Posts by Ross Perry

Pay for performance in oral healthcare

Value based care and pay for performance contracts are quickly seeping into healthcare. Here’s an example. In 2019, a large Dutch insurer decided to pay its doctors and psychiatrists treating depression and mood disorders, on how much better the patient feels, rather than on the number of counseling sessions. (Not surprisingly, the Dutch Association of…

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Cognitive Function and Oral Health

The connection between oral health and cognitive function is intriguing, and seemingly is getting clearer. For example, a new prospective Japanese study of seniors living in the community reports that those with fewer teeth, were 3 times more likely to have a decline in cognitive function over 4 years, than those with more teeth. In…

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Improving Diabetes Management by Improving Oral Health

Several intervention studies now show that a dental cleaning below the gum line leads to improved glycemic control (HbA1C) in Type 2 diabetics for up to 6 months. There are about 3 million Type 2 diabetics in Canada and another 5 million who are pre-diabetic. It is an expensive chronic disease largely driven by age…

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Managing Oral Inflammation – What Gives?

Periodontal (gum) disease is one of the most common chronic diseases – it affects 7 in 10 adults. Severe gum disease, as indicated by extensive and repetitive inflammation/bleeding and even teeth which wobble, is experienced by 1 in 10 adults. Gum disease is now considered to have a bidirectional relationship with Type 2 diabetes and…

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