1
|
Tinanoff N, Banerjee A, Buzalaf MAR, Chen JW, Dhar V, Ekstrand KR, Fontana M, Innes N, Koo H, Listl S, Lo ECM, Potgieter N, Schwendicke F, Sharkov N, Twetman S, Vargas K. Principles and care pathways for caries management in children: IAPD Rome forum. Int J Paediatr Dent 2024; 34:692-699. [PMID: 38654429 DOI: 10.1111/ipd.13192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Revised: 03/29/2024] [Accepted: 04/04/2024] [Indexed: 04/26/2024]
Affiliation(s)
- Norman Tinanoff
- Department of Orthodontics and Pediatric Dentistry, University of Maryland, School of Dentistry, Baltimore, Maryland, USA
| | - Avijit Banerjee
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| | | | - Jung-Wei Chen
- Department of Pediatric Dentistry, Loma Linda University School of Dentistry, Loma Linda, California, USA
| | - Vineets Dhar
- Department of Orthodontics and Pediatric Dentistry, University of Maryland, School of Dentistry, Baltimore, Maryland, USA
| | - Kim R Ekstrand
- Department of Odontology, University of Copenhagen, Copenhagen, Denmark
| | - Margherita Fontana
- Department of Cariology, Restorative Sciences & Endodontics, University of Michigan, Ann Arbor, Michigan, USA
| | - Nicola Innes
- School of Dentistry, Cardiff Dental School, Cardiff University, Cardiff, UK
| | - Hyun Koo
- Department of Orthodontics, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Stefan Listl
- Department of Dentistry-Quality and Safety of Oral Health, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
| | | | - Nicoline Potgieter
- Department of Paediatric Dentistry, University of the Western Cape, Mitchells Plain, South Africa
| | - Falk Schwendicke
- Department of Oral Diagnostics, Digital Health and Health Services Research Charité-Universitätsmedizin Berlin, Universitatsmedizin, Berlin, Germany
| | - Nikolai Sharkov
- Department of Paediatric Dentistry, Faculty of Dental Medicine, Medical University, Sofia, Bulgaria
| | - Svante Twetman
- Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Kaaren Vargas
- Private Practice, Corridor Kids Pediatric Dentistry, North Liberty, North Liberty, Iowa, USA
| |
Collapse
|
2
|
Santamaría RM, Fontana M, Chalas R, Guzman-Armstrong S, Kolker JL, Krithikadatta J, Kuzmina I, Maltz M, Martignon S, Ottolenghi L, Pitts N, Abdin M, Splieth CH. The Core Curriculum in Cariology: Fiction or Reality? Challenges about Implementation. Caries Res 2024; 58:153-161. [PMID: 38377971 PMCID: PMC11257656 DOI: 10.1159/000536637] [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: 06/08/2023] [Accepted: 01/25/2024] [Indexed: 02/22/2024] Open
Abstract
INTRODUCTION The Core Curriculum in Cariology (CCC) was developed by ORCA and ADEE in 2010. This article summarizes challenges for the implementation of the CCC at university/country level identified at the "Education Platform" of the ORCA 2022 conference in Cagliari, Sardinia. METHODS Participants from universities from 3 European (Italy, Poland, and UK), 2 Asian (India and Russia), and 3 American countries (Brazil, Colombia, and USA) led the presentations, discussion, and generation of statements. Presentations were transcribed and summarized through qualitative content analysis. Key themes were identified, transformed into key topics, and sent to the panel for agreement. RESULTS Regardless of the wide variety of dental schools per country, from few (Poland n = 10) to many (India n = 318, Brazil n = 563) or from country/continent itself, frequent challenges to CCC implementation were highlighted. These included lack of agreement on a basic CCC as standard (96%), insufficient support or reimbursement for caries prevention and management (90%), separation between cariology and restorative dentistry (68%), focus on restorative/surgical management with prevention and nonoperative management being disconnected (73%). The group agreed that the integration of cariology and restorative dentistry remains essential to enhancing evidence-based decision-making, resulting in a shift of emphasis from cure to care. CONCLUSION There is variation in the level of implementation of the CCC. A frequent challenge is the disconnect between cariology and restorative dentistry. The CCC should be disseminated and promoted as a uniform blueprint/framework to facilitate the implementation of a common cariology curriculum among universities within each country, as well as internationally.
