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Fissure caries.

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Dental Caries↗

Current teaching of cariology in North American dental schools.

All 65 dental schools in the United States and Canada were contacted to obtain information relevant to their cariology teaching effort, the caries management philosophy, the diagnostic threshold for surgical intervention and the non-surgical treatment alternatives implemented. Forty-three schools (66%) responded to the request for information. Marked variations in the teaching of cariology and the implementation of modern diagnostic and treatment modalities were noted. The results indicate that with exceptions, efforts to increase curricular time and make organizational changes that would promote cariology as an important academic and clinical endeavor have fallen far short of predictions made more than 20 years ago for North America. Many cariology programs in North American dental schools lack the detail and depth expected for this important area of clinical dentistry.

Canada↗

[How to become a dentist in Sweden during the 19th century].

Two hundred years ago, in 1797, a decree from the Government stated that 50 so called "operators" within dentistry must undergo examination by the Royal Medical Board. It was only non-Swedish dentists who underwent examination until 1833, when the first Swedish citizen was approved as a dentist. He had been educated in France and in Germany. After 1840, the dental curriculum was based on private courses, such as lectures in anatomy, physiology and clinical training at a private dental practice. The result of the studies was dependent on the student's own initiative. When the Swedish Dental Association was founded in 1860, an organized and systematical work started in order to establish a Dental School run by the Government in Sweden. In 1898 this goal was reached.

Dentistry↗

Periapical surgery of 31 lower molars based on the ultrasound technique and retrograde filling with silver amalgam.

The introduction of ultrasound root-end preparation for preparing apical cavities in periapical surgery has simplified surgery and facilitated retrograde filling with silver amalgam. The technique is particularly useful in application to molars in which root apex access is more difficult. A study was made comprising 31 patients subjected to periapical surgery of a total of 31 mandibular molars. No intraoperative complications were observed, and the only relevant postoperative complications were transient paresthesias of the mental nerve in two cases and an intraoral fistula in another. Only three failures were recorded after a minimum follow-up of one year, with complete clinical healing in 90.4%. Radiologically manifest healing was complete in 54.8% of cases and incomplete or partial in 32.3% - no healing being observed in 12.9%.

Adolescent↗

Preliminary evidence for a general competency hypothesis.

Although predoctoral dental education is generally taught and evaluated by disciplines, there is no evidence bearing on whether the competencies necessary to begin independent practice are learned and practiced as a general set of skills, understanding, and values or as groups of discipline-specific skills, understanding, and values, which together constitute graduation competency. There is some support in the literature for each view In this preliminary investigation, 64,000 faculty ratings of student clinical competency were analyzed in a Year x Quarter x Discipline x Model design. The dependent variable was predictive validity of graduation quarter competency ratings using R-values from four prediction models. Results of a multiple repeated measures ANOVA show that models based on technical skills other than the one being predicted, clinical judgment and patient management, and the combination of these two models all predict graduation competency in each of four disciplines better than do ratings in the disciplines being predicted. As the time gap between predictive and predicted competence decreases, predictions become more accurate, but an asymptote is reached by the middle of the final clinical year. By using general models to evaluate students rather than discipline-specific ones, students needing intervention and remediation and those who could benefit from enrichment experiences can be identified as accurately at the beginning of their clinical careers as they can near the graduation deadline. This study provides preliminary support for a general competency hypothesis and suggests that research is necessary to better understand how students and dentists learn and practice rather than how they are taught.

Analysis of Variance↗

Implant education in the dental curriculum.

The success of osseointegrated dental implants has forever changed dentistry and, thus, undergraduate dental education. With the tremendous clinical acceptance and increased patient demand for dental implants, dental school educational programs must prepare students to treat patients with this modality. The purpose of this article is to provide an overview of the predoctoral dental implant educational program at the University of California at Los Angeles School of Dentistry.

Clinical Competence↗

Comparative cost of ART and conventional treatment within a dental school clinic.

BACKGROUND: The changing oral health needs in South Africa require that both the teaching and clinical techniques of atraumatic restorative treatment (ART) form a part of the restorative undergraduate curriculum. OBJECTIVE: This study was undertaken to establish and compare the estimated costing of an amalgam, composite resin and ART restoration within the Board of Health Funders (BHF) recommended scale of benefits at the School of Oral Health Sciences Oral and Dental Hospital, University of the Witwatersrand (SOHS). METHODS: Fixed and variable costs were calculated by pricing items and equipment used in each procedure. The output values were established according to the recommended scale of benefits (BHF, 1999). This enabled the calculation of contribution margins and net income for each of the three restorations. RESULTS: The annual capital cost for the ART approach is approximately 50% of the other two options (e.g. per multiple surface restoration ART = R1.58; amalgam and composite resin restorative procedures: R3.12 and R3.10 respectively), despite the fact that ART restorations are rendered in a modern dental setting. CONCLUSIONS: Our study shows that implementation of the ART approach within the clinic setting of the SOHS can be accomplished without additional cost. Furthermore ART can be performed as an economically viable alternative to conventional treatment procedures within the clinic setting. The study represents a first step towards determining the cost efficiency of implementing ART as a pragmatic and cost-effective restorative option within the SOHS, University of the Witwatersrand.

Capital Expenditures↗