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Altayyar S, Al‐zordk W, Algabri R, Rajah E, Al‐baadani A, Alqutaibi AY, Madina MA, Ghazy MH. Prospective evaluation of implants-supported, tooth-implant supported, and teeth-supported 3-unit posterior monolithic zirconia fixed restorations: Bite force and patient satisfaction. Clin Exp Dent Res 2023; 9:810-819. [PMID: 37703213 PMCID: PMC10582233 DOI: 10.1002/cre2.780] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 08/12/2023] [Accepted: 08/27/2023] [Indexed: 09/15/2023] Open
Abstract
OBJECTIVES This study aimed to evaluate the maximum bite force (MBF) and satisfaction of patients restored with implants, combined tooth-implants, and teeth-supported monolithic zirconia fixed dental prostheses (FDPs). MATERIALS AND METHODS Thirty partially edentulous patients in need of three units of FDPs in their mandibular posterior region were divided into three equal groups (n = 10) as follows: Group-1 patients received two implants for each at the second premolar and second molar regions, Group-2 patients received one implant for each at the second molar region, and Group-3 patients with missing lower first molar. All the restorations were constructed from monolithic zirconia. Patients were evaluated 1 week after placement of restorations (baseline) and then after 6, 12, and 24-month intervals for MBF using force transducer occlusal force meter and satisfaction (function, esthetic, and overall satisfaction) using a visual analog scale. RESULTS The mean MBF for Group 1 was higher than Group 2 (p = .044) but not that of Group 3 (p = .923). Additionally, Group 3 displayed a higher MBF than Group 2, although this difference was not statistically significant (p = .096). Concerning patient satisfaction, all study groups reported high levels of satisfaction across all satisfaction elements, and no significant differences were observed between the groups. CONCLUSION Within the limitations of this study, it can be concluded that Group 1 gives comparable anticipated treatment outcomes as Group 3 concerning biting force and patient satisfaction. However, Group 2 gives comparable satisfaction results with biting force value within the normal range; thus, it might be used as a treatment option in a specific situation.
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Affiliation(s)
- Sadeq Altayyar
- Prosthodontic Department, Faculty of DentistryIBB UniversityIbbYemen
| | - Walid Al‐zordk
- Fixed Prosthodontic Department, Faculty of DentistryMansoura UniversityMansouraEgypt
| | - Radwan Algabri
- Prosthodontic Department, Faculty of DentistryIBB UniversityIbbYemen
- Prosthodontic Department, National UniversityIbb‐BranchIbbYemen
| | - Eshraq Rajah
- Prosthodontic Department, Faculty of DentistrySana'a UniversitySana'aYemen
| | | | - Ahmed Yaseen Alqutaibi
- Department of Prosthodontic and Implant Dentistry, College of DentistryTaibah UniversityAl MadinahSaudi Arabia
- Department of Prosthodontics, College of DentistryIbb UniversityIbbYemen
| | - Manal Abo Madina
- Fixed Prosthodontic Department, Faculty of DentistryMansoura UniversityMansouraEgypt
| | - Mohammed H. Ghazy
- Fixed Prosthodontic Department, Faculty of DentistryMansoura UniversityMansouraEgypt
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Teich ST, McPherson KR, Rizzante FAP, Cayouette MJ. CODA standard 2-24 h-"replacement of teeth" dilemma: Unintended consequences and proposed solutions. J Dent Educ 2023. [PMID: 36929470 DOI: 10.1002/jdd.13196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 01/28/2023] [Accepted: 02/04/2023] [Indexed: 03/18/2023]
Abstract
BACKGROUND The Commission on Dental Accreditation (CODA) was established in 1975 with the goal of serving the public and the dental profession by developing and implementing standards that guide and maintain the quality of dental educational programs. These standards are defined broadly around competencies reflective of an evidence-based definition of general dentistry and that should be met by the new graduates to function as an entry level provider. Consequently, CODA "expects each school to develop specific competency definitions and assessment methods in the context of the broad scope of general dental practice". CODA Standard 2-24 h was implemented a decade ago to address concerns that dental schools are not sufficiently proactive in incorporating implant-related curricula and clinical competencies. When the standard was implemented, most patients already preferred dental implants over FPDs. This market trend, together with the prescriptive format of the standard, had the unintended consequence of creating pressure on programs that struggled to find enough patients who will chose FPDs as a treatment option. DISCUSSION As a short term solution, we suggest a tooth replacement competency construct that has the potential to alleviate this burden. This solution incorporates principles of ethical decision making, patient-centered care, and evidence-based dentistry, without compromising educational aspects and competency development. For the longer term, we suggested to revise and rephrase the standard so that it will be clinically-centered rather than focused on technical tools that may evolve, change, or disappear as a result of technological progress and other market trends. This, in turn, will be conducive to fulfill the intent of Standard 2-24 to allow the schools to identify "competencies that will be included in the curriculum based on the school's goals, resources, accepted general practitioner responsibilities and other influencing factors."
