Recent studies have found that dental professionals do not readily have access to their patients’ complete health record. This potentially causes problems, and can mean proper precautions are not taken into consideration ahead of dental treatment. Other research found that linking medical and dental records was possible, could be easily implemented – and very effective in terms of improving treatment outcomes.
In order to provide the best levels of care for their patients, dental professionals would need to have access to each person’s complete electronic health record. This would include prescriptions, laboratory test results and other useful information.
By doing so, dental professionals could provide safe care for the patient, prevent some dental conditions and provide strong treatment outcomes. But unfortunately, this isn’t the case.
Instead, dental professionals have limited information about the overall health of their patients. Recent studies have shown that this is causing many problems, and that it would be highly effective if dental professionals did have access to full patient health records.
The Current State
Currently, dental professionals do not readily have access to the electronic health records of patients. Instead, they just have internal records. Therefore, they have very little idea on the overall health of each patient – they are reliant on their patients to provide details on their own health.
One study that was completed in the last month looked at how the current system works. The study was completed by the Regenstrief Institute and the Indiana University School of Dentistry [1].
They looked at a range of dental clinics to see how, or if, they accessed their patients’ electronic health records. The findings were rather worrying. They determined overall that in most cases, the records aren’t available to dental professionals [1].
They found that in the rare cases where dental clinics do have access to health records, that they don’t receive the answers in a timely manner [1]. For example, the researchers found that information requested to Hospitals or other general health facilities typically arrived 7-10 days after it had first been requested [1]. However, 30% of the requests analyzed took even longer [1].
Lead author of the study, Thankam P. Thyvalikakath of the Regenstrief Institute, commented on the findings [2]. He stated that a dental professional “may need to confirm a list of medical considerations; for example, that there is no contraindication to a patient sitting in a chair for a lengthy procedure or whether a patient is taking any medication that could put them at risk for excessive bleeding during a tooth extraction or other procedure” [2].
Carrying on, Thyvalikakath said that health professionals should not “be relying on inefficient, paper-based methods for sharing patient information” [2]. This study provides an overview of the problems with the current state of record-sharing.
Study puts a model into practice
Another study from earlier in 2022 put a “Health Information Exchange” into practice for a number of dental clinics. The researchers provided dental professionals with instant access to the medical records of their patients.
The dental professionals found it to be very helpful, and aided them in choosing the correct treatment options. This ensured that favorable treatment outcomes were possible [3].
The same study found that there are some large healthcare organizations that provide both dental and medical care for their patients – allowing them to integrate records [3]. But this isn’t suitable for smaller dental clinics.
Upon conclusion, the authors believed that a Health Information Exchange would greatly benefit the dental professionals [3]. They also pointed to how such an approach could be easily integrated electronically, and added into existing dental systems [3].
Thyvalikakth, who was also the main author for this research, commented [2]. He said that “delays in receiving medical information can require dental treatment to be postponed, sometimes to the detriment of the patient’s health and convenience” [2].
He made the recommendation that “the exchange of information process should be two-way—in addition to the medical record informing dental care, dental records can inform medical care” [2].
Why it would help
Linking dental and general health records would have several benefits. For example, arguably the most important benefit would be more informed treatment decisions. Therefore, we would surely see an improvement in treatment outcomes.
If such an approach went ahead, then a range of dental professionals could have access to health records. For example, these may include dentists, oral surgeons, periodontists, endodontists and dental hygienists.
An example could be the antidepressant class of medicines. Those who take antidepressants will often have a dry mouth as a side effect. Dry mouth is very bad for oral health, as there is a lack of saliva to help clear bacteria and remove acid. But a patient would probably not know about the link of dry mouth and dental problems – meaning they wouldn’t normally tell their dentist about their prescription.
However, if a dentist knew about this, they could take extra precautions in treatment and educate their patient. This example is especially relevant, with 13.2% of American adults taking antidepressants regularly [4]. Moreover, a staggering 17% of adults in the United Kingdom take antidepressants regularly [5].
The more knowledge that the dental professional has – the better. They would be able to take the overall health of their patient into account – helping them to make decisions which would provide patients with appropriate treatment that can improve their oral and overall physical health.
Thinking points…
1) Hopefully in the future we will see more examples of linked records. But preferably, your oral health will be healthy to the extent that you won’t need treatment. The best way to keep problem-free is to have excellent oral hygiene. For example, a crucial part of this is attending a dental clinic at least twice a year for a check-up. Any problems can be detected and acted upon – we recommend booking an appointment as soon as possible!
2) Do you take any medications or have any underlying health conditions? You may not realize, but it can actually effect your oral health. When you next attend your dental clinic, be sure to tell your dentist about relevant physical health conditions. Therefore, this will help them to tailor your care accordingly, and take any conditions into account when choosing treatments. Consider booking a check-up soon, where you can inform your dentist.
What we offer at Savanna Dental
Savanna Dental is a Calgary dental clinic that provide their patients with advice, a comfortable experience and treatment to improve oral health where needed.
Importantly, we recommend brushing your teeth at least twice a day and flossing regularly. Moreover, eating healthily and trying to avoid sugary foods and drink is helpful.
We advise our patients to attend our Calgary-based dental clinic twice a year for a regular dental check-up. When problems are detected, we have many treatments available. For instance, these include cavity fillings and root canals.
Here at Savanna Dental, we also have some cosmetic treatments available! These include dental implants, tooth whitening and Invisalign™! Many people find that these treatments have a positive impact on your appearance, confidence and self-esteem.
In addition, all of our services at our Calgary dental clinic Savanna Dental are in line with the Alberta Dental Fee Guide.
We would love you to visit our Savanna Dental clinic in Calgary! You can find out more about us by visiting our website https://savannadentalclinic.ca.
References
[1] Li, S., Williams, K. S., Medam, J. K., Patel, J. S., Gonzalez, T., & Thyvalikakath, T. P. (2022). Retrospective Study of the Reasons and Time Involved for Dental Providers’ Medical Consults. Frontiers in Digital Health. 4. DOI: https://doi.org/10.3389/fdgth.2022.838538.
[2] Regenstrief Institute. (2022). Linking medical and dental records could improve dental patient safety, preventive care, and treatment outcomes. Available: https://medicalxpress.com/news/2022-06-linking-medical-dental-patient-safety.html. Last accessed: 13th June 2022.
[3] Li, S., Rajapuri, A. S., Gomez, G. G. F., Schleyer, T., Mendonca, E. A., & Thyvalikakath, T. P. (2022). How Do Dental Clinicians Obtain Up-To-Date Patient Medical Histories? Modeling Strengths, Drawbacks, and Proposals for Improvements. Frontiers in Digital Health. 4. DOI: https://doi.org/10.3389/fdgth.2022.847080.
[4] Brody, D. J., & Gu, Q. (2020). Antidepressant Use Among Adults: United States, 2015-2018. Available: https://www.cdc.gov/nchs/products/databriefs/db377.htm. Last accessed: 13th June 2022.
[5] Public Health England. (2020). Prescribed medicines review: summary. Available: https://www.gov.uk/government/publications/prescribed-medicines-review-report/prescribed-medicines-review-summary. Last accessed: 13th June 2022.