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Periodontal plastic surgical indications in the restorative practice.

A variety of advanced surgical techniques are available today for the treatment of soft-tissue complications in the restorative patient. Gingival recession and lack of attached gingiva can complicate delicate esthetic and prosthetic treatment. The restorative office must be able to critically evaluate the demands of the case and offer the patient options for correction of these advanced conditions. The ability to counsel in an informed way-outside the restorative arena-allows dentists to demonstrate their true commitment to the best outcome for the person they are dedicated to serve, the patient.

Connective Tissue↗

Pretreatment wax-ups and provisionals for restorative dentistry.

One of the most important factors in restorative success is the preparation of a case prior to treatment. Case planning, constructing the wax-up and provisional restorations, and understanding the potential problems with a case prior to beginning can only ensure a higher degree of success than would be achieved by not employing these basic restorative steps. Although it is not utilized generally, the wax-up can be of immense value to any restorative dentist for cases of all kinds, ranging from a single tooth to full-mouth reconstruction.

Composite Resins↗

Audacious leadership.

Three leaders in dentistry are presented as case studies. G.V. Black played a leading role in moving dentistry from a trade to a profession. William J. Gies helped lay the scientific foundation for dentistry. Arthur A. Dugoni has emphasized the human dimension of the profession and built relationships among key constituencies. What these audacious leaders share in common is an expansive vision of dentistry that transcended the confusions of the times and the energy and personal skills to enlist the cooperation of diverse groups in achieving these larger views.

Administrative Personnel↗

Criteria referenced student self-assesment in restorative dentistry.

The application of criteria referenced assessment has been previously reported, however, criteria referenced self-assessment has not yet been studied. The objective of this study was to develop and use clear and explicit criteria, linked to a level of competency and a score, as well as a checklist, for student self-assessment in Restorative Dentistry. A comparison of student self-assessment and supervisor-assessment was also undertaken to determine the validity and reliability of the criteria. Six levels of competency were adapted from the literature and a criterion was developed for each level of competency and used for student self-assessment of clinical procedures in Restorative Dentistry (BChD IV and BChD V). Each level of competency was given a score: U = Unqualified (0), NBQ = Not becoming Qualified (1), BQB = Becoming Qualified as a Beginner (2), BQL = Becoming Qualified as a Learner (3), Q = Qualified (4), E = Exceptional (5). The students used the criteria on the assessment form, to assess themselves accordingly (U, NBQ, BQB, BQL, Q, E) and this was compared to the supervisor assessment using the same criteria. The results were subjected to a Spearman Rank-Order Correlation test. The Spearman Correlation Coefficient for the BChD V group was 0.882 and 0.927 for the BChD IV group in the first semester and 0.923 for the BChD V group and 0.900 for the BChD IV group in the second semester. The results were highly significant (p< 0.05). There were no significant differences between student self-assessment and supervisor-assessment. The criteria referenced assessment system used to assess clinical competency in Restorative Dentistry is valid and reliable.

Clinical Competence↗

Using loupes.

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Dentistry, Operative↗

Staying current.

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Aged↗

[The use of aminopenicillin combined with a beta-lactamase inhibitor in outpatients of oral surgery and dentistry].

On the basis of the information gained from the literature the amoxicillin/clavulanic acid combination has attained the leading position in dentistry and outpatient oral surgery practices as regards the order of application of antibiotics. The explanation for this may be that in 60-70% of the cases of odontogenic inflammation, besides the pathogenic anaerobic bacteria there is an increasing necessity to eliminate beta-lactamase-producing bacteria as well. The authors applied the amoxicillin/clavulanic acid combination (Aktil Duo 625 mg) to support the--primarily surgical--treatment of 14 oral and dental surgery conditions on a total of 60 patients. After analysing the results and side effects they came to the conclusion that the application of the mentioned combination was very successful in dentistry and outpatient oral surgery practices.

Adolescent↗

Clinical competence of graduates of community-based and traditional curricula.

As community-based dental education programs proliferate, so do concerns about the quality of education at extramural sites. While there have been some comparisons of the effects of community-based programs on attitudes and perceptions of competency, there is virtually no information about whether such programs can train students to carry out standard dental procedures as well as if they were prepared in the dental school proper. To address this gap in our knowledge about the educational outcomes of community-based programs, the following performance measures were retrospectively compared for 457 students in traditional senior year curricula and fifty seniors in a community-based program: scores and pass/fail rates on the Northeastern Regional Boards (NERB), clinical production, passage of competencies, and on-time graduation rates. Students in the CODE (Community-Oriented Dental Education) program at the University of Medicine and Dentistry of New Jersey (UMDNJ)-New Jersey Dental School (NJDS) demonstrated significantly higher scores on the restorative section of the NERB, but this did not translate into a better overall pass rate. CODE students passed the same competencies as graduates of the traditional program, yet demonstrated appreciably higher clinical productivity and on-time graduation rates. The additional clinical experiences for the CODE students may be a factor in their higher board scores. Based on these data, it is concluded that community-based dental educational programs can be at least as effective as intramural (school-based) educational experiences in providing students with a sound clinical education.

Clinical Competence↗

[The use of different conscious sedation procedures in ambulatory dental surgery].

Conditions and selections of patients undergoing oral surgery under intravenous conscious sedation are reviewed. The practicability of several medicaments and combinations are discussed. Intravenous conscious sedation in combination with local anesthesia is an alternative during unpleasant surgical and dental procedures, and in several cases, can replace general anesthesia. A sufficient monitoring as well as a good trained staff makes the methods safe and allows to reduce complications.

Ambulatory Surgical Procedures↗