Recognition and Management of Common Acute Conditions of the Oral Cavity Resulting From Tooth Decay, Periodontal Disease, and Trauma: An Update for the Family Physician

Abstract

This article presents an overview of common and/or significant diseases of the oral cavity that the family physician is likely to encounter, with an emphasis on pathogenesis, recognition, complications, and management. Topics reviewed include the sequelae of dental caries, periodontal disease, and trauma.

Expanding the Physician’s Role in Addressing the Oral Health of Adults

“…Several recent articles in the Journal of the American Board of Family Medicine reflect both practitioner interest in additional training and the prevalence of dental disease among presenting patients. 58,59 Recently, the Society of Teachers of Family Medicine's Group on Oral Health developed an oral health curriculum containing educational modules directed at adult oral health issues. 36 Although a majority of family medicine residency programs are using this curriculum, on average very little time is devoted to oral health, with a majority of programs devoting only one to two hours annually.…”

Family physicians' knowledge and awareness regarding oral health: A survey

“…[18] Training provides an excellent basis for deepening their understanding of dental health and prevention. In the present study, 82% of the participants were willing to undergo training in oral health as compared to the findings of another study, in which willingness was shown by 92% of participants.…”

Primary Care Physician Roles in Health Centers with Oral Health Care Units

“…15 Three of the health centers offered training to their physicians and primary care staff. Bluegrass and Salina require their providers, residents, and staff to complete the Smiles for Life curriculum as part of the standard training provided at onboarding or, in some instances, on an annual basis.…”

“…They are leaders of interprofessional health care teams that have the potential to effectively provide integrated oral health services within the primary care delivery system, particularly for patients who might otherwise experience barriers to access to oral health care services. 14,15 In 2011, the Institute of Medicine issued a report that recognized that improving oral health in America will require multidisciplinary health care teams working in various settings across the health care system. 11 Since the release of the Institute of Medicine's report, a number of initiatives have been developed that focus on providing primary care physicians with the tools necessary to successfully integrate oral health care and primary care.…”