Publications by authors named "Marco E Mazevet"
Article Synopsis
- During the first wave of COVID-19 in France, dentists were deemed high-risk for infection, leading to a lockdown where they could only address emergencies, which helped control virus spread.
- A survey of nearly 3,500 French dentists revealed a 3.6% COVID-19 prevalence, with findings showing that wearing surgical masks in non-aerosol procedures increased risk, while limiting patient numbers was protective.
- The study concluded that when proper protective measures are taken, dentists are not at greater risk of COVID-19 than the general public, suggesting the need for stronger PPE guidelines and patient management to mitigate virus spread.
Article Synopsis
- The paper outlines a 20-year collaboration among global dental teams that began with the creation of the International Caries Detection and Assessment System (ICDAS) in 2002 and led to the development of the International Caries Classification and Management System (ICCMS) between 2010 and 2017.* -
- The ICCMS was shaped by evidence-based practices, international policies like the UNEP Minamata Treaty regarding dental amalgam, and a shift towards minimally invasive dentistry, culminating in the publication of the 'CariesCare International' Consensus Guide in 2019.* -
- Currently, the ICCMS is being adapted for international use in response to the pandemic through the 'Caries OUT' study and is
The first Alliance for a Cavity-Free Future (ACFF)/King's College London Dental Policy Lab, held in 2017, identified the need for a review of dental payment systems in order to see progress towards achieving improvements in caries and cavities. The lack of incentivisation for preventive intervention and care has long been a barrier to progress. The second Dental Policy Lab, held in July 2018, focused on this issue with the overarching question: 'How can we create and implement acceptable prevention-based dental payment systems to achieve and maintain health outcomes?' Using a design approach and participatory research, 29 participants from five stakeholder categories developed a blueprint report that aims to serve as a framework to adapt or create remuneration systems that are compatible with evidence-based dentistry with a focus on preventive care.
View Article and Find Full Text PDFAlthough many dental professionals argue that prevention of oral diseases, including dental caries, will benefit both the patient and public finances, a paradigm shift has yet to happen in most countries. The literature has demonstrated that caries prevention and control is possible, but authorities have yet to implement health systems that allow patients to stay in a good health state. 'Policy Labs' are an innovative policy-making initiative that allow a positive collaboration between the many stakeholders around a given policy issue.
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- A study was conducted in April 2020 involving French dental professionals to investigate the risk of contracting COVID-19 in the dental field, highlighting an increased risk for health-care workers and suggesting oral health-care professionals might be particularly vulnerable.
- The survey included responses from 4,172 dentists and 1,868 dental assistants, revealing a lab-confirmed COVID-19 prevalence of 1.9% for dentists and 0.8% for dental assistants, with some clinical phenotypes appearing in 15% or more of positive cases.
- The results indicated that factors like chronic kidney disease and obesity increased the odds of contracting COVID-19, while specific dental practices and changes in work routines could lower the risk, showing dental professionals were not
Following the failure of earlier negotiations, the new French Government decided not to go ahead with a unilateral decision to define fees in the dental contracts, and to reopen the negotiations. This in a bid to satisfy the providers' requests, as well as to negotiate Emmanuel Macron's presidential campaign promise of no out-of-pocket expenses on dental prosthetics. The three stakeholders, the National Health Insurance System, Dental Trade Unions and Complementary Health Insurers, started another round of negotiations which lead to an agreement.
View Article and Find Full Text PDFFrance possesses a mixed public-private oral health system with no out of pocket payments for most routine dental treatments. The "Convention" regulates tariffs between the elected dental trade unions, the National Health Insurance and Complimentary Health Insurers. It is periodically revised and negotiated by the three parties in order to introduce new procedures, improve the access to dental care of the population and to adjust procedure costs for inflation.
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