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Forensic aspects of community dentistry.

Community Dentistry has developed as the dental profession's response to a social conscience, recognising the individual social and health needs and personal rights of each member of the community. In this context, forensic odontology is seen as providing that body of dental expertise necessary for the fulfillment of a number of social functions required by law, in both the civil and criminal arenas, with particular reference to the scientific identification of the dead, the investigation of bitemarks, the estimation of age and dental traumatology. The important role of dental records in these matters emphasises the social responsibility of each dentist to exercise great care in the documentation of his treatment procedures. This obligation also extends to the identification marking of dentures. The need for legislation in this area is discussed and the social responsibility of dental educators to include forensic odontology in the curricula of all dental schools, particularly in developing countries, is stressed. Research in forensic odontology should take into account the particular needs of each community in the light of their geographical, social and cultural backgrounds.

Community Dentistry

Didactic community dentistry curricula in U.S. dental schools.

A national survey of predoctoral community dentistry faculty members provided "ratings of importance" for each of 32 community dentistry topics. Departmental chairpersons, identified by respondents, were sent a second questionnaire to determine clock hours of didactic instruction for each topic. A response rate of 79 percent (N = 121) was achieved for the faculty survey with a 91 percent response rate (N = 53) for the chairperson survey. Mean clock hours of didactic instruction in community dentistry ranged from .5 to 3.1 hours per topic with a cumulative mean total of 51.3 hours. Mean ratings of importance for each of the 32 community dentistry topics ranged from 4.3 to 2.7 (on a five-point scale). The results of this survey provide information on the current status of predoctoral community dentistry curricula in U.S. dental schools.

Community Dentistry

Community dentistry: developmental discussion approach.

In 1960, Blackerby asked the question "Why not a department of social dentistry?". Since that time most of the dental schools in the United States have made some attempt at establishing such a department. Various names were given to these departments, but the one that appears to be in the forefront is the Department of Community Dentistry. Since that time each school with such a department has strived to develop various innovative methods of teaching community dentistry to its students. When the amount of time is taken into consideration, unlike the biological and clinical sciences, time allotted to community dentistry is minimal. However, at The University of Michigan students spend 232 hours in community dentistry, which necessitates development of creative teaching techniques to maintain their interest. This paper discusses one such technique which has proven to be successful over the past 3 years. Emphasis is placed on utilizing a modified method of the developmental discussion approach in teaching a course in community dentistry to 3rd-year dental students.

Community Dentistry

A review and discussion of goals in community dentistry.

The author discusses the need for clearly stated goals in community dentistry, the choice of goals, and the chances to achieve them. Goals in community health planning should be based on the values, needs and resources of the community in question. When analyzing goals a distinction should be made between dental health and dental care. Some goals for dental care, e.g. equity of access, may concern social justice but do not necessarily lead to better dental health. It is generally agreed that good dental health for a whole community cannot be achieved by restorative treatment alone; good dental health habits are considered to be a better way to promote dental health. Existing research indicates that there are chances to attain an acceptable level of dental health if the community effort is systematically planned and executed. There are indications that a reduction in the prevalence of dental disease can be brought about by new and effective means in the future. Long-term planning should be flexible enough to respond to new opportunities.

Community Dentistry

A national calibration exercise for the British Association for the Study of Community Dentistry regional examiners.

Representative examiners from all regions in England and examiners from Wales and Scotland took part in a national calibration exercise conducted in Manchester for The British Association for the Study of Community Dentistry (BASCD). Each dentist examined the same group of thirty-three 5-year-old and thirty 14-year-old children independently, and they were asked to examine the children by the same method as that used within that Region when conducting the annual BASCD surveys. Comparisons of inter-examiner differences revealed that in the examination of 5-year-old children diagnoses were not significantly different for 14 out of the 16 Regional examiners. Differences in the conventions applied in the case of missing teeth and 'arrested caries' were found and are discussed. There were no significant differences in the diagnoses for the DMFT for the 14-year-old children amongst all 16 Regional examiners. The calibration exercise allowed a close examination of the application of the BASCD criteria in the field.

Adolescent

Contract grading in community dentistry.

Dental educators are constantly searching for ways to improve the affective environment within dental education. To enhance dental student independence and motivation while reducing anxiety, the authors implemented a contract grading teaching and evaluation technique within their community dentistry courses. This paper reports on faculty and student experiences with the contract grading system. The findings suggest that style of teaching and evaluation may enhance a more personalized understanding of course material and reduce student anxiety during the learning process.

Community Dentistry