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Affiliation(s)
- Sorin T Teich
- Department of Oral Rehabilitation, Medical University of South Carolina, Charleston, USA
| | - Karen R McPherson
- Department of Oral Rehabilitation, Medical University of South Carolina, Charleston, USA
| | - Fabio A P Rizzante
- Department of Oral Rehabilitation, Medical University of South Carolina, Charleston, USA
| | - Monica J Cayouette
- Department of Oral Rehabilitation, Medical University of South Carolina, Charleston, USA
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Wittneben J, Yilmaz B, Wismeijer D, Shahdad S, Brägger U, Abou‐Ayash S. Patient‐reported outcome measures focusing on the esthetics of implant‐compared to tooth‐supported single crowns—A systematic review and meta‐analysis. J ESTHET RESTOR DENT 2022; 35:632-645. [DOI: 10.1111/jerd.12983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 10/19/2022] [Accepted: 11/08/2022] [Indexed: 12/12/2022]
Affiliation(s)
- Julia‐Gabriela Wittneben
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine University of Bern Bern Switzerland
- Department of Restorative Dentistry and Biomaterials Sciences Harvard School of Dental Medicine Boston Massachusetts USA
| | - Burak Yilmaz
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine University of Bern Bern Switzerland
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine University of Bern Bern Switzerland
| | - Daniel Wismeijer
- Department of Oral Implantology and Prosthetic Dentistry, ACTA University of Amsterdam and VU University Amsterdam The Netherlands
| | - Shakeel Shahdad
- Institute of Dentistry Queen Mary University of London London UK
- Restorative Dentistry The Royal London Dental Hospital London UK
| | - Urs Brägger
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine University of Bern Bern Switzerland
| | - Samir Abou‐Ayash
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine University of Bern Bern Switzerland
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Bompolaki D, Edmondson SA, Katancik JA, Kamposiora P, Papavasiliou G. Clinical and Patient‐Reported Outcomes of Single Posterior Implant‐Supported Restorations Completed by Predoctoral Students: A Retrospective Study with Up to 10 Years of Follow Up. J Prosthodont 2020; 30:111-118. [DOI: 10.1111/jopr.13284] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/11/2020] [Indexed: 01/07/2023] Open
Affiliation(s)
- Despoina Bompolaki
- Associate Professor, Department of Restorative Dentistry Oregon Health & Science University Portland OR
| | - Sara A. Edmondson
- Resident, Graduate Orthodontics University of Tennessee Health Science Center Memphis TN
| | - James A. Katancik
- Professor and Chair, Department of Periodontology Oregon Health & Science University Portland OR
| | - Phophi Kamposiora
- Assistant Professor, Department of Prosthodontics National and Kapodistrian University of Athens Greece
| | - George Papavasiliou
- Assistant Professor, Department of Prosthodontics National and Kapodistrian University of Athens Greece
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Enabulele JE, Omo JO. Teaching of dental implantology to undergraduate dental students: The Nigerian experience. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2020; 24:476-482. [PMID: 32157744 DOI: 10.1111/eje.12525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2019] [Revised: 02/25/2020] [Accepted: 03/04/2020] [Indexed: 06/10/2023]
Abstract
INTRODUCTION Dental implantology is an increasingly contemporary integral and important component of the practice of dentistry. This study assessed the level of teaching of dental implantology to dental undergraduates in Nigeria. MATERIALS AND METHODS This was a cross-sectional descriptive study involving the use of a self-administered questionnaire consisting of five sections developed for this study. It was sent via e-mail to a dental faculty in charge of and involved in the teaching of dental implantology in all 10 dental schools (five old generation and five new generation) in Nigeria. RESULTS Eight of the 10 schools teach implant dentistry and utilised didactic lectures as mode of teaching. Simulations were used in only 1 (12.5%) of the schools whilst clinical demonstration was reported by 2 (25.0%) of the schools. Only 2 (25.0%) of the schools allowed students to experience direct patient care with no school expecting students to provide implant treatment. Almost all schools 9 (90.0%) identified insufficient resources and lack of dental industry support as barriers to effective teaching of implant dentistry. All the dental schools had plans to improve teaching of implant dentistry. CONCLUSION Teaching of dental implantology in Nigeria is mainly theoretical with no clinical competence assigned. A situation which is unsatisfactory as all Nigerian dental schools have plans both in the short term and long term to improve on the teaching of implant dentistry. There is need for industry support as well as improved and effective training of dental faculty in implant dentistry in Nigeria.
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Affiliation(s)
- Joan E Enabulele
- Department of Restorative Dentistry, School of Dentistry, University of Benin, Benin City, Nigeria
| | - Julie O Omo
- Department of Restorative Dentistry, School of Dentistry, University of Benin, Benin City, Nigeria
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Schweyen R, Al-Nawas B, Arnold C, Hey J. A cross-sectional survey of attitudes towards education in implant dentistry in the undergraduate dental curriculum. Int J Implant Dent 2020; 6:26. [PMID: 32638176 PMCID: PMC7340723 DOI: 10.1186/s40729-020-00224-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Accepted: 05/04/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND An ongoing debate in dental education is whether implant dentistry, as a multidisciplinary domain, should be integrated into the undergraduate curriculum. The aim of the present study was to evaluate the perspectives of novices, clinical educators, and experienced dentists with regard to the importance of theoretical and practical implant dentistry teaching content in undergraduate dental education. The specific objective was to determine whether a consensus could be found concerning aspects of theoretical knowledge, implant position planning, implantation, prosthetic treatment procedures, postoperative care, and prerequisite experiences that should be provided in undergraduate dental education. RESULTS A positive consensus existed in terms of theoretical education, assistance in surgical and prosthodontic procedures, implant planning and restoration in straightforward cases (i.e., posterior single crowns and bridges, overdentures on nonconnected implants), and postoperative care. A negative consensus existed for bone augmentation. Implantation was supported by novices (i.e., students and graduates). In addition, more experienced dentists were more likely to oppose implantation performed by undergraduates. The most preferred implantation method was implant insertion using a digitally fabricated drilling template, after surgical flap elevation. CONCLUSIONS Students and graduates preferred a comprehensive undergraduate education that included implant dentistry. Dentists working in private practice, and especially dentists working as university educators, were critical towards the integration of implant-related learning content into undergraduate education. The intention of medical education is to impart knowledge to students and to prepare them for life-long learning and continual professional development after graduation. Thus, an undergraduate dental curriculum that provides students a solid introduction and knowledge foundation in implant dentistry is recommended.
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Affiliation(s)
- Ramona Schweyen
- Universitätspoliklinik für Zahnärztliche Prothetik, Martin Luther Universität Halle-Wittenberg, Magdeburger Str. 16, 06112, Halle, Saale, Germany.
