The acts governing the practice of dentistry and the provision of dental treatment to children by public dental officers.
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1. The geographic areas served by licensed dental mechanics will increase in number and size in the future. 2. There will be increasing difficulties in supplying dental graduates of a high caliber from our faculties of dentistry to serve adequately in the field of prosthodontics. 3. More graduate (postdoctoral) programs will be needed to train dentists to treat difficult prosthetic patients. The need for prosthetic services is still with us and will continue to grow. Only with progressive thought and aggressive action can organized prosthodontics go forward to meet its challenges. A battle is not won on defense alone, for such has been the game plan to date. Currently, dentists have a reasonable way to deliver an important health service to the population at large. However, only with a rapid advancement in the concept of delivery of total prosthodontic care can the best interests of the public be maintained. Finally, the highest standards of practice and ethics must be the guiding principles to any future changes in the delivery of prosthodontic services to the public.
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This article analyzes the effects of state dental practice acts on competition in the market for dental services. Three types of practice act provisions are examined: (1) restraints on advertising and soliciting of patients; (2) limits on scope of practice and number of dental hygienists per dentist; and (3) restrictions on the form of organization and ownership of dental practices. The empirical results suggest that limits on number of offices per dentist and absence of reciprocal licensing arrangements are associated with higher fees and net incomes among dentists. Restraints on number of hygienists per dentist are positively associated with dental fees, but not with net income. Restrictions on commercial advertising are related to the higher net income, but not fees. There is no significant intercorrelation among the various practice act provisions. The analysis concludes with a discussion policy implications for competition in dentistry and a suggestion that practice act changes are both a cause and an effect of the general metamorphosis observed in the dental market place. The potential indirect effects of national health insurance and altered reimbursement policy are discussed.
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