Evidence-Based Integrated Care Plan (EBICP)
This category-leading plan feature incorporates the latest oral-health research into a benefit enhancement that helps improve the health of your teeth and gums – and your whole body.
People with certain health conditions can benefit from extra dental care. For those who are pregnant or have diabetes, cancer, kidney failure, heart conditions, suppressed immune systems, or progressive periodontal disease, the connection between those conditions and good oral health is well-documented.
That’s the “I” in EBICP. By integrating oral healthcare with the medical management of select diseases and conditions, patients can proactively address the relationship between the two.
Radiation and chemotherapy treatments for cancer can lead to many debilitating oral conditions. Radiotherapy can affect salivary glands and oral tissues when they fall within the field of radiation exposure. Pain, rapid tooth decay and dry mouth are among the oral-health implications of cancer treatment. Also, some chemotherapy drugs increase the risk of jawbone-tissue loss due to infection.
Many side effects can be avoided or greatly reduced with diligent oral care and participation by the dental team in the overall cancer treatment. Early intervention in the pre-treatment workup can reduce oral complications by completing all necessary restorations, removing teeth with a poor prognosis prior to cancer treatment and establishing a preventive plan that includes increased dentist visits.
EBICP offers additional cleanings and topical fluoride applications for persons undergoing cancer treatment involving radiation and/or chemotherapy.
Infective Endocarditis (IE) is a rare but life-threatening condition where bacteria colonize on heart tissues. Since bacteria associated with this condition are similar to bacteria commonly found in the mouth, maintaining good oral health and eliminating oral disease can decrease the frequency of infection.
Other conditions associated with a higher risk of IE are:
- The presence of a prosthetic cardiac valve
- A history of previous IE
- Congenital heart disease
- Unrepaired cyanotic heart disease, including palliative shunts and conduits
- Repaired congenital defects where a prosthetic material is used
- Repaired congential heart disease where residual defects still occur
- Cardiac-transplant recipients
For patients with a history of susceptibility to periodontal (gum) diseases, periodontal maintenance needs to be conducted at more frequent intervals. Statistical modeling and Delta Dental's claims-data analysis show that these nonsurgical benefits are more economical than periodontal surgery, in addition to being health-preserving and reducing the rate of tooth loss.
EBICP offers additional cleanings and topical fluoride application for persons with prior surgical or nonsurgical treatment of periodontal disease. Click the link below to find out if your group plan includes EBICP. If it does, you will be automatically eligible for additional benefits based on your dental-claims history.
Suppressed immune systems can result from an autoimmune disease, like Sjögren's syndrome or HIV/AIDS, or from immune-system supression caused by drugs such as those used to prevent rejection of transplants.
A suppressed immune system can trigger a number of adverse oral-health conditions. Patients with autoimmune conditions or those taking immunosuppressive drugs require a higher degree of dental care to prevent these complications and detect conditions that may be early indicators of more serious problems. The most common oral complication, dry mouth, increases the chances of tooth decay and other problems. Early detection and more frequent visits to your dentist help maintain good oral health.
EBICP offers additional cleanings and topical fluoride application for persons with suppressed immune systems.
As the fifth deadliest disease in the United States, diabetes is one of America's heaviest health burdens. The American Diabetes Association estimates that nearly 25 million children and adults in America are living with diabetes, either diagnosed (18 million) or undiagnosed (7 million). An additional 81 million Americans are believed to be pre-diabetic.
The relationship between diabetes and oral health, specifically periodontal disease, is well-accepted in the medical and dental communities. Studies have consistently reported evidence of a greater prevalence, incidence, severity, extent, and/or progression of periodontal disease in diabetics.
Beyond the established role of diabetes worsening periodontal disease, many experts believe that severe periodontal disease increases the severity of diabetes and complicates metabolic control. Studies have shown that treatment of periodontal disease improves glycemic control.
EBICP offers additional cleanings for persons with diabetes.
The link between kidney disease and gum disease was first reported in 2005. Subsequent studies have confirmed that individuals with chronic kidney disease and those undergoing dialysis have a higher prevalence of gum disease and tooth loss.
Studies have also shown that the severity of oral disease is related to the level of progression of kidney dysfunction, with normal oral health found in the early stages of renal deficiency and periodontal disease developing prior to dialysis and becoming more severe throughout the course of dialysis. Identifying this risk and providing early and adequate treatment may help prevent the onset or reduce the severity of periodontal disease.
EBICP offers additional cleanings for persons with kidney failure or who are on dialysis.
Most pregnant women in America don’t see their dentists for important oral healthcare nearly as often as recommended. This can cause ongoing health problems for mother and baby.
In fact, fully a quarter of pregnant women don't see the dentist at all during pregnancy, and 38 percent visit the dentist just once.
According to the American Academy of Periodontology, about 50 percent of women get “pregnancy gingivitis,” a disease that makes gums sore and swollen.
Dentists can identify gum and teeth problems during a routine checkup. Besides brushing, flossing and chewing sugar-free gum, women should get a thorough dental exam if they are planning to become pregnant. They also should get their teeth cleaned professionally every three months once they know they are expecting.
EBICP offers an additional cleaning for pregnant women.