Changing dental profession in the WHO European region: analysis of the organization and education framework.

Abstract

Objectives: The study examines the impact of changes on dental education and practice in Europe, including the development of new practice models such as investor-owned dental centers and practice chains.

Material and methods: This study aimed to collect and critically examine data regarding the care environment, education, and organizational structures of the dental profession across ERO member states and other countries in the WHO European region. A questionnaire from the European Regional Organization of the FDI World Dental Federation (ERO) has been used.

Results: National dental associations across 45 countries participated. An average of 1'459.79 (SD 800.80) inhabitants per dentist has been found, with independent practices being the most prevalent form of dental practice (48.65%, SD 28.28%) followed by employment in private practice (24.32%, SD 20.33%), and joint practices (15.27%, SD 20.39%). There are statistically significantly more state universities than private universities (p<0.01); the percentage of females attending dental schools were statistically significantly higher than males (p<0.01). Two-thirds of the participating countries (n=30, 66.67%) have legal frameworks allowing various stakeholders, including investors, and local communities, to establish dental healthcare centers.

Conclusions: The findings highlight the evolving landscape of the dental profession in Europe and its regulatory context. There is a clear need for ongoing evaluations and adjustments in educational and practice frameworks to ensure and maintain high-quality oral healthcare. Future research should delve into the various professional dental practice forms and incorporate qualitative, care-related, and patient-centered considerations for a more thorough understanding of Europe's oral healthcare dynamics.