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UCSF Developmental Disabilities 15th Update for Health Professionals New Dentistry? Paul Subar, DDS, EdD- Associate Professor, Dental Practice Director Special Care Clinic, Paci fi c Dugoni SOD Allen Wong, DDS, EdD- Professor, Dental Practice Director Hospital Dentistry and AEGD Residency Program, Paci fi c Dugoni SOD Friday, February 19, 16 1 Disclaimer neither speakers are paid by any company or have fi nancial interests in any of the products mentioned Friday, February 19, 16 2

Brief outline Overview of the Dental Scenario Overview of IDD and Dentistry Overview of the New Sciences in Dentistry Example of implementation of Prevention Review of some cases Questions Friday, February 19, 16 3 Overview IDD and Dentistry Most unmet need for IDD population? Friday, February 19, 16 4

Overview of Dental Trends (some) CAD/ CAM ICAT Implants Sleep Apnea Corporate Dentistry ACA Friday, February 19, 16 5 People ADA commissioned strategic plan 2013 “The population is getting older and more diverse, leading to different disease patterns, care-seeking behaviour and ability to pay..” Consumers are more astute purchasers of health care and seek value Friday, February 19, 16 6

Providers Increased number of dentists being trained...increase debt load Pressure growing for expanded dental team and preventive/ restorative services Friday, February 19, 16 7 Payments payment for dental services shifting from commercial dental insurance to public coverage and out of pocket Commercial dental plans increase selectivity, accountability and pressure provider to reduce costs Friday, February 19, 16 8

Policies ACA pediatric dental bene fi ts will provide millions of additional children with coverage...optional Medicaid expansions Public programs, with a growing number of participants will increased accountability from dental providers Friday, February 19, 16 9 Practice implications increase demand for value = need for practices to be e ffi cient trend toward larger, multi-site practices, increase competition of dentists for patients emphasis on outcomes and cost e ff ectiveness of o ffi ces/ alternative models of dental care Friday, February 19, 16 10

New Dentistry? CAMBRA GI SN SDF Friday, February 19, 16 11 Case Examples no pictures for outline Friday, February 19, 16 12

Questions Friday, February 19, 16 13 Thank you! Paul Subar: psubar@paci fi c.edu Allen Wong: awong@paci fi c.edu Friday, February 19, 16 14