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Volume 24 , Issue 5
September/October 2004

Guest Editorial From Repair to Prevention: The Wellness Model of Care

John A. Martin, DDS

PMID: 15506021

Treatment today is based on signs and symptoms. Patients more readily commit to treatment when symptoms exist, especially when symptoms are severe. Conversely, patients with disease and without symptoms may think they are well and conclude that treatment is not needed. Insurance plans justify treatment using clinical and radiographic signs without examination of or communication with the patient. Clinicians establish treatment plans that are basically the same for patients with similar diagnoses, and prevention, when incorporated, is applied uniformly. This philosophy of care has been called the repair model. It has been followed for many decades, resulting in improved oral health for children and adults in many parts of the world.

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