Cultura

Advancing Dental Laboratory Services: A Health Administration Approach To Quality, Safety, And System Performance

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Adil Ayidh Mohammed Almalki, Turki Abdulrrhman Babair, Lama Mohammed Alhazmi, Renad Masad Hamdan Alahyawi, Aisha Alshaya, Mohammed Altamimi
Fai Aloraini, Abdullah Abdulrahman AlHezam, Eman Mohammed Ali Alamri, Saeed Mubarak Aldosari, Ahmed Mustor Hassan Al-Qurashi, Mohammed Shaker Alotaibi

Abstract

Dental laboratory services are an essential yet frequently underrecognized component of oral healthcare delivery, playing a critical role in the fabrication of prosthetics, restorative materials, and appliances that directly influence patient outcomes. As healthcare systems increasingly emphasize quality improvement, patient safety, and value‑based care, dental laboratories face growing demands to demonstrate quality, efficiency, and integration within broader healthcare systems. This article examines dental laboratory services from a health administration perspective, focusing on strategies to enhance quality, safety, and overall system performance. Drawing on contemporary literature, the paper explores the evolving role of dental laboratories, highlighting their increasing integration with clinical practice, the impact of digital technologies such as CAD/CAM and 3D printing, and the expansion of diagnostic and consultative functions. Key components of quality management are discussed, including total quality management frameworks, error prevention strategies, performance indicators, and continuous quality improvement processes. The article also addresses safety systems, emphasizing risk management, infection control, regulatory compliance, and accreditation. In addition, the role of information systems, data analytics, human resource development, and financial management in supporting high‑quality laboratory services is examined. Emerging challenges related to technological innovation, regulatory evolution, and integration with wider healthcare systems are identified, along with strategic approaches to address them. The article concludes that effective health administration is central to advancing dental laboratory services, enabling them to contribute meaningfully to patient safety, clinical outcomes, and value‑based oral healthcare delivery.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty