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Pediatric dentistry workforce issues: a task force white paper. American Academy of Pediatric Dentistry Task Force on Work Force Issues.

The number of current practitioners, academicians, and researchers in Pediatric Dentistry is clearly not adequate to meet the need and demand. The shortage in academia is dire. Simply put, not enough pediatric dentists are being trained. The rate limiting factor is the number of training positions. The American Academy of Pediatric Dentistry established a "Task Force on Work Force Issues" approximately 18 months ago and charged that group to seek methods for creating more training positions. This paper reflects the Task Force deliberations, documents the shortage of pediatric dental specialists, and recommends tactics for amelioration.

Child↗

Profile of Journal of Dentistry for Children and Pediatric Dentistry journal articles by evidence typology: thirty-year time trends (1969-1998) and implications.

PURPOSE: This study was performed to assess the profile of Journal of Dentistry for Children and Pediatric Dentistry journal articles by evidence typology and measure their changes over a thirty-year period (1969-1998). METHODS: All issues of both journals during the study period (1969-98) were manually reviewed. The publications were ranked by the quality of the evidence. Editorials, letters to the editor, abstracts, and organization-related communications were excluded from consideration. The publications were analyzed by journal and also by decade of publication, i.e., 1969-78, 1979-88 or 1989-98. RESULTS: There were 2848 publications included in the data set with descriptive studies, case reports, etc. comprising the majority (71%). No distinctive trends in the evidence typology were detected over the decades in either journal. CONCLUSION: There is a need to improve the quality of the evidence in the two pediatric dental journals reviewed.

Case-Control Studies↗

Effects of changing U.S. parenting styles on dental practice: perceptions of diplomates of the American Board of Pediatric Dentistry presented to the College of Diplomates of the American Board of Pediatric Dentistry 16th Annual Session, Atlanta, Ga, Saturday, May 26, 2001.

PURPOSE: This study surveyed board-certified pediatric dentists on their opinions about changes in U.S. parenting styles and the effects on the practice of pediatric dentistry. METHODS: A questionnaire was developed, piloted, and mailed to 1,129 members of the College of Diplomates of the American Board of Pediatric Dentistry during the summer of 2000. RESULTS: A total of 577 respondents (51%) returned questionnaires, equally distributed across AAPD districts, with male:female ratio of 4:1 and 90% married. A majority perceived parenting styles had changed during their practice lifetime (88% "absolutely or probably changed"), with older practitioners significantly more likely to say so. Ninety-two percent felt changes were "probably or definitely bad" and 85% felt that these changes had resulted in "somewhat or much worse" patient behavior. Practitioners report performing less assertive behavior management techniques than in the past due to these changes. CONCLUSIONS: Diplomates report that parenting changes have occurred and they believe these are negative (bad) and have adversely influenced behavior and caused changes in pediatric dentists' behavior management.

Adult↗

Traumatic dental injuries in children presenting for treatment at the Department of Pediatric Dentistry, Faculty of Dentistry, University of Jordan, 1997-2000.

Data pertaining to traumatic dental injuries of children seeking care at the teaching clinics of the Department of Pediatric Dentistry, Faculty of Dentistry, University of Jordan over a period of 4 years were analyzed. The prevalence of traumatic dental injuries was 14.2% from 2751 subjects. The peak incidence of injury was 10-12-year age group. Boys were more affected (18.3%) than girls (10.1%). Most injuries occurred at home (63.2%), and falls were the leading cause of injuries (49.9%). Most injuries involved one tooth (69.3%) and maxillary central incisors were the most affected teeth (90.4%). The commonest injury was uncomplicated crown fracture (62.5%), then complicated crown fracture (28.7%). Only 17.1% of children sought treatment the same day or the day after the injury. At the initial examination, cases seen after a long post-traumatic period required more complicated treatment than those presented within a short time period. Preventive educational program should be instituted in Jordan, directed at parents and school teachers to inform them about the importance of traumatic dental injuries and the benefit of immediate attendance for dental treatment. Furthermore, improving the knowledge of dental practitioners through continuing education would also help in minimizing sequelae of traumatic dental injuries.

Accidental Falls↗

Collaboration Between Dietetics and Dentistry: Dietetic Internship in Pediatric Dentistry.

The American Dietetic Association and the American Dental Association share a common interest in improving the health and quality of life of the population. Dental visits present an opportunity to identify nutrition-related issues for both the pediatric and adult population. Traditionally, dental and nutrition students have had little opportunity to learn and work together since little time was spent on nutrition in the dental curriculum. The purpose of this article is to describe the development of a new collaborative training experience for dietetic interns and pediatric dentistry residents. The oral health rotation for dietetic interns also has several objectives, including experience interacting with a culturally diverse population and participating in community nutrition education (Head Start). In its first 18 months, the collaborative program has been viewed as a success by the pediatric dentistry faculty and residents and the nutrition faculty and interns.