| | - Bilal Al-Nawas
- Universitätsklinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Plastische Operationen, Johannes-Gutenberg Universität Mainz, Augustusplatz 2, 55131, Mainz, Germany
| | - Christin Arnold
- Universitätspoliklinik für Zahnärztliche Prothetik, Martin Luther Universität Halle-Wittenberg, Magdeburger Str. 16, 06112, Halle, Saale, Germany
| | - Jeremias Hey
- Universitätspoliklinik für Zahnärztliche Prothetik, Martin Luther Universität Halle-Wittenberg, Magdeburger Str. 16, 06112, Halle, Saale, Germany
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Saquib S, Alqahtani N, Al-Ahmari A, Alqahtani S, Bhat YS, Abid Khan M. Explore and compare the knowledge, attitude, and acceptance of dental implant as a treatment option among sub-population of Saudi Arabia. CUMHURIYET DENTAL JOURNAL 2019. [DOI: 10.7126/cumudj.517566] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Wittneben JG, Wismeijer D, Brägger U, Joda T, Abou-Ayash S. Patient-reported outcome measures focusing on aesthetics of implant- and tooth-supported fixed dental prostheses: A systematic review and meta-analysis. Clin Oral Implants Res 2019; 29 Suppl 16:224-240. [PMID: 30328183 DOI: 10.1111/clr.13295] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Revised: 03/24/2018] [Accepted: 05/15/2018] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The aim of this systematic review and meta-analysis was to summarize the existing evidence on patient-reported aesthetic outcome measures (PROMs) of implant-supported, relative to tooth-supported fixed dental prostheses. MATERIAL AND METHODS In April 2017, two reviewers independently searched the Medline (PubMed), EMBASE, and Cochrane electronic databases, focusing on studies including patient-reported aesthetic outcomes of implant- and tooth-supported fixed dental prostheses (FDPs). Human studies with a mean follow-up period of at least 1 year, a minimum of ten patients, and English, German, or French publication were included. For the comparison of subgroups, random-effects meta-regression for aggregate-level data was used. RESULTS The systematic search for implant-supported prostheses focusing on patient-reported outcomes identified 2,675 titles, which were screened by two independent authors. Fifty full-text articles were analyzed, and finally, 16 publications (including 19 relevant study cohorts) were included. For tooth-supported prostheses, no studies could be included. A total of 816 implant-supported reconstructions were analyzed by patients. Overall aesthetic evaluation by the patients' visual analogue scale (VAS) rating was high in implant-supported FDPs (median: 90.3; min-max: 80.0-94.0) and the surrounding mucosa (median: 84.7; min-max: 73.0-92.0). Individual restorative materials, implant neck design (i.e., tissue or bone level type implants), and the use of a fixed provisional had no effect on patients' ratings of the definitive implant-supported FDPs. CONCLUSIONS Aesthetics is an important patient-reported measure, which lacks in standardized methods; however, patients' satisfaction was high for implant- supported FDPs and the surrounding mucosa.
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Affiliation(s)
- Julia-Gabriela Wittneben
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.,Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, MA
| | - Daniel Wismeijer
- Department of Oral Implantology and Prosthetic Dentistry, ACTA, University of Amsterdam and VU University, Amsterdam, The Netherlands
| | - Urs Brägger
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Tim Joda
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Samir Abou-Ayash
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
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An Analysis of Patient Perceptions and Expectations to Dental Implants: Is There a Significant Effect on Long-Term Satisfaction Levels? Int J Dent 2017; 2017:8230618. [PMID: 28928771 PMCID: PMC5591937 DOI: 10.1155/2017/8230618] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2017] [Accepted: 06/27/2017] [Indexed: 11/18/2022] Open
Abstract
Here we present an analysis of patient perceptions and expectations to dental implant placement and their prosthetic reconstruction, to then consider whether they have an effect on long-term satisfaction levels. A Post-Treatment Completion Questionnaire was designed to analyse whether patient satisfaction is influenced by age and/or gender; has an effect on patient-reported self-confidence levels; contributes to increased levels of oral hygiene; provides further insight into the average pain levels during and after the surgical intervention; or influences further acceptance of dental implant surgery. And then whether relationships exist between any of these factors. 182 consecutive patients completed the survey: 68 males and 114 females (age mean 64.68 years ± 11.23 SD); the average number of months since treatment completion was 37.4 (males) and 62.6 (females). There is a significant relationship between comfort rating and “how well informed” the patient was (p = 0.015). A significantly positive relationship exists between “considering dental implants in the future” and “overall experience” (p = 0.001). A significantly positive relationship exists between “overall satisfaction with appearance” and “satisfaction with comfort” (p = 0.011). A significant relationship exists between “overall satisfaction with appearance,” “satisfaction with comfort,” and “overall satisfaction with experience” (p = 0.001). The results amplify the need to transmit logical, truthful information to patients when dental implant treatment is being considered. The “fully informed” patient will have realistic expectations that lead to high degrees of satisfaction.
