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Kytridou V, Gkikas I, Garcia MN, Cepeda O, Hildebolt CF. A literature review of local and systemic considerations for endodontic treatments in older adults. Gerodontology 2023; 40:410-421. [PMID: 36971290 DOI: 10.1111/ger.12679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 12/09/2022] [Accepted: 12/28/2022] [Indexed: 11/17/2023]
Abstract
OBJECTIVES The aim of this literature review was to summarise the clinical important findings on the endodontic treatment outcome in older patients (≥60 years old) with pulpal/periapical disease considering local and systemic factors from a body of knowledge that is heterogeneous in methods or disciplines. BACKGROUND Due to the increasing number of older patients in the endodontic practice, and the current trend for tooth preservation, the need for clinicians to have a better understanding of age-related implications that may influence the required endodontic treatment in older adults to retain their natural dentition is indispensable. METHODS PubMed/Medline and Embase was searched by a medical librarian using specific terms based on inclusion/exclusion criteria. The reference list was hand-seached for additional relevant publications between 2005-2020. A combination of these terms was performed uing Boolean operators and MeSH terms. RESULTS Of the 1577 publications identified manually and electronically, 25 were included to be fully reviewed by the examiners. The data was derived from three systematic reviews, one systematic and meta-analysis, three case series, four prospective and 14 retrospective cohorts. Overall, there was heterogeneity in reporting as well as limitations in most studies. CONCLUSIONS The outcome of endodontic treatment (ET) either nonsurgical or surgical or combination of these is not affected by older age. ET can be the treatment of choice in older patients wiht pulpal/periapical disease. There is no evidence that older age per se affects the outcome of any type of endodontic treatment.
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Affiliation(s)
- Vasiliki Kytridou
- Section Head of Endodontics, Department of Applied Dental Medicine, Southern Illinois University School of Dental Medicine, Alton, Illinois, USA
| | - Ioannis Gkikas
- Section of Oral and Maxillofacial Surgery, Department of Applied Dental Medicine, Southern Illinois University School of Dental Medicine, Alton, Illinois, USA
| | - Miryam Nathalia Garcia
- Applied Dental Medicine Department, Section of Periodontics, Southern Illinois University School of Dental Medicine, Alton, Illinois, USA
| | - Oscar Cepeda
- Division of Geriatric Medicine, St. Louis VA Medical Center, Washington University School of Medicine, Saint Louis, Missouri, USA
| | - Charles F Hildebolt
- Washington University School of Medicine, Saint Louis, Missouri, USA
- Southern Illinois University School of Dental Medicine, Alton, Illinois, USA
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2
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Kossioni AE, Ioannidou K, Kalyva D, Marchini L, Hartshorn J, Kaufman L, Smith B, Barlow PB. Translation and validation of the Greek version of an ageism scale for dental students (ASDS_Gr). Gerodontology 2019; 36:251-257. [DOI: 10.1111/ger.12403] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Accepted: 02/24/2019] [Indexed: 12/25/2022]
Affiliation(s)
- Anastassia E. Kossioni
- Division of Gerodontology Department of Prosthodontics Dental School National and Kapodistrian University of Athens Athens Greece
| | - Kyriaki Ioannidou
- Dental School National and Kapodistrian University of Athens Athens Greece
| | - Daphne Kalyva
- Dental School National and Kapodistrian University of Athens Athens Greece
| | - Leonardo Marchini
- Department of Preventive and Community Dentistry The University of Iowa College of Dentistry and Dental Clinics Iowa City Iowa
| | - Jennifer Hartshorn
- Department of Preventive and Community Dentistry The University of Iowa College of Dentistry and Dental Clinics Iowa City Iowa
| | - Laura Kaufman
- Department of General Dentistry Boston University Henry M. Goldman School of Dental Medicine Boston Massachusetts
| | - Becky Smith
- Department of Restorative Clinical Sciences University of Missouri‐Kansas City School of Dentistry Kansas City Missouri
