Who is qualified to practice dentistry?
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Biomedical subjects
Publications and source records attributed to D W Chambers.
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Two hundred eighteen professional students were surveyed to uncover any association of recurrent aphthous stomatitis (RAS) with a history of allergic diathesis. No significant relationship was uncovered. From this population approximately equal numbers of RAS-positive and RAS-negative subjects were challenged with suspected foodstuff agents thought to have a potential causative role in occurrence of the disease. The results failed to document any causative effect with regard to tomatoes, strawberries, or walnuts.
The purpose of this study was to determine the correlations between various clinical assessments of inflammatory periodontal disease and the percentage of motile bacteria in the subgingival flora of sites representing widely varying states of periodontal disease. Darkfield microscopy was used to determine the percentage of spirochetes and other motile bacteria at two sites from each of 60 volunteers. For each site the following clinical assessments were recorded: Plaque Index (PII), gingival exudate (GE), Gingival Index (GI), bleeding tendency (BT), pocket depth (PD), connective tissue attachment loss (AL) and Periodontal Disease Index (PDI). Statistically significant (P less than 0.001) positive correlations (r) were found between the percentage of subgingival spirochetes and PII (r=0.54), GE (r=0.61), GI (r=0.57), BT (r=0.59), PD (r=0.56), AL (r=0.56) and PDI (r=0.61). Clinically healthy sites harbored much lower percentages of motile bacteria than did clinically disease sites. Most of the observed variation in the percentage of motile bacteria could be accounted for by variations in the percentage of spirochetes. The most significant increases in the relative percentages of subgingival spirochetes occurred when bleeding upon probing was observed as a sign of inflammation and/or when pocket depth and attachment loss exceeded 3 mm.
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A preventive oral health care regimen will not succeed for every dental patient. Instruction probably will not be effective unless the patient has a good general attitude toward all his health habits. Dentists who have developed a preventive program should individualize the treatment to obtain maximum patient susceptibility.
The extramural program at the University of the Pacific School of Dentistry is described. The program is designed to facilitate the students' transition from a school clinic to dental practice after graduation. Management skills are taught by providing supervised experience in a model practice setting. Five major facilities are described along with the curriculum modifications made to permit all students to spend eight four-day weeks in these remote sites. The quality control mechanism is discussed as well as four key concepts developed in the six-year experience of operating this program.
Each dental school will fashion its own faculty evaluation system. The results will be a network of activities related to such questions as these: What are valid sources of information? Which aspects of instructors' responsibilities are most significant? Which questions need answers? How should the system be operated? This review has focused on what is currently being discussed and attempted in each of these critical areas. Faculty evaluation takes place in an essentially political context, and dental educators are now awakening to the political forces at work in the profession. Faculty evaluation is also a scientific process, or at least one capable of being greatly improved by rigorous, empirical study, which has yet to be performed. Finally, the exact form of faculty evaluation developed at each school will likely be unique, since it will depend on the institution's resources, size, funding base, academic affiliation, and the personal preferences of concerned individuals. The degree of success or failure of an evaluation system will depend on how the chosen combination of purposes, sources, objects of evaluation, and implementation strategy serves the needs of the school and its personnel.
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