American Dental Association

Last updated
American Dental Association
FoundedAugust 3, 1859;164 years ago (1859-08-03) [1]
FounderWilliam Henry Atkinson
Founded at Niagara Falls, New York, U.S. [1]
Type Professional association
36-0724690 [2]
Legal status 501(c)(6) nonprofit organization [2]
Headquarters Chicago, Illinois, U.S.
Location
  • United States
Membership
161,000
George Shepley [3]
Raymond A. Cohlmia [4]
Subsidiaries ADA Foundation,
ADPAC Education Fund,
ADA Business Enterprises Inc,
American Dental Association Political Action Committee [2]
Revenue (2020)
$124,074,848 [5]
Expenses (2020)$114,649,855 [6]
Employees (2014)
461 [2]
Volunteers (2020)
325 [2]
Website www.ada.org

The American Dental Association (ADA) is an American professional association established in 1859 which has more than 161,000 members. Based in the American Dental Association Building in the Near North Side of Chicago, [7] the ADA is the world's largest and oldest national dental association. The organization lobbies on behalf of the American dental profession and provides dental accredation.

Contents

The ADA publishes a monthly journal of dental related articles named the Journal of the American Dental Association .

As part of its lobbying efforts, the ADA has sought to restrict non-dentists (such as dental hygienists and dental therapists) from providing basic dental care. [8] [9] [10] The organization has played an important role in blocking the inclusion of dental coverage in Medicare. [11] The ADA has expressed opposition to the opening of new dental schools or to increasing the number of dentists in the United States, even as the United States trains almost half as many dental students (relative to population) in the 2000s as it did in the 1980s. [9]

Overview

The American Dental Association was founded August 3, 1859, at Niagara Falls, New York, [1] by twenty-six dentists who represented various dental societies in the United States. It is the largest and oldest national dental association in the world.

The association has more than 400 employees at its headquarters in Chicago and its office in Washington, D.C. The Paffenbarger Research Center (PRC), located on the campus of the National Institute of Standards and Technology (NIST) in Gaithersburg, Maryland, an agency of the American Dental Association Foundation (ADAF) and a Department of the Division of Science. PRC scientists conduct basic and applied studies in clinical research, dental chemistry, polymer chemistry and cariology, and are used by of the ADA.

Historically, the ADA has discriminated against minority dentists and sough to exclude them from its affiliates. This discrimination in part prompted the creation of the National Dental Association. [12] In 2010, the ADA apologized for its history of racial discrimination. [13]

After a Reader's Digest investigation revealed that dentists provided drastically different evaluations of the same patients and suggested drastically different treatments, ADA President Leslie Seldin said, "Dentistry is an art based on scientific knowledge, and what's most important to all of us is that we each use our professional judgment to design what we believe is the best solution for the patient." [14]

Seal of Acceptance

The ADA established rigorous guidelines for testing and advertising of dental products, [15] and the first ADA Seal of Acceptance was awarded in 1931. Today, about 350 manufacturers participate in the voluntary program and more than 1,300 products have received the Seal of Acceptance.

Product manufacturers are charged $14,500 for each product the ADA evaluates. For products that are approved, manufacturers pay an annual fee of $3,500. According to the ADA, it does not make a profit from the program. [16]

Organizational structure

The Board of Trustees, the administrative body of the association, is composed of the president, the president-elect, two vice presidents and 17 trustees from each of the 17 trustee districts in the United States. The treasurer and executive director serve as ex officio members. The House of Delegates, the legislative body of the association, is composed of 460 delegates representing 53 constituent societies, five federal dental services and the American Student Dental Association. The house meets once a year during the association's annual session.

The association's 11 councils serve as policy recommending agencies. Each council is assigned to study issues relating to its special area of interest and to make recommendations on those matters to the Board of Trustees and the House of Delegates.

The association's official publication is the Journal of the American Dental Association . Other publications include the ADA News and the ADA Guide to Dental Therapeutics.

The Commission on Dental Accreditation, which operates under the auspices of the ADA, is recognized by the U.S. Department of Education as the national accrediting body for dental, advanced dental and allied dental education programs in the United States. It is also recognized by 47 individual states.

The ADA formally recognizes nine specialty areas of dental practice: dental public health, endodontics, oral and maxillofacial pathology, oral and maxillofacial surgery, orthodontics and dentofacial orthopedics, pediatric dentistry, periodontics, prosthodontics, and oral and maxillofacial radiology.

The ADA Foundation is the charitable arm of the association.

Advocacy

The ADA opposes the opening of new dental schools and increases in the number of dental students. [9] The organization has questioned federal data showing a dentist shortage in the United States. [17] In the 1980s, dental schools graduated nearly twice as many students relative to total population as they did in the 2000s. [9]

The ADA has a history of trying to restrict the kind of care that dental hygienists and dental therapists are allowed to provide. [8] [9] In many states, dental hygienists are required to be closely supervised by dentists when they provide care. [18] In 1991, the Director of the ADA's Council on Dental Practice expressed opposition to permit dental hygienists to work unsupervised, arguing that this would harm patients and that dental hygienists "need the dentists to review their work." [18]

In 2017, the Federal Trade Commission proposed to create a category of mid-level practitioners (dental therapists) to provide some routine dental services, which "could benefit consumers by increasing choice, competition, and access to care, especially for the underserved." [10] The ADA lobbied against the proposal, arguing that the government should rather give more funding to dentists than allow "lesser trained" therapists to provide dental services. [10] The ADA spent millions of dollars to block legislative proposals in various states to permit dental therapists to provide services. [10] The ADA's own research has shown that when dentists work with dental therapists, the rate of untreated caries was lower than in dentist-only teams. [8]

The ADA has a long history of advocating against dental coverage under national health insurance plans. In 1965, the ADA lobbied against the inclusion of dental coverage in the original Medicare program. [11] In 2021, the ADA launched a well-funded lobbying effort against proposal to provide dental insurance coverage for all Medicare recipients. [19] [12] The ADA stands in contrast to the National Dental Association, which has advocated for universal dental coverage for Medicare recipients. [12] In 2021, ADA president Cesar R. Sabates credited the exclusion of Medicare dental coverage in the Build Back Better Plan to the ADA's advocacy. [20]

Critics of the ADA argue that the organization undermines competition in dental services and makes dental care in the United States less affordable. [10] [21] The ADA has also been described as an "old boys club" where licensed dentists, 70% of whom are male, restrict the kinds of services that dental hygienists (more than 95% of whom are female) can provide. [10]

Timeline

See also

Related Research Articles

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Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the teeth, gums, and mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions of the mouth, most commonly focused on dentition as well as the oral mucosa. Dentistry may also encompass other aspects of the craniofacial complex including the temporomandibular joint. The practitioner is called a dentist.

<span class="mw-page-title-main">Dentist</span> Health care occupations caring for the mouth and teeth

A dentist, also known as a dental surgeon, is a health care professional who specializes in dentistry, the branch of medicine focused on the teeth, gums, and mouth. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.

Prosthodontics, also known as dental prosthetics or prosthetic dentistry, is the area of dentistry that focuses on dental prostheses. It is one of 12 dental specialties recognized by the American Dental Association (ADA), Royal College of Surgeons of England, Royal College of Surgeons of Edinburgh, Royal College of Surgeons of Ireland, Royal College of Surgeons of Glasgow, Royal College of Dentists of Canada, and Royal Australasian College of Dental Surgeons. The ADA defines it as "the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth or oral and maxillofacial tissues using biocompatible substitutes."

<span class="mw-page-title-main">Dental hygienist</span> Medical professional

A dental hygienist or oral hygienist is a licensed dental professional, registered with a dental association or regulatory body within their country of practice. Prior to completing clinical and written board examinations, registered dental hygienists must have either an associate's or bachelor's degree in dental hygiene from an accredited college or university. Once registered, hygienists are primary healthcare professionals who work independently of or alongside dentists and other dental professionals to provide full oral health care. They have the training and education that focus on and specialize in the prevention and treatment of many oral diseases.

Dental insurance is a form of health insurance designed to pay a portion of the costs associated with dental care.

<span class="mw-page-title-main">Denturist</span>

A denturist in the United States and Canada, clinical dental technologist in the United Kingdom and Ireland, dental prosthetist in Australia, or a clinical dental technician in New Zealand is a member of the oral health care team and role as primary oral health care provider who provides an oral health examination, planning treatment, takes impressions of the surrounding oral tissues, constructs and delivers removable oral prosthesis treatment directly to the patient.

<span class="mw-page-title-main">American Student Dental Association</span>

The American Student Dental Association (ASDA) is a national student-run organization that is concerned with the rights, interests, and welfare of dental students. It has the aim of introducing students to lifelong involvement in organized dentistry and provides services, information, education, representation, and advocacy.

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Dentistry throughout the world is practiced differently, and training in dentistry varies as well.

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<span class="mw-page-title-main">Pediatric dentistry</span> Branch of dentistry

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The West Virginia University School of Dentistry is the dental school of West Virginia University. It is located in the United States city of Morgantown. The school opened its doors in 1957 and is the only dental school in West Virginia.

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In the United States and Canada, there are twelve recognized dental specialties in which some dentists choose to train and practice, in addition to or instead of general dentistry. In the United Kingdom and Australia, there are thirteen.

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<span class="mw-page-title-main">Women in dentistry in the United States</span>

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References

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