2006. Community Dental Health 30, 161–167.

Christian B, Hall M, Martin R (2015) A paradigm shift in models of oral health care: an example and a call to action. Family Medicine and Community Health 3, 32–37.
A paradigm shift in models of oral health care: an example and a call to action.CrossRef |

Community Health Services Forum (2014) ‘Briefing: Beginning with the End in Mind. How Outcomes-Based Commissioning can help Unlock the Potential of Community Services.’ (NHS Confederation: London, UK).

Cutress TW, Ainamo J, Sardo-Infirri J (1987) The community periodontal index of treatment needs (CPITN) procedure for population groups and individuals. International Dental Journal 37, 222–233.

Davidson N, Skull S, Calache H, Murray SS, Chalmers J (2006) Holes a plenty: oral health status a major issue for newly arrived refugees in Australia. Australian Dental Journal 51, 306–311.
Holes a plenty: oral health status a major issue for newly arrived refugees in Australia.CrossRef | 1:STN:280:DC%2BD2s%2FltlKksA%3D%3D&md5=73a1c56cddd6cf58be4fe33418306d9cCAS |

Dental Board of Australia (2014) Guidelines for scope of practice. (Australian Health Practitioner Regulation Agency, AHPRA: Melbourne, Vic., Australia) Available at http://www.dentalboard.gov.au/Codes-Guidelines/Policies-Codes-Guidelines/Guidelines-Scope-of-practice.aspx [Verified 14 July 2017]

Dental Health Services Victoria (2012) Establishing innovative models of care: a discussion paper. Dental Health Services Victoria, Melbourne, Vic., Australia.

Featherstone JD (2004) The caries balance: the basis for caries management by risk assessment. Oral Health & Preventive Dentistry 2, 259–264.

Glanz K, Rimer BK, Viswanath K (Eds) (2008) ‘Health Behavior and Health Education: Theory, Research and Practice.’ (Jossey-Bass: San Francisco, CA, USA)

Harvard Women’s Health Watch (2007) Why it’s hard to change unhealthy behaviour – and why you should keep trying. Researchers say successful change comes only in stages. How long it takes is an individual matter. Harvard Women’s Health Watch 14, 4–5.

Health Issues Centre (2009) ‘Was I still on the waiting list?’ A study about people waiting for public dental care. Health Issues Centre, Melbourne, Vic., Australia.

Kruger E, Tennant M (2016) Ten years of hospitalisation for oral health-related conditions in Western Australia: an unjust dichotomy. Australian Journal of Primary Health 22, 153–158.
Ten years of hospitalisation for oral health-related conditions in Western Australia: an unjust dichotomy.CrossRef |

Mejia GC, Amarasena N, Ha DH, Roberts-Thomson KF, Ellershaw AC (2012) Child Dental Health Survey Australia 2007: 30-year trends in child oral health. Dental Statistics and Research Series Number 60. Catalogue Number DEN 217, Australian Institute of Health and Welfare, Canberra, ACT, Australia.

Nadanovsky P, Sheiham A (1995) Relative contribution of dental services to the changes in caries levels of 12-year-old children in 18 industrialized countries in the 1970s and early 1980s. Community Dentistry and Oral Epidemiology 23, 331–339.
Relative contribution of dental services to the changes in caries levels of 12-year-old children in 18 industrialized countries in the 1970s and early 1980s.CrossRef | 1:STN:280:DyaK283jsFKiug%3D%3D&md5=4a55153232efaa11e23fe2ea7bd161efCAS |

Ortiz E, Clancy CM (2003) Use of information technology to improve the quality of health care in the United States. Health Services Research 38, xi–xxii.
Use of information technology to improve the quality of health care in the United States.CrossRef |

Sbaraini A, Carter SM, Evans RW, Blinkhorn A (2013) How do dentists and their teams incorporate evidence about preventive care? An empirical study. Community Dentistry and Oral Epidemiology 41, 401–414.

Spencer AJ, Harford J (2008) ‘Improving Oral Health and Dental Care for Australians.’ (Australian Research Centre for Population Oral Health: Adelaide, SA, Australia)

Tellez M, Gomez J, Pretty I, Ellwood R, Ismail AI (2013) Evidence on existing caries risk assessment systems: are they predictive of future caries? Community Dentistry and Oral Epidemiology 41, 67–78.
Evidence on existing caries risk assessment systems: are they predictive of future caries?CrossRef | 1:STN:280:DC%2BC38bntVelsQ%3D%3D&md5=51e0f4f457fcd7f74f6a5511480cd250CAS |

US Department of Health and Human Services (2000) Oral health in America: a report of the Surgeon General. US Department of Health and Human Services, Rockville, MD, USA.



Export Citation

View Altmetrics