Collapse
Affiliation(s)
- Ruth M. Santamaría
- Department of Preventive and Pediatric Dentistry, Dental Faculty/University of Greifswald, Greifswald, Germany
| | - Margherita Fontana
- Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA
| | - Renata Chalas
- Faculty of Medical Dentistry, Chair and Department of Oral Medicine, Medical University of Lublin, Lublin, Poland
| | | | - Justine L. Kolker
- Department of Operative Dentistry, University of Iowa, Iowa City, IA, USA
| | | | - Irina Kuzmina
- Preventive Dentistry Department, Moscow State University of Medicine and Dentistry, Moscow, Russia
| | - Marisa Maltz
- Department of Preventive and Social Dentistry, Faculty of Odontology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Stefania Martignon
- UNICA – Caries Research Unit, Research Department, Universidad El Bosque, Bogota, Colombia
| | - Livia Ottolenghi
- Department of Preventive and Community Dentistry, Dental Faculty, Sapienza University, Rome, Italy
| | - Nigel Pitts
- Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, London, UK
| | - Maria Abdin
- Department of Preventive and Pediatric Dentistry, Dental Faculty/University of Greifswald, Greifswald, Germany
| | - Christian H. Splieth
- Department of Preventive and Pediatric Dentistry, Dental Faculty/University of Greifswald, Greifswald, Germany
| |
Collapse
|
3
|
Martignon S, Cortes A, Avila V, Velasco K, Abreu-Placeres N, Aranguiz V, Bullen M, Giacaman R, Malheiros Z, Pozos-Guillén A, Sampaio F, Fernández CE, García M, González-Montero M, Gudiño-Fernandez S, Hugo FN, Pardo-Silva MI, Salazar L, Squassi A, Zarta OL, Stewart B, Jácome-Liévano S. Core Cariology Curriculum Framework in Spanish for Latin American dental schools: development and consensus. Braz Oral Res 2023; 37:e119. [PMID: 38055570 DOI: 10.1590/1807-3107bor-2023.vol37.0119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 09/25/2023] [Indexed: 12/08/2023] Open
Abstract
The aim of this study was to develop and achieve consensus on a cariology teaching framework for dental schools in Latin American Spanish-speaking countries. The Delphi process, with a ≥8 0% pre-defined participants' agreement, included three phases and a Coordinating Group. During the Preparation phase three panels of experts were selected and invited to participate: a) Regional academic/professional Dental Associations (Associations-Panel): n = 12; b) Regional Dental Schools (Dental-Schools-Panel): existing dental schools (n = 263) from the 19 Spanish-speaking regional countries; c) International academic/professional associations Peer Experts (Peer-Panel): n = 4. Based on consensus documents from Europe, Colombia, the Caribbean, USA, Chile and Spain, and updated scientific evidence, the Coordinating Group developed a baseline framework proposal of domains, main competencies (MC) and specific competencies (SC). The Consultation-Agreement and Consensus phases included three rounds of questionnaires with a step-wise sharing of the MC updated version of the consensus framework with the Dental-Schools-Panel and including SC with the Associations-Panel. Diverse communication strategies were used ( e.g ., independent google-form questionnaires and workshops). Consensus was reached after an on-site Associations-Panel workshop and secret voting, followed by an online meeting with the Peers-Panel. A total of 127 academic/professional institutions participated (Associations-Panel: 11, 91.6%; Dental-Schools-Panel: 112, 42.6%, all countries; Peers-Panel: 4, 100%). The baseline Cariology teaching framework of 5 domains, 10 MC and 92 SC underwent modifications after agreements for a final consensus framework consisting of 5 domains, 10 MC and 85 SC. A Core Cariology curriculum framework in Spanish for Latin American Dental Schools was successfully developed and agreed upon with regional dental academic and professional institutions.
