Membership Matters - December 2017 - 21

www.oregondental.org

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become the norm," said Agnieszka
Balkowiec, MD, PhD, associate
professor in the Department of
Integrative Biosciences at OHSU,
as well as an ADEA CCI liaison. "We
need to make sure we prepare our
graduates to become not only great
dentists, but also team leaders."
Knight points out that the average
medical practice has more than 500
physicians, and because of that,
and the fact that these large offices
may offer recent graduates more
flexible work hours, he thinks there
will be more and more of the "large,
multi-office practices" employing
recent dental graduates.
"Today's young practitioners really
do value a good blend of work-life
experiences, and I think that's a
very healthy thing to engage in,"
Knight said.
Knight referenced how large,
multi-office practices have some
economies of scale in the business
sense, and they also have the
capacity to serve the needs of
patients more broadly under one
roof, which brings up another shifting
model of care: having physicians
and dentists working together in the
same office. The Cedar Hills DentalMedical office, a Kaiser Permanente
dental-medical clinic in Beaverton,
is currently operating this way. The
clinic houses four general dentists,
one pediatric dentist, one physician,
one nurse practitioner, three licensed
practical nurses and two hygienists.
The dental clinic is full-service, and
its patients can also get blood draws,
immunizations, and treatments for
sports injuries, ear infections and sore
throats from medical professionals in
the same office.
"People are looking for efficiency
and ease of care, so it makes good
sense to have the most efficient
health care system possible," Knight
said. "The idea is that our patients
will have the expectation of one-stop
shopping for their health care needs.
And let's face it, the head and neck

is connected to the thorax, which
is connected to the abdomen. It's
one beautiful system that interacts
with itself. So, it makes exceedingly
good sense to be patient-centric
and to combine the idea of physician
and dental care under one roof, or
one office."

Dental Health Aide Therapists
(Midlevel Providers)
The Oregon Health Authority is
currently overseeing two dental
pilot projects involving midlevel
providers. One program trains dental
hygienists to place interim therapeutic
restorations in children in rural
area schools. The other program is
placing dental health aide therapists
in Oregon tribes, where they will
provide oral health education and
routine dental services. The model is
based on the Alaska dental therapist
model, which was established in
2004 and sends DHATs into Alaska
native communities.
DHATs work as a member of an
oral health care team that is led by a
dentist. They deliver defined scope
of preventive and restorative oral
health care services, while being
supervised by the team-lead dentist.
Typically, DHATs are utilized in rural,
underserved areas.
During OHSU's recent faculty
conference, a question was posed
asking whether DHATS will become

part of the practicing workforce in
half of the states in the U.S. soon,
and a majority of the faculty (around
64 percent) said yes, according
to Balkowiec.
"The question is: Do all the
procedures that licensed dentists
are doing now need to really be
done by licensed experts? Or, can
you have paraprofessionals doing
them?" Balkowiec said. "We can fight
this trend, or we can shape it to the
advantage of the profession."
Currently, Minnesota, Alaska,
and Maine have practicing DHATs,
according to Knight. Vermont,
New Mexico, Kansas and Washington
are currently considering them,
and Oregon is conducting its
pilot program. In addition, Lane
Community College in Eugene
recently was awarded a $100,000
W.K. Kellogg Foundation grant to
study the development of DHATs.

Technology
Knight, who practiced for 42 years,
more than 30 of which were in private
practice, has seen major shifts
in the profession before. He saw
the air turbine handpiece become
mainstream. He also experienced the
rise of dental insurance. Each of these
landmarks on dentistry's historical
timeline changed the profession
dramatically. Today, dentists are
facing a future where technologies
December 2017

21


http://www.oregondental.org

Table of Contents for the Digital Edition of Membership Matters - December 2017

From the Editor
New Members, Board Highlights
Events and Education
ODA Member Benefit of the Month: UPS
Compliance Corner: Requesting Patient Records
Advocacy in Action: Oregon Action for Dental Health — Listening and Learning
Through the Loupes: Peer Review Council Spotlight
Dr. Rickland Asai Sees Oregon as a National Leader
OHSU Considering Changes to Curriculum Based on Shifts in Dentistry
High School Programs Attract Next Generation of Oral Health Professionals
Airway Trumps Occlusion, Periodontics, Decay and Everything
Dental Foundation of Oregon: The Tooth Taxi Visits the Community Transitional School
Index of Advertisers
Membership Matters - December 2017 - intro
Membership Matters - December 2017 - cover1
Membership Matters - December 2017 - cover2
Membership Matters - December 2017 - 3
Membership Matters - December 2017 - 4
Membership Matters - December 2017 - From the Editor
Membership Matters - December 2017 - New Members, Board Highlights
Membership Matters - December 2017 - 7
Membership Matters - December 2017 - 8
Membership Matters - December 2017 - 9
Membership Matters - December 2017 - 10
Membership Matters - December 2017 - Events and Education
Membership Matters - December 2017 - 12
Membership Matters - December 2017 - ODA Member Benefit of the Month: UPS
Membership Matters - December 2017 - Compliance Corner: Requesting Patient Records
Membership Matters - December 2017 - Advocacy in Action: Oregon Action for Dental Health — Listening and Learning
Membership Matters - December 2017 - 16
Membership Matters - December 2017 - Through the Loupes: Peer Review Council Spotlight
Membership Matters - December 2017 - 18
Membership Matters - December 2017 - Dr. Rickland Asai Sees Oregon as a National Leader
Membership Matters - December 2017 - OHSU Considering Changes to Curriculum Based on Shifts in Dentistry
Membership Matters - December 2017 - 21
Membership Matters - December 2017 - 22
Membership Matters - December 2017 - High School Programs Attract Next Generation of Oral Health Professionals
Membership Matters - December 2017 - Airway Trumps Occlusion, Periodontics, Decay and Everything
Membership Matters - December 2017 - 25
Membership Matters - December 2017 - Dental Foundation of Oregon: The Tooth Taxi Visits the Community Transitional School
Membership Matters - December 2017 - 27
Membership Matters - December 2017 - 28
Membership Matters - December 2017 - 29
Membership Matters - December 2017 - Index of Advertisers
Membership Matters - December 2017 - cover3
Membership Matters - December 2017 - cover4
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