| | - Patrick B. Barlow
- Department of Internal Medicine The University of Iowa Carver College of Medicine Iowa City Iowa
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Nilsson A, Young L, Croker F. A call to greater inclusion of gerodontology in the dental curriculum: A narrative review. Aust Dent J 2018; 64:82-89. [PMID: 30388299 DOI: 10.1111/adj.12663] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2018] [Indexed: 11/29/2022]
Abstract
AIM This literature review explores the need for greater prominence of gerodontology in the undergraduate dental curriculum, focusing on the significance of gerodontology for dental students on clinical placements. BACKGROUND As Australia's population ages the number of dentate older people is increasing. An assessment of the dental profession's preparedness, including that of future providers, is needed to ensure that this public health issue is addressed. METHODS A database search was performed in MEDLINE (Ovid), CINAHL and JCU OneSearch. Of the 41 articles identified, 31 were selected for review using a narrative approach. DISCUSSION Of the 31 articles reviewed, 12 were Australian, 9 North American and 5 European. Five overarching themes were identified, including preparedness for residential aged care facilities; barriers to oral health services provision; attitudes to aged care; gerodontology as part of a dental school curriculum and service-based learning. CONCLUSION There are differences in the gerodontology curricula of dental schools, with a wide variation of clinical exposure to older patients. There is evidence that exposure to gerodontology curriculum prior to treating older people may help dental students feel more prepared for managing patients in aged care. The current marginal status of gerodontology in dental school curricula is in need of review.
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Affiliation(s)
- A Nilsson
- James Cook University, Townsville, Queensland, Australia
| | - L Young
- James Cook University, Townsville, Queensland, Australia
| | - F Croker
- James Cook University, Townsville, Queensland, Australia
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Villarosa AR, Clark S, Villarosa AC, Patterson Norrie T, Macdonald S, Anlezark J, Srinivas R, George A. Promoting oral health care among people living in residential aged care facilities: Perceptions of care staff. Gerodontology 2018; 35:177-184. [PMID: 29682784 DOI: 10.1111/ger.12336] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/01/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVE This study aimed to look at the practices and perspectives of residential aged care facility (RACF) care staff regarding the provision of oral health care in RACFs. BACKGROUND Emphasis has been placed on the provision of adequate oral health care in RACFs through the Better Oral Health in Residential Aged Care programme. Endorsed by the Australian government, this programme provided oral health education and training for aged care staff. However, recent evidence suggests that nearly five years after the implementation of this programme, the provision of oral care in RACFs in NSW remains inadequate. MATERIALS AND METHODS This project utilised an exploratory qualitative design which involved a focus group with 12 RACF care staff. Participants were asked to discuss the current oral health practices in their facility, and their perceived barriers to providing oral health care. RESULTS The key findings demonstrated current oral health practices and challenges among care staff. Most care staff had received oral health training and demonstrated positive attitudes towards providing dental care. However, some participants identified that ongoing and regular training was necessary to inform practice and raise awareness among residents. Organisational constraints and access to dental services also limited provision of dental care while a lack of standardised guidelines created confusion in defining their role as oral healthcare providers in the RACF. CONCLUSION This study highlighted the need for research and strategies that focus on capacity building care staff in oral health care and improving access of aged care residents to dental services.