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Lee DJ, Yuan JCC, Hedger PJ, Taylor EJ, Harlow RF, Knoernschild KL, Campbell SD, Sukotjo C. Patient Perception and Satisfaction with Implant Therapy in a Predoctoral Implant Education Program: A Preliminary Study. J Prosthodont 2015; 24:525-531. [PMID: 25594668 DOI: 10.1111/jopr.12260] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/25/2014] [Indexed: 11/30/2022] Open
Affiliation(s)
- Damian J. Lee
- Assistant Professor, Director, Advanced Education in Prosthodontics Program; Division of Restorative Sciences and Prosthodontics; The Ohio State University College of Dentistry; Columbus OH
| | - Judy Chia-Chun Yuan
- Assistant Professor, Director; Predoctoral Implant Program; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Philip J. Hedger
- Former resident; Advanced Education in Prosthodontic Program; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Emily J. Taylor
- Former resident; Advanced Education in Prosthodontic Program; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Rand F. Harlow
- Clinical Assistant Professor, Codirector; Advanced Education in Prosthodontics Program; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Kent L. Knoernschild
- Professor, Director; Advanced Education in Prosthodontics Program; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Stephen D. Campbell
- Professor; Head of Restorative Dentistry. University of Illinois at Chicago College of Dentistry; Chicago IL
| | - Cortino Sukotjo
- Assistant Professor; Department of Restorative Dentistry; University of Illinois at Chicago College of Dentistry; Chicago IL
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Vandeweghe S, Koole S, Younes F, De Coster P, De Bruyn H. Dental implants placed by undergraduate students: clinical outcomes and patients'/students' perceptions. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2014; 18 Suppl 1:60-69. [PMID: 24484521 DOI: 10.1111/eje.12077] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/07/2013] [Indexed: 06/03/2023]
Abstract
INTRODUCTION Implant dentistry in undergraduate education is predominantly theoretical or prosthetics oriented. Clinical experience with implant surgery could provide students a better understanding of alternatives for tooth replacements. This study describes an implant dentistry programme for undergraduate students, which included surgical placement of implants. The study presents the clinical outcomes of the programme, patients' satisfaction and students' attitudes/perceptions. It reflects on barriers and problems encountered during implementation and provides suggestions for other institutions. MATERIALS AND METHODS Thirty-six students placed one implant each for a single tooth replacement after careful radiographic assessment and pre-surgical planning. One-stage surgery was performed under one-to-one supervision. Crowns were cemented on individual abutments 3-6 months later. Crestal bone loss was assessed radiographically immediately after surgery, at crown placement and after 1 year of loading. Questionnaires were used to investigate patients' perspectives and students' opinions towards the programme, as well as their perceived level of competence. RESULTS Thirty-six implants were placed in 27 patients; two (5.6%) failed prior to loading; mean bone loss from time of surgery to crown placement was 1.41 mm and remained unchanged thereafter, reflecting implant success. Overall, patients were satisfied and the majority would repeat the treatment by a student. The students thought it was a valuable experience, although they realised that additional education is necessary to perform implant surgery without supervision. CONCLUSION Implant placement by undergraduate students resulted in acceptable clinical outcome parameters, patient satisfaction and positive student perceptions. These findings support the further development of clinical implant education in undergraduate dental curricula.
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Affiliation(s)
- S Vandeweghe
- Department of Periodontology and Oral Implantology, Dental School, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium; Department of Prosthodontics, School of Dentistry, Faculty of Odontology, Malmö University, Malmö, Sweden
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Koole S, Vandeweghe S, Mattheos N, De Bruyn H. Implant dentistry education in Europe: 5 years after the Association for Dental Education in Europe consensus report. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2014; 18 Suppl 1:43-51. [PMID: 24484519 DOI: 10.1111/eje.12084] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/22/2013] [Indexed: 06/03/2023]
Abstract
INTRODUCTION To promote consensus on implant dentistry university education in Europe, a workshop amongst university teachers and opinion leaders was organised in 2008. As a result, guidelines on both under- and postgraduate education were issued. This study aims to investigate the current status of university teaching of implant dentistry and the impact of the recommendations for teaching and assessment, 5 years after the first consensus. Finally, this report attempts to identify future directions in education within the discipline. MATERIALS AND METHODS An online survey was distributed amongst 105 academic leaders in implant education in Europe, and 52 questionnaires were returned (response rate 50%). RESULTS The average amount of implant dentistry in undergraduate curricula has increased to 74 h, compared to 36 h in 2008, and the inclusion of pre-clinical and clinical education has increased. No change occurred with regard to the aimed competence levels. It was suggested that certain implant procedures including surgery should be provided by dentists after attending additional courses, whilst complex treatments will still require specialist training. The 2008 workshop guidelines have been implemented to a varying extent (25-100%) in under- and postgraduate education. Main reported implementation barriers included limited time availability in the curriculum and limited financial/material resources. Future discussions about implant dentistry in Europe should be focused towards integration in current dental curricula, approaches to overcome barriers and the relations with and role of industrial partners. CONCLUSION Implant dentistry is increasingly integrating in undergraduate dental education. Development of the consensus guidelines in 2008 may have facilitated this process. Nevertheless, further progress is needed on all educational levels to align training of professionals to the growing treatment needs of the population.