Collapse
Affiliation(s)
- Stefania Martignon
- Universidad El Bosque , UNICA - Caries Research Unit, Research Department , Bogotá , Colombia
| | - Andrea Cortes
- Universidad El Bosque , UNICA - Caries Research Unit, Research Department , Bogotá , Colombia
| | - Viviana Avila
- Universidad El Bosque , UNICA - Caries Research Unit, Research Department , Bogotá , Colombia
| | - Karina Velasco
- Universidad El Bosque , UNICA - Caries Research Unit, Research Department , Bogotá , Colombia
| | - Ninoska Abreu-Placeres
- Universidad Iberoamericana , Biomaterials and Dentistry Research Center , Research and Innovation Department , Santo Domingo , Dominican Republic
| | - Vicente Aranguiz
- Universidad de los Andes , Faculty of Dentistry , Cariology Unit, Santiago , Chile
| | - Miriam Bullen
- Panama University , Restorative Dentistry Department , Panama City , Panama
| | - Rodrigo Giacaman
- University of Talca , Faculty of Dentistry , Cariology Unit, Talca , Chile
| | - Zilson Malheiros
- Latin American Oral Health Association - LAOHA, São Paulo , SP , Brazil
| | - Amaury Pozos-Guillén
- Universidad Autónoma de San Luis Potosí , Faculty of Dentistry , Basic Sciences Laboratory , San Luis Potosí , México
| | - Fabio Sampaio
- Universidade Federal da Paraíba - UFPB , Health Science Center , Department of Clinical and Community Dentistry , João Pessoa , PB , Brazil
| | | | | | | | - Sylvia Gudiño-Fernandez
- Universidad de Costa Rica , Pediatric Dentistry Master Degree Program, San José , Costa Rica
| | - Fernando Neves Hugo
- Universidade Federal do Rio Grande do Sul - UFRGS, Departamento de Odontologia Preventiva e Social , Porto Alegre , Brasil
| | | | - Lupe Salazar
- Universidad de Panamá , Facultad de Odontología , Departamento de Clínica Integrada , Panama City , Panamá
| | - Aldo Squassi
- Universidad de Buenos Aires , Facultad de Odontología , Instituto de Investigaciones en Salud Pública , Buenos Aires , Argentina
| | - Olga Lucía Zarta
- Universidad El Bosque , Dental School ,Posgrado de Operatoria Estética y Materiales Dentales, Bogotá , Colombia
| | - Bernal Stewart
- Colgate-Palmolive Technology Center , Clinical Research, Piscataway , NJ , United States
| | - Sofía Jácome-Liévano
- Universidad El Bosque , UNICA - Caries Research Unit, Research Department , Bogotá , Colombia
| |
Collapse
|
4
|
Anamali S, Pendleton C, Jin Xie X, Smith A, Jain A. Training in radiographic caries detection and staging using an interactive tool. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022; 26:728-732. [PMID: 34939265 DOI: 10.1111/eje.12754] [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: 01/13/2021] [Accepted: 12/14/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION The objective of the study was to compare a dental student's practical ability to detect and stage radiographic caries per International Caries Detection and Assessment System (ICDAS), following a traditional lecture and a lecture containing an interactive session using an audience response system (ARS). Associations between the order of instructions and student performance were also evaluated. MATERIALS AND METHODS Eighty-three dental students were randomly assigned to groups A and B. On the first day, group A received a traditional lecture and group B received content using the ARS. All students then took an electronic quiz (T1) identifying and staging caries on radiographs per ICDAS. For the second day, group A received the content using the ARS system and group B received a traditional lecture. All students subsequently took a second electronic quiz (T2). Two survey questions about the learning experience were also included. RESULTS Wilcoxon rank-sum analysis of scores from consenting students (81) showed no difference between the quiz 1 scores of two groups (p=.61). Whilst not statistically significant (p = .07), the group that had the ARS initially scored marginally higher on quiz 2. Survey results showed that most participants preferred either the ARS alone (49.38%) or a combination of the ARS and a traditional lecture (40.74%). A majority of them (80%) found the ARS helpful. CONCLUSION When training students in practical skills of detection and staging radiographic presence of dental caries per ICDAS, hands-on learning tools, such as an ARS, complement traditional lectures.
Collapse
Affiliation(s)
- Sindhura Anamali
- Department of Oral Pathology, Radiology and Medicine, University of Iowa, Iowa City, USA
| | - Chandler Pendleton
- Department of Biostatistics and Computational Biology, University of Iowa, Iowa City, USA
| | - Xian Jin Xie
- Department of Biostatistics and Computational Biology, University of Iowa, Iowa City, USA
| | - Anna Smith
- Office of Teaching, Learning & Technology, Research & Analytics, University of Iowa, Iowa City, USA
| | - Aditi Jain
- Department of Operative Dentistry, University of Iowa, Iowa City, USA
| |
Collapse
|
5
|
Chevalier V, Dessert M, Fouillen KJ, Lennon S, Duncan HF. Preclinical 3D-printed laboratory simulation of deep caries and the exposed pulp reduced student anxiety and stress, while increasing confidence and knowledge in vital pulp treatment. Int Endod J 2022; 55:844-857. [PMID: 35586992 PMCID: PMC9544659 DOI: 10.1111/iej.13780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Revised: 04/18/2022] [Accepted: 05/10/2022] [Indexed: 12/01/2022]
Abstract
Aim To evaluate the impact of a preclinical laboratory session using 3D printed teeth on dental student stress, anxiety, confidence and knowledge when treating deep caries and pulp exposure. Methodology This was a two‐centre controlled study, with randomized distribution of students into two groups: a vital pulp treatment (VPT) lecture‐only (control) group and a VPT‐lecture combined with a VPT‐laboratory (experimental) group. In both universities, preclinical students with endodontic or operative dentistry laboratory sessions could participate. All students were invited to the lecture. Two weeks later (timepoint‐T1), both groups completed validated and bespoke questionnaires and scales to evaluate their stress (Stress‐VAS), anxiety (STAI Trait [T] and State [S]), self‐confidence and knowledge. Thereafter, only the experimental group attended the hands‐on laboratory session demonstrating the techniques of selective caries removal and partial pulpotomy on a commercial 3D‐printed tooth. Two weeks later (timepoint‐T2), the participants from both groups repopulated the same questionnaires and VAS. The control group had the laboratory session after the completion of the study. The statistical analysis was performed with Statistica® (significance p = .05). The homogeneity between the two samples was checked by Khi2 and Student tests. Stress‐VAS, STAI‐S, confidence and knowledge scores were compared within each group, and between the two groups, at T1 and T2, with a repeated measures anova test (+/−Tukey post‐hoc test). Results The groups comprised 54 students each, with no statistical difference between the groups regarding demographic, academic data and STAI‐T score. The two groups had no significant difference of Stress‐VAS, STAI‐S, confidence and knowledge scores at T1 while they presented a significant difference in stress, anxiety and confidence scores at T2, but with no significant difference in knowledge score. However, knowledge score, as other parameters, improved significantly between T1 and T2 in the experimental group. Conclusions The addition of a laboratory session using 3D‐printed teeth that simulated deep caries and pulp exposure management, significantly reduced the stress and anxiety of students and increased their confidence. Within the limitations of this study, the benefit of introducing new technology in increasing student confidence and reducing stress offers opportunity for educational improvement in the VPT and cariology areas.
Collapse
Affiliation(s)
- V Chevalier
- University of Bretagne Occidentale, Brest University Hospital, Brest, France.,University of Bretagne Occidentale, UMR CNRS 6027, IRDL, Brest, France
| | - M Dessert
- University of Bretagne Occidentale, Brest University Hospital, Brest, France
| | - K J Fouillen
- University of Bretagne Occidentale, Brest University Hospital, Brest, France
| | - S Lennon
- Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland
| | - H F Duncan
- Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland
| |
Collapse
|
6
|
Cortés-Martinicorena FJ, Ceballos L, Martínez-Pérez E, Hernández-Juyol M, Schulte AG, Almerich-Silla JM. Spanish Curriculum in Cariology for undergraduate dental students: Proceedings and consensus. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022; 26:317-328. [PMID: 34143927 DOI: 10.1111/eje.12706] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 06/14/2021] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Cariology is today a broad-based discipline and in the Spanish university teaching field, all this knowledge is not unified in a curriculum. Therefore, the aim was to develop a consensus text based on the European Core Curriculum, updated, and adapted to the characteristics of the Spanish university environment. MATERIALS AND METHODS A Spanish Cariology Curriculum Group (SCCG) was set up with members of the Spanish Society of Epidemiology and Oral Public Health (SESPO), Spanish Society of Conservative and Aesthetic Dentistry (SEOC) and Spanish Society of Paediatric Dentistry (SEOP) and university experts to adapt the European Core Curriculum in Cariology for undergraduate dental students (ECCC) for Spain. The work was carried out online during 2018 and 2019, and also face-to-face meetings took place to obtain a draft curriculum open for discussion that was presented to all the Spanish universities. The final modifications to the document were specified in a Consensus Conference of Spanish universities offering a Degree in Dentistry that took place in Madrid on 19 November 2019. RESULTS Thirty-eight university experts, under SCCG supervision, participated in the elaboration of the new framework document. A total of 16 universities, from 23 invited, reached a consensus as to the contents of the Spanish Curriculum in Cariology for undergraduate dental students. This new Curriculum emphasises learning outcomes, uses a consensus-based terminology pertaining to caries and other hard-tissue conditions, and introduces a new domain of competence in Domain III of ECCC. CONCLUSION This new Cariology Curriculum is the result of a very broad-based consensus of university experts in Spain and lays the foundation for the implementation of an integrated teaching of Cariology in Spain in adherence to Alliance for a Caries Free Future (ACFF) objectives.
Collapse
|
7
|
Splieth CH, Abudrya MH, Anandakrishna L, Cheng L, Al-Khalifa KS, Kim BI, Kuzmina I, Tarabaih A, Salami A, Elhamouly Y, Schmoeckel J. Teaching Cariology in Asia and Arabia. Caries Res 2022; 56:109-115. [PMID: 35313313 PMCID: PMC9254296 DOI: 10.1159/000524168] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 03/13/2022] [Indexed: 11/19/2022] Open
Abstract
The European Organisation for Caries Research education platform 2020 had the aim to assess the undergraduate curriculum in cariology in Asian and Arabian countries in order to support structured teaching of cariology in these countries with about almost half of the global population. Representatives of 4 Asian and 4 Arabian countries completed a comprehensive questionnaire on structure of dental education in their country in general and the extent, the content, the responsibilities, structure and standardization regarding cariology in particular. In spite of a wide range from very few universities (Lebanon 3) to larger numbers of dental schools (India 313, China 121, Russia 52) there were similar statements on the list of content for cariology teaching. Often the catalogue was close to the Undergraduate Core Curriculum in Cariology (UCCC) covering most of the 5 domains from basic science to dental public health, but a national curriculum for cariology or dentistry was mostly missing. With various departments being involved, a need of coordination is obvious. Most representatives thought it possible and feasible to teach a standardized curriculum in cariology on the basis of the UCCC. In conclusion, many Arabian and Asian countries have implemented modern, evidence-based curricula in their universities, but an obligatory national curriculum in cariology would be advisable to standardize the quality in teaching.
Collapse
Affiliation(s)
- Christian H. Splieth
- Department of Preventive and Pediatric Dentistry, University of Greifswald, Greifswald, Germany
| | - Mohamed Hassan Abudrya
- Department of Preventive and Pediatric Dentistry, University of Greifswald, Greifswald, Germany
| | - Latha Anandakrishna
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, M S Ramaiah University of Applied Sciences, Bengaluru, India
| | - Lei Cheng
- Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Chengdu, China
| | - Khalifa S. Al-Khalifa
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Baek-Il Kim
- Department of Preventive Dentistry & Public Oral Health, Brain Korea 21 FOUR Project, Yonsei University College of Dentistry, Seoul, Republic of Korea
| | - Irina Kuzmina
- Department of Preventive Dentistry, Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
| | - Ahmad Tarabaih
- Division of Pediatric Dentistry, Department of Developmental Sciences, Faculty of Dentistry, Beirut Arab University, Beirut, Lebanon
| | - Anas Salami
- Pediatric Dentistry Department, Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai, United Arab Emirates
| | - Yasmine Elhamouly
- Department of Pediatric Dentistry and Community, Faculty of Dentistry, Pharos University in Alexandria, Alexandria, Egypt
| | - Julian Schmoeckel
- Department of Preventive and Pediatric Dentistry, University of Greifswald, Greifswald, Germany
| |
Collapse
|
8
|
Martignon S, Cortes A, Gamboa LF, Jácome-Liévano S, Arango-De-la-Cruz MC, Cifuentes-Aguirre OL, Fortich-Mesa N, Ramos-Martínez K, Sanjuán-Acero J, Alfaro L, Mejía L, Usuga-Vacca M. Effectiveness of the ICCMS caries management system for children: a 3-year multicentre randomised controlled trial. Acta Odontol Scand 2022; 80:501-512. [PMID: 35166190 DOI: 10.1080/00016357.2022.2038263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
OBJECTIVE This 3-year multicentre randomised controlled trial compared, in 6-7-year-old Colombian children, the effectiveness of the ICCMS (International Caries Classification and Management System) with a conventional caries-management system (CCMS) in terms of individual caries-risk, caries lesions, and secondarily, oral-health-related knowledge/attitudes/practices, and number of appointments. MATERIAL AND METHODS With ethical approval, 240 6-7-year olds from six Colombian clinics were recruited. Trained examiners conducted the following baseline/follow-up assessments: Caries risk (Cariogram-ICCMS); caries severity/activity staging (ICDAS-merged combined radiographic/visual); sealants/fillings/missing teeth, and oral-health-related knowledge, attitudes and practices. Children received their randomly allocated (ICCMS/CCMS) care from dental practitioners. Outcomes: caries-risk control (children); caries-progression control (tooth surfaces); oral-health-related knowledge/attitudes/practices improvement (parents/children), and appointments' number (children). Descriptive and non-parametric/parametric bivariate analyses were performed. RESULTS Three-year-follow-up: n = 187 (77.9%; ICCMS: n = 92; CCMS: n = 95) disclosed a baseline-to-3-year overall high-caries-risk children decrease (ICCMS: 60.9-0%, p < .001; CCMS: 54.7-5.3%, p < .001) (p > .05). ICCMS versus CCMS showed: fewer tooth-surface caries progression (6.2% vs 7.1%, p = .010) and fewer active-caries lesions (49.8% vs. 59.1%, p < .05); higher proportion of children with ≥2/day fluoride-toothpaste tooth-brushing practice (p < .05); similar mean number of appointments (10.9 ± 5.9 vs. 10.0 ± 3.8, p = .15). CONCLUSION Both caries-management systems showed similar effectiveness in caries-risk control, with ICCMS more effectively controlling tooth-surface caries progression and improving toothbrushing practices.