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Affiliation(s)
- Amy R Villarosa
- Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Western Sydney University, Liverpool BC, NSW, Australia
- Oral Health Services, South Western Sydney Local Health District, Liverpool BC, NSW, Australia
- Ingham Institute for Applied Medical Research, Liverpool BC, NSW, Australia
| | - Sally Clark
- Oral Health Services, South Western Sydney Local Health District, Liverpool BC, NSW, Australia
| | - Ariana C Villarosa
- Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Western Sydney University, Liverpool BC, NSW, Australia
- Oral Health Services, South Western Sydney Local Health District, Liverpool BC, NSW, Australia
- Ingham Institute for Applied Medical Research, Liverpool BC, NSW, Australia
| | - Tiffany Patterson Norrie
- Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Western Sydney University, Liverpool BC, NSW, Australia
- Oral Health Services, South Western Sydney Local Health District, Liverpool BC, NSW, Australia
- Ingham Institute for Applied Medical Research, Liverpool BC, NSW, Australia
| | | | - Jennifer Anlezark
- Oral Health Services, South Western Sydney Local Health District, Liverpool BC, NSW, Australia
| | - Ravi Srinivas
- Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Western Sydney University, Liverpool BC, NSW, Australia
- Oral Health Services, South Western Sydney Local Health District, Liverpool BC, NSW, Australia
- Ingham Institute for Applied Medical Research, Liverpool BC, NSW, Australia
- University of Sydney, Sydney, NSW, Australia
| | - Ajesh George
- Centre for Oral Health Outcomes, Research Translation and Evaluation (COHORTE), Western Sydney University, Liverpool BC, NSW, Australia
- Oral Health Services, South Western Sydney Local Health District, Liverpool BC, NSW, Australia
- Ingham Institute for Applied Medical Research, Liverpool BC, NSW, Australia
- University of Sydney, Sydney, NSW, Australia
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Marchini L, Ettinger R, Chen X, Kossioni A, Tan H, Tada S, Ikebe K, Dosumu EB, Oginni FO, Akeredolu PA, Butali A, Donnelly L, Brondani M, Fritzsch B, Adeola HA. Geriatric dentistry education and context in a selection of countries in 5 continents. SPECIAL CARE IN DENTISTRY 2018; 38:123-132. [DOI: 10.1111/scd.12281] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Affiliation(s)
- Leonardo Marchini
- Department of Preventive and Community Dentistry; University of Iowa College of Dentistry and Dental Clinics; Iowa City United States of America
| | - Ronald Ettinger
- Department of Prosthodontics; University of Iowa College of Dentistry and Dental Clinics; Iowa City United States of America
| | - Xi Chen
- Department of Preventive and Community Dentistry; University of Iowa College of Dentistry and Dental Clinics; Iowa City United States of America
| | - Anastassia Kossioni
- Division of Gerodontology; Faculty of Dentistry; National and Kapodistrian University of Athens; Greece
| | - Haiping Tan
- Australian Research Centre for Population Oral Health; Adelaide Dental School; The University of Adelaide; Adelaide Australia
| | - Sayaka Tada
- Division of Preventive Dentistry; Department of Oral Health Dentistry; Niigata University Graduate School of Medical and Dental Science; Niigata Japan
| | - Kazunori Ikebe
- Department of Prosthodontics; Gerodontology and Oral Rehabilitation Osaka University Graduate School of Dentistry; Osaka Japan
| | - Elizabeth Bosede Dosumu
- Department of Periodontology & Community Dentistry; Faculty of Dentistry; University of Ibadan; Ibadan Nigeria
| | - Fadekemi O. Oginni
- Department of Oral and Maxillofacial Surgery; Faculty of Dentistry; Obafemi Awolowo University; Ile-Ife Nigeria
| | | | - Azeez Butali
- Department of Oral Pathology; Radiology and Medicine College of Dentistry, University of Iowa,; USA
| | - Leeann Donnelly
- Department of Oral Biological & Medical Sciences; University of British Columbia; Vancouver Canada
| | - Mario Brondani
- Department of Oral Health Sciences; University of British Columbia; Vancouver Canada
| | - Bernd Fritzsch
- Director, Center of Aging & Aging Mind and Brain Initiative, Department of Biology, College of Liberal Arts and Science; University of Iowa
| | - Henry A. Adeola
- Division of Dermatology, Department of Medicine, Faculty of Health Sciences and Groote Schuur Hospital; University of Cape Town; Cape Town South Africa
- Department of Oral and Maxillofacial Pathology; Faculty of Dentistry; University of the Western Cape at Tygerberg Hospital; Cape Town South Africa
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Brondani M, Pattanaporn K. Dental students' reflections about long-term care experiences through an existing model of oral health. Gerodontology 2017; 34:326-333. [PMID: 28393387 DOI: 10.1111/ger.12269] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/17/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The aim of this study was to explore students' reflective thinking about long-term care experiences from the perspective of a model of oral health. MATERIALS AND METHODS A total of 186 reflections from 193 second-year undergraduate dental students enrolled between 2011/12 and 2014/15 at the University of British Columbia were explored qualitatively. Reflections had a word limit of 300, and students were asked to relate an existing model of oral health to their long-term care experiences. We have identified the main ideas via a thematic analysis related to the geriatric dentistry experience in long-term care. RESULTS The thematic analysis revealed that students attempted to demystify their pre-conceived ideas about older people and long-term care facilities, to think outside the box, for example away from a typical dental office, and to consider caring for elderly people from an interprofessional lens. According to some students, not all domains from the existing model of oral health were directly relevant to their geriatric experience while other domains, including interprofessionalism and cognition, were missing. While some participants had a positive attitude towards caring for this cohort of the population, others did not take this educational activity as a constructive experience. CONCLUSIONS The nature of most students' reflective thinking within a long-term care experience showed to be related to an existing model of oral health. This model can help to give meaning to the dental geriatric experience of an undergraduate curriculum. Such experience has been instrumental in overcoming potential misconceptions about long-term care and geriatric dentistry.
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Affiliation(s)
- Mario Brondani
- Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada
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Shakiba B, Hamedy R, Pak JG, Barbizam JV, Ogawa R, White SN. Influence of increased patient age on longitudinal outcomes of root canal treatment: a systematic review. Gerodontology 2016; 34:101-109. [PMID: 27198169 DOI: 10.1111/ger.12231] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2016] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To conduct a systematic review of longitudinal endodontic outcomes in elders. BACKGROUND Negative opinions about the prognosis of non-surgical root canal treatment (NSRCT) in elders affect decisions made by patients and dentists. Patient, caregiver and dentist attitudes and behaviours may interact to decrease the provision of NSRCT. Critical examination of the available evidence through systematic review could provide objective data to assist patients, caregivers, healthcare providers and third-party payers in making decisions about the efficacy of NSRCT in elders and provide a robust foundation for the health promotion of NSRCT in elders. METHODS Inclusion/exclusion criteria were used for defined searches in MEDLINE and Cochrane CENTRAL. Title lists were scanned, and abstracts read to determine utility; articles meeting inclusion/exclusion criteria were analysed. Data were extracted and compiled into a table of evidence. RESULTS Defined searching produced 3605 titles; 24 articles were included, nine prospective and 15 retrospective. Overall study quality was good. Patient samples mostly represented modern populations from countries with very high human development indices. Over 17 430 teeth were included. Meta-analysis was not attempted due to heterogeneity in reporting. All 24 included papers demonstrated that increased patient age did not decrease the success or survival rates of NSRCT. CONCLUSIONS This systematic review of longitudinal NSRCT outcomes demonstrated that increased patient age did not decrease the success of NSRCT. Patient age is not a prognostic factor for NSRCT. Age should not be considered by dentists or patients when making NSRCT decisions.
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Affiliation(s)
| | - Reza Hamedy
- School of Dentistry, UCLA, Los Angeles, CA, USA
| | | | | | - Rikke Ogawa
- School of Dentistry, UCLA, Los Angeles, CA, USA
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Hogue CM, Andrade AD, Ruiz JG, Gibson G. Core Competencies in Geriatric Dentistry Fellowship Programs: a Delphi Study. SPECIAL CARE IN DENTISTRY 2016; 36:217-22. [DOI: 10.1111/scd.12158] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Christie M. Hogue
- Staff Dentist and Investigator, Geriatric Research Education and Clinical Center (GRECC), Bruce W. Carter Veteran Affairs Medical Center; Miami Florida
| | - Allen D. Andrade
- Assistant Professor, Brookdale Department of Geriatrics and Palliative Medicine, Staff Physician & Investigator, Geriatric Research Education & Clinical Center, James J. Peters Veteran Affairs Medical Center; New York, New York
| | - Jorge G. Ruiz
- Staff Dentist and Investigator, Geriatric Research Education and Clinical Center (GRECC), Bruce W. Carter Veteran Affairs Medical Center; Miami Florida
- Associate Director for Education/Evaluation, Geriatric Research and Clinical Center (GRECC); Director, E-learning and Multimedia Research, Bruce W. Carter Veteran Affairs Medical Center, Director, Jackson Memorial Hospital, University of Miami Geriatric Medicine Fellowship Program; Associate Professor, Clinical Medicine, University of the Miami Miller School of Medicine; Miami Florida
| | - Gretchen Gibson
- Director, Oral Health Quality Group, Veterans Affairs Office of Dentistry; Fayetteville Arkansas
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Hearn L, Slack-Smith L. Engaging dental professionals in residential aged-care facilities: staff perspectives regarding access to oral care. Aust J Prim Health 2016; 22:445-451. [DOI: 10.1071/py15028] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Accepted: 08/17/2015] [Indexed: 11/23/2022]
Abstract
The limited access to oral care for older people living in residential aged care facilities (RACFs) has been noted repeatedly in the literature. The aim of this study was to explore RACF staff perspectives on how to engage dental professionals in the provision of oral care for RACF residents. Semi-structured interviews were conducted with 30 staff from six purposively selected RACFs located in high socioeconomic areas to gain understanding of the multidimensional issues that influenced the engagement of dental professionals from a carer perspective. Analysis revealed that staff perceived tensions regarding affordability, availability, accessibility and flexibility of dental professionals as significant barriers to better oral care for their residents. Participants raised a series of options for how to better engage dental professionals and reduce these barriers. Their ideas included: the engagement of RACF staff in collaborative discussions with representatives of public and private dental services, dental associations, corporate partners and academics; the use of hygienists/oral health therapists to educate and motivate RACF staff; the promotion of oral health information for troubleshooting and advice on how to deal with residents’ dental pain while waiting for support; the encouragement of onsite training for dental professionals; and the importance of gerodontology (geriatric dentistry). Findings highlighted the need to explore alternative approaches to delivering oral care that transcend the model of private clinical practice to focus instead on the needs of RACFs and take into account quality of end-of-life oral care.
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Wolff MS, Schenkel AB, Allen KL. Delivering the evidence--skill mix and education for elder care. Gerodontology 2015; 31 Suppl 1:60-6. [PMID: 24446981 DOI: 10.1111/ger.12088] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/17/2013] [Indexed: 02/02/2023]
Abstract
OBJECTIVES To review the current status of dental curricula on elder care, and the current curricula regarding elder care, and it's effect on altering practitioner behaviors while addressing the needs of a growing North American elder population. BACKGROUND An impending crisis is looming over the oral healthcare of our aging population. At the same moment that life expectancy is being extended through increasingly complex healthcare improvements, the numbers of trained dental providers capable and interested in delivering the needed care is failing to grow at an adequate rate. DISCUSSION The skills necessary to manage these increasingly complex patients require an interprofessional approach capable of delivering care to sicker patients, in a variety of living accommodations, while managing a variety of care givers. The dental skills necessary to treat these elderly are modifications of skills students routinely learn in dental school. As a matter of fact, the skills students acquire to treat an adult patient population may be contrary to the basic skills necessary to manage the elderly dependent adult patient. Teaching students the nuance differences needed to properly diagnose and care for this population is a difficult task that must be taught in a contextual environment. CONCLUSION Significant changes in the teaching of dental management of the elderly are critical within much of the education community. Just as teaching students to care for the pediatric population as general dentists, the clinical education must involve a sufficient number of quality experiences to address issues of both competency, that of the graduate to perform care independently, and attitudes, the actually willingness to treat the elderly.
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Affiliation(s)
- Mark S Wolff
- Department of Cariology and Comprehensive Care, New York University College of Dentistry, New York, NY, USA
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Pretty IA, Ellwood RP, Lo ECM, MacEntee MI, Müller F, Rooney E, Murray Thomson W, Van der Putten GJ, Ghezzi EM, Walls A, Wolff MS. The Seattle Care Pathway for securing oral health in older patients. Gerodontology 2015; 31 Suppl 1:77-87. [PMID: 24446984 DOI: 10.1111/ger.12098] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/04/2013] [Indexed: 02/06/2023]
Abstract
There is a need for a structured, evidence based approach to care for older dental patients. The following article describes the development of the Seattle Care Pathway based upon a workshop held in 2013. An overview is provided on the key issues of older persons dental care including the demography shift, the concept of frailty, the need for effective prevention and treatment to be linked to levels of dependency and the need for a varied and well educated work force. The pathway is presented in tabular form and further illustrated by the examples in the form of clinical scenarios. The pathway is an evidence based, pragmatic approach to care designed to be globally applicable but flexible enough to be adapted for local needs and circumstances. Research will be required to evaluate the pathways application to this important group of patients.
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Affiliation(s)
- Iain A Pretty
- Colgate Dental Health Unit, School of Dentistry, University of Manchester, Manchester, UK
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Slack-Smith LM, Hearn L, Wilson DF, Wright FAC. Geriatric dentistry, teaching and future directions. Aust Dent J 2015; 60 Suppl 1:125-30. [DOI: 10.1111/adj.12291] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- LM Slack-Smith
- School of Dentistry; The University of Western Australia; Perth Western Australia Australia
| | - L Hearn
- School of Dentistry; The University of Western Australia; Perth Western Australia Australia
| | - DF Wilson
- School of Dentistry and Health Sciences; Charles Sturt University; Orange New South Wales Australia
| | - FAC Wright
- Centre for Education and Research on Ageing; Concord Clinical School; The University of Sydney; Aged Care and Rehabilitation; Concord Repatriation General Hospital; Sydney Local Health District; Concord New South Wales Australia
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Navazesh M, Rich SK, Tiber A. The Rationale for and Implementation of Learner-Centered Education: Experiences at the Ostrow School of Dentistry of the University of Southern California. J Dent Educ 2014. [DOI: 10.1002/j.0022-0337.2014.78.2.tb05667.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Mahvash Navazesh
- Division of Periodontology, Dental Hygiene, and Diagnostic Sciences; Ostrow School of Dentistry of USC
| | - Sandra K. Rich
- Division of Periodontology, Dental Hygiene, and Diagnostic Sciences; Ostrow School of Dentistry of USC
| | - Arnold Tiber
- Division of Biomedical Sciences; Ostrow School of Dentistry of USC
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Anderson V, Kang M, Foster Page L. First-year oral health and dentistry student perceptions of future professional work. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2012; 16:e166-e173. [PMID: 22251341 DOI: 10.1111/j.1600-0579.2011.00692.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
OBJECTIVES To explore and compare how pre-doctoral dentistry (BDS) and oral health (BOH) students characterise their future professional work at the start and end of their first-year professional programme. MATERIALS AND METHODS All BDS and BOH students were given an anonymous survey on the first and last days of their 2009 course. Start and end surveys (ES) were completed by 75% of BDS (51) and 83% of BOH students (33). This paper examines students' responses to two questions asking them to identify a situation characterising their future professional work and a professional difficulty they would likely encounter. Student responses were analysed inductively to identify key themes and confirm each theme's 'weighting' based on frequency of mention. RESULTS Students' answers to both questions revealed eight characterisations of future professional work involving the following: restorative tasks, patient-related concerns, patient emotion and behaviour, population-level/public health concerns, disease prevention and monitoring, communication, teamwork and self-management. In ES responses, BDS students emphasised restorative tasks as central to a dentist's work, and in both surveys perceived 'dealing with patients' as a central difficulty. In contrast, BOH students' answers to both questions revealed a patient care emphasis, and in both surveys, BOH students emphasised patient-related concerns as a likely difficulty. CONCLUSION Bachelor of Dentistry students characterised their work as primarily interventive, and BOH students, as primarily patient-centred, communicative, and preventive. Whilst BDS students apparently valued restorative capabilities, BOH students valued the ability to ensure patient well-being. Further research will examine students' differing perceptions and how these change over time.
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Affiliation(s)
- V Anderson
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
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MacEntee MI. Muted dental voices on interprofessional healthcare teams. J Dent 2011; 39 Suppl 2:S34-40. [DOI: 10.1016/j.jdent.2011.10.017] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2011] [Accepted: 10/26/2011] [Indexed: 11/28/2022] Open
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Affiliation(s)
- Shiva Khatami
- Department of Orthodontics; College of Dental Medicine, Nova Southeastern University
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