Medical-Dental Integration-Achieving Equity in Periodontal and General Healthcare in the Indian Scenario

J Int Soc Prev Community Dent. 2021 Jul 3;11(4):359-366. doi: 10.4103/jispcd.JISPCD_75_21. eCollection 2021 Jul-Aug.

Abstract

Aims: Dentistry and medicine have been treated as separate entities by healthcare professionals as well as the populace since a long time. Although dentistry as a standalone entity has achieved considerable progress, there is a significant inequity in the accessibility, affordability, and acceptability of dental care among various socioeconomic strata in the community. Moreover, it is becoming increasingly evident that oral diseases and systemic diseases often share multiple risk factors. Management of oral and systemic diseases as distinct units often results in duplication of care and wastage of resources. This paper gives information on the models of medical-dental integration and possible methods for integrating the same into Indian healthcare scenario.

Materials and methods: A literature search was performed in PubMed/MEDLINE, CINAHL, Web of Science, and Google Scholar for articles pertaining to medical-dental integration. The data obtained were collated.

Results: Literatures show that different modalities for medical-dental integration are in practice. However, there is a paucity in conceptual models that may be applied to bring about such an integration into the Indian healthcare system.

Conclusion: Integration of medical and dental care would pave the way for equity in health care for everyone. Conceptual models for integrating oral disease surveillance into systemic disease have been proposed in this paper.

Keywords: Dentistry; equity; health insurance; integrated care; medical care.

Publication types

  • Review