Collapse
Affiliation(s)
- Stefania Martignon
- UNICA – Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
| | - Andrea Cortes
- UNICA – Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
| | - Luis Fernando Gamboa
- UNICA – Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
| | - Sofia Jácome-Liévano
- UNICA – Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
| | | | | | - Natalia Fortich-Mesa
- School of Dentistry, Corporación Universitaroa Rafael Núñez, Cartagena, Colombia
| | | | - Johanna Sanjuán-Acero
- Paedriatric Dentistry Department, Fundación Universitaria de Colegios de Colombia (UNICOC), Bogotá, Colombia
| | - Lizelia Alfaro
- UNICA – Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
| | - Lofthy Mejía
- UNICA – Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
| | - Margarita Usuga-Vacca
- UNICA – Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
| |
Collapse
|
9
|
Abreu-Placeres N, Grau-Grullón P, Naidu R, García-Godoy F, Newton JT, Ekstrand KR, Pitts N, Lopez Del Valle LM, Féliz-Matos L, Rivera Y, González RF, Rajendra Santosh AB, Morou-Bermudez E, Jácome-Liévano S, Martignon S. Cariology consensus for undergraduates at dental schools in the Caribbean region. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2021; 25:717-732. [PMID: 33369839 DOI: 10.1111/eje.12651] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 11/22/2020] [Accepted: 12/12/2020] [Indexed: 06/12/2023]
Abstract
AIM To obtain a consensus on the domains of cariology for undergraduates in dental schools in the Caribbean. MATERIALS AND METHODS Dental school deans from the Dominican Republic (DR) and Puerto Rico (PR) were invited to participate. Afterwards, 24 cariology faculty members from the dental schools in the DR received a 40-h workshop on the current understanding of dental caries. Then, representatives from participating dental schools in the DR and PR were divided into six groups and tasked with exploring the cariology domains described in the European and Colombian consensus. For each domain, the competencies in what the dental student, upon graduation, would have to (1) be proficient in, (2) have knowledge of, (3) and be familiar with were described. Two cariology consensus meetings to work on the domains and suggest changes for the Caribbean region were done, and representatives from the DR and PR agreed on a cariology consensus. For the second stage, Caribbean English-speaking countries were invited to participate in the consensus. Meetings were held with representatives from dental schools in Trinidad and Tobago (TT) and Jamaica (J) to include their suggestions on each consensus domain. RESULTS A total of 15 dental schools (DR = 12; PR = 1; TT = 1; and J = 1) participated; they agreed on a new consensus considering the realities of the Caribbean participating countries. CONCLUSION A cariology consensus for undergraduates was achieved for 15 dental schools in the Caribbean region. This accomplishment will promote a shift for the Caribbean dental schools' graduates towards a current understanding of dental caries.
Collapse
Affiliation(s)
- Ninoska Abreu-Placeres
- Biomaterials and Dentistry Research Center (CIBO-UNIBE), Research and Innovation Department, Universidad Iberoamericana, Santo Domingo, Dominican Republic
| | - Patricia Grau-Grullón
- Biomaterials and Dentistry Research Center (CIBO-UNIBE), Research and Innovation Department, Universidad Iberoamericana, Santo Domingo, Dominican Republic
| | - Rahul Naidu
- School of Dentistry, The University of the West Indies, Saint Augustine, Trinidad and Tobago
| | - Franklin García-Godoy
- Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee, USA
- Forsyth Research Institute, Cambridge, Massachusetts, USA
| | - Jonathon Timothy Newton
- Psychology as Applied to Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, Kings College London, London, UK
| | - Kim R Ekstrand
- Section of Cariology and Endodontics, School of Dentistry, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Nigel Pitts
- Dental Innovation and Translation Hub, Faculty of Dentistry, Oral & Craniofacial Sciences, Kings College London, London, UK
| | - Lydia M Lopez Del Valle
- Office of Assistant Dean of Research and Surgical Sciences Department, University of Puerto Rico School of Dental Medicine, San Juan, Puerto Rico
| | - Leandro Féliz-Matos
- Biomaterials and Dentistry Research Center (CIBO-UNIBE), Research and Innovation Department, Universidad Iberoamericana, Santo Domingo, Dominican Republic
| | - Yilda Rivera
- Department of Ecological Sciences, University of Puerto Rico School of Dental Medicine, San Juan, Puerto Rico
| | - Ramón F González
- Department of Restorative Sciences, University of Puerto Rico School of Dental Medicine, San Juan, Puerto Rico
| | | | | | - Sofía Jácome-Liévano
- UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Bogotá, Colombia
| | - Stefania Martignon
- UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Bogotá, Colombia
| |
Collapse
|
10
|