Journal Article↗

Development of the Diploma in Clinical Dentistry (Conscious Sedation and Pain Control) Faculty of Dentistry, University of Sydney.

The Diploma in Clinical Dentistry (Conscious Sedation and Pain Control) of the Faculty of Dentistry, University of Sydney, is the first dedicated programme devoted to this field in Australia. Its development followed a decision by the Dental Board of New South Wales to require a formal qualification from the University of Sydney before dental practitioners could offer sedation and pain management in practice. The programme is conducted at Westmead Hospital in conjunction with the Department of Anaesthetics, and satisfies the guidelines developed by the Royal Australasian College of Dental Surgeons and the Royal Australasian College of Surgeons. The course is conducted either over one or two years, with block sessions requiring attendance at Westmead Hospital, together with assignments which are completed outside the block sessions. In this way, a dental practitioner enrolled in the programme is able to continue practice. The block sessions need not be completed over one year, but must be completed within two years.

Anesthesia, Dental↗

[Prevalence of hypodontia in 4-18-year-old children in Department of Paediatric Dentistry, Faculty of Dentistry, University of Debrecen from 1999 to 2003].

Hypodontia is one of the most common human dental anomalies. Its management is often complicated. This survey was carried out to study the prevalence, localisation and combination of congenital aplasia in Department of Paediatric Dentistry, Faculty of Dentistry, University of Debrecen. The study group consisted of 669 children, 283 boys and 386 girls, aged 4-18 years. Orthopantomograms and clinical examinations were used for the retrospective study. The prevalence of hypodontia was found to be 7.76 percent, excluding the third molars. Most of the congenitally absent teeth were the upper lateral incisors and the lower second premolars. The most frequent combinations were the 12-22 and the 35-45 ones. We found that our data were very similar to the different international results.

Adolescent↗

A predoctoral clinical geriatric dentistry rotation at the University of the Pacific School of Dentistry.

Predoctoral dental students from University of the Pacific School of Dentistry provide initial and yearly dental evaluations for participants of On Lok Senior Health Services on site at On Lok centers. Student dentists also complete some dental procedures including denture fabrication, adjustments and repairs, hard and soft relines, scaling/root planing, polishing, and limited restorative treatments. A wide range of age-prevalent oral conditions such as candidiasis and xerostomia are identified and treated or managed. Students may also be called upon to present patient needs weekly to a member of the interdisciplinary team for discussion. Students periodically review instructions and devices for oral health care with the On Lok staff. The program is intended to be mutually beneficial to the participants of On Lok and Pacific student dentists. While the majority of comprehensive and emergency services are provided by On Lok staff dentists and contract specialists, the student dentist program has broadened the scope of the oral health program at On Lok and has been well integrated with the other day services. Meanwhile, Pacific students gain experience identifying and managing the complex social, economic, and health needs of frail elders in San Francisco.

Adult↗

The dawn of dentistry: dentistry among the Etruscans.

The Etruscans were a group of agricultural people who evolved into an urban population of craftsmen, traders, and navigators who lived in a network of cities and dominated the area of the Mediterranean around Italy in the 8th and 9th centuries BC. What has come to be known, and is of importance in our study of the history of dentistry are a significant number of very interesting works of art which include gold dental prostheses. The Etruscan prostheses are remarkable because they used gold bands which were soldered into rings instead of the gold wires which are seen in other cultures (Egyptians, Phoenicians) of the same time.

Dental Prosthesis↗

The current status of dentistry, particularly pediatric dentistry, among the countries and territories of Asia.

The number of dentists in Japan may be too high. The ratio of dentists/population, in China, Indonesia, Thailand, and Malaysia, is less than 1 dentist for every 10,000 people. From this data, it can be seen that there is a shortage of dentists in China, Indonesia, Thailand, and Malaysia. The shortage of pediatric dentists in these Asian countries is serious, particularly in the Philippines where the number of children with dental caries is increasing. There is an urgent need to increase the number of pediatric dentists in these countries. However, one problem is that dental schools in the Philippines and Singapore, do not have a department of pediatric dentistry.

Asia↗

Operative Dentistry for the new millennium: a problem specific approach to operative dentistry.

This paper presents an alternate view of current preclinical education in Operative Dentistry and suggests a course that uses a cause and appropriate response action rather than the traditional material specific cavity preparation. This approach considers caries as a disease, could foster a better understanding of prevention and its application in maintaining teeth for a lifetime for the patient, and encourage critical thinking for both student and faculty.

Curriculum↗