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Affiliation(s)
- S Koole
- Faculty of Medicine and Health Sciences, Department of Periodontology and Oral Implantology, Dental School, Ghent University, Ghent, Belgium
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Koole S, De Bruyn H. Contemporary undergraduate implant dentistry education: a systematic review. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2014; 18 Suppl 1:11-23. [PMID: 24484516 DOI: 10.1111/eje.12076] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/07/2013] [Indexed: 06/03/2023]
Abstract
INTRODUCTION Consensus reports recommend that students upon graduation should possess a significant level of knowledge and competence in implant dentistry, including basic competences in diagnostics, treatment planning, restorative, straightforward surgical and maintenance procedures. In response, undergraduate curricula need to integrate implant dentistry. This narrative review explores educational programmes in terms of competences, related research and barriers or reflections, regarding implementation in undergraduate curricula. MATERIALS AND METHODS Publications (2008-2013) were searched systematically in WoS, PubMed and ERIC and screened independently by two authors in four stages: removal of duplicates, title screening, abstract screening and full-text reading. Inclusion criteria encompassed implant dentistry in undergraduate education. RESULTS Finally, 37 of 420 papers were included. Detailed information regarding programme content, number of participants, staff input, logistics/funding issues is scattered. Theoretical education is predominant, and pre-clinical/clinical training is offered minimally, often carried out in elective programmes. However, selected straightforward cases treated by undergraduates yield positive outcomes with low failure rates, few complications, high patient satisfaction and student appreciation. Barriers to implementing implant dentistry in the undergraduate curriculum include funding issues, limitations in time or staff availability/competence and lack of suitable patients. Overcoming these barriers is worthwhile as experience-based implant education affects future practice as well-informed students propose more restorative alternatives to their patients. CONCLUSION Although implant dentistry is increasingly integrated in undergraduate curricula, challenges remain in developing strategies to implement existing competence profiles and the extent of experience-based education. To support further advancement, universities should report comprehensively on their implant programmes to allow comparison and reproduction in other environments.
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Affiliation(s)
- S Koole
- Faculty of Medicine and Health Sciences, Department of Periodontology and Oral Implantology, Dental School, Ghent University, Ghent, Belgium
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Treatment planning of implants when 3 mandibular posterior teeth are missing: a 3-dimensional finite element analysis. IMPLANT DENT 2013; 21:340-3. [PMID: 22814561 DOI: 10.1097/id.0b013e31825cbc67] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
PURPOSE To analyze the biomechanics of 3 designs of implant treatment for 3 teeth missing in posterior low arch quadrants. MATERIAL AND METHODS A posterior portion of the human mandible missing 44, 45, 46 and three 4.1 × 10 mm threaded ITI implants with crowns were used to construct the finite element model. According to 3 implants being single, splinted or 2 implants support fixed partial denture (FPD) fixed in bone segments. Three implant support conditions were prepared with ANSYS 10.0. A load of 100 N was applied at the central fossa of the occlusal surfaces of the crowns at 45 degrees buccolingually along the triangular ridge of the buccal cusp. The von Mises stress and strain distributions in periimplant bone were observed. RESULTS The results demonstrated that the von Mises stress in the supporting bone of the 2-implant supported FPD significantly increased compared with that in the 3-implant replacement. Meanwhile, when 3 implants were splinted, only the median implant had a decreased and more homogenous stress distribution, and the other implants did not exhibit significant differences when splinted. CONCLUSION This study suggests that when space and cost permit, a 2-implant supported FPD should not be used, and 1 implant for each missing tooth being single is recommended.
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