Current Novel Caries Diagnostic Technologies: Restorative Dentists' Attitude and Use Preferences. Healthcare (Basel) 2021; 9:healthcare9101387. [PMID: 34683068 PMCID: PMC8535563 DOI: 10.3390/healthcare9101387] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 10/02/2021] [Accepted: 10/14/2021] [Indexed: 11/17/2022] Open
Abstract
Early detection of caries lesions is key to a successful restorative dental treatment plan. The aim of this study was to investigate the preferences and attitude of graduate restorative dentistry residents (RDRs) regarding novel caries diagnostic technologies (NCDT) and to provide a brief overview of available technologies for both specialized and general dental practice. This cross-sectional study used an online questionnaire (17 questions) concerning RDRs’ attitude, preferences, and insights regarding five available NCDTs. It was distributed among twenty RDRs at a local government dental school following a review session about NCDTs. Collected responses were analyzed statistically using one-way analysis of variance (ANOVA), chi-squared with Bonferroni correction, and Kruskal-Wallis tests at a 0.05 significance level. Sixty-five percent of RDRs reported an interest in NCDTs as a discussion topic and almost half of them were positive towards their use, however, sixty percent of respondents were hesitant to diagnose caries solely using NCDTs. Fiber-optic-transillumination (FOTI) systems were ranked the best overall and with regard to all the investigated criteria (p < 0.05). Chosen reasons for FOTI included price followed by ease of use. In general, high price rated as the most perceived reason for not choosing a given NCDT followed by low practical applicability. Meanwhile, ease of use followed by relevant application ranked as the main reported reasons to choose an NCDTs.
Collapse
|
11
|
Kriegler K, Blue CM. Caries Management by Risk Assessment vs. Traditional Preventive Strategies: Effect on Oral Health Behaviors and Caries Diagnoses: A Retrospective Case-Control Observational Design. Clin Case Rep 2021; 9:e04751. [PMID: 34532045 PMCID: PMC8436733 DOI: 10.1002/ccr3.4751] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 07/29/2021] [Accepted: 08/09/2021] [Indexed: 12/04/2022] Open
Abstract
Results showed patients who had undergone Caries Management by Risk Assessment (CAMBRA) had statistically significant lower plaque scores and improved their oral self-care behaviors. This study supports existing evidence that the use of caries management by risk assessment appears to offer a preventive approach to oral health care delivery.
Collapse
Affiliation(s)
- Krista Kriegler
- Division of Dental HygieneUniversity of MinnesotaMinneapolisMinnesotaUS
| | - Christine M. Blue
- University of Minnesota Twin CitiesSchool of DentistryMinneapolisMinnesotaUS
| |
Collapse
|
12
|
Booth ET, Eckert GJ, Fontana M. Variability in caries management decision-making in a dental school setting. J Dent Educ 2021; 86:57-67. [PMID: 34405408 DOI: 10.1002/jdd.12762] [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: 04/28/2021] [Revised: 06/25/2021] [Accepted: 07/29/2021] [Indexed: 11/12/2022]
Abstract
OBJECTIVE To assess variability in caries management decision-making by faculty and dental students. Understanding sources of variability during training can aid in implementing evidence-based clinical decision-making in caries management. METHODS A voluntary, anonymous survey including clinical scenarios was distributed online to dental students in their first (D1) and third-year (D3) of training, and to faculty in the Department of Cariology, Restorative Sciences and Endodontics. RESULTS The response rate was 100% (108/108) for D1 students, 56% (73/130) for D3 students, and 39% (34/88; 12 full-time and 22 part-time) for faculty. D1 students, who were completing a cariology course, were in general more conservative in restorative thresholds for less severe caries lesions than D3 students and sometimes clinical faculty (e.g., for lesions at the DEJ, a significantly [p < 0.05] higher percentage of D3 students would restore these [53%] compared to D1 students and faculty [19% and 18%, respectively; p > 0.05]). For all groups, the threshold for doing restorative intervention was shifted toward less severe caries lesions as the caries risk increased (e.g., very few respondents would restore an occlusal lesion confined to enamel, with significantly [p < 0.05] less percentage of D1 students [lower risk scenario-LR = 4%; higher risk scenario-HR = 22%] compared to D3 students and faculty [LR = 15% and 18%; HR = 66% and 62%, respectively; p > 0.05]). Class lectures/preclinical instructors were the most important factor influencing decision-making for D1 students, versus clinical experiences/instructors for D3 students. CONCLUSION Although the majority of respondents used best-evidence deciding caries management, there was variability in how to manage less severe lesions, with caries risk influencing clinical thresholds, and clinical experiences influencing students' decision-making over time.
Collapse
Affiliation(s)
- Evan T Booth
- Class of 2021 from University of Michigan School of Dentistry, Ann Arbor, Michigan, USA
| | - George J Eckert
- Department of Biostatistics and Health Data Science, Indiana University School of Medicine and Richard M. Fairbanks School of Public Health, Indianapolis, Indiana, USA
| | - Margherita Fontana
- Department of Cariology, Restorative Sciences & Endodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA
| |
Collapse
|
13
|
Donovan T, Nguyen-Ngoc C, Abd Alraheam I, Irusa K. Contemporary diagnosis and management of dental erosion. J ESTHET RESTOR DENT 2021; 33:78-87. [PMID: 33410255 DOI: 10.1111/jerd.12706] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 12/28/2020] [Indexed: 12/28/2022]
Abstract
OBJECTIVE This article is aimed at providing an overview of the topic of erosive tooth wear (ETW), highlighting the clinical signs, diagnosis, and management of dental erosion. OVERVIEW With the increased prevalence of ETW, it is important that oral health professionals are able to recognize the early signs. Early clinical signs of dental erosion are characterized by loss of enamel texture, a silky glossy appearance, and sometimes a dulling of the surface gloss, referred to as the "whipped clay effect, cupping, and restorations 'standing proud'." The progression of ETW should be monitored by means of diagnostic models or clinical photographs. ETW can be as a result of acid attack of extrinsic or intrinsic origin. CONCLUSION There is an increase of ETW that is being recognized by the profession. The first step in diagnosing and management is to recognize as early as possible that the process is occurring. At that point a determination of whether the primary etiology is either intrinsic or extrinsic should be made. If these findings are confirmed, appropriate prevention, and management strategies can be adopted followed by appropriate restorative therapy. CLINICAL SIGNIFICANCE The prevalence of ETW continues to increase. It is therefore important that oral health care providers have a better understanding of the etiology, pathophysiology, and management of this condition. This review aims to provide the guidelines for diagnosis and management of dental erosion.
Collapse
Affiliation(s)
- Terence Donovan
- Division of Comprehensive Oral Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Caroline Nguyen-Ngoc
- Department of Restorative Dentistry, Universite de Montreal, Montreal, Quebec, Canada
| | - Islam Abd Alraheam
- Department of Conservative Dentistry, University of Jordan, Amman, Jordan
| | - Karina Irusa
- Advanced Education in Operative Dentistry and Biomaterials, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| |
Collapse
|
14
|
A survey of cariology education in U.S. dental hygiene programs: The need for a core curriculum framework. J Dent Educ 2020; 84:1348-1358. [DOI: 10.1002/jdd.12348] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 06/29/2020] [Accepted: 07/21/2020] [Indexed: 11/07/2022]
|
15
|
Abstract
Despite evidence strongly supporting use of non-invasive or minimally invasive procedures in caries management, there is still a large gap between evidence-based recommendations and application of these concepts in practice, with the practice of dentistry still largely dominated by invasive procedures in the US. This paper describes efforts in education and clinical practice in the US in the last decade to promote evidence-based cariology strategies, which support a minimum intervention dentistry (MID) philosophy. These include, for example: a competency-based core cariology curriculum framework which has been developed and disseminated. National education accreditation standards supporting caries management are likely to soon be changed to support assessment of best evidence in cariology. There are several ongoing efforts by organised dentistry and other groups involving dental educators, researchers and clinical practitioners to promote cariology concepts in practice, such as the development of evidence-based clinical practice guidelines for caries management by the American Dental Association. Within each of these strategies there are challenges, but also opportunities to expand the implementation of MID in the US, which create optimism for future improvements over time.
Collapse
|
16
|
Chevalier V, Le Fur Bonnabesse A, Duncan HF. Frightened of the pulp? A qualitative analysis of undergraduate student confidence and stress during the management of deep caries and the exposed pulp. Int Endod J 2020; 54:130-146. [PMID: 32867001 DOI: 10.1111/iej.13393] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 08/20/2020] [Accepted: 08/21/2020] [Indexed: 12/20/2022]
Abstract
AIM To evaluate sources of student confidence and stress during the management of deep carious lesions and the exposed pulp during undergraduate clinics. Further aims were to identify barriers and facilitators, which could result in educational or practical improvements in the delivery of teaching and provision of treatment in this area. METHODOLOGY A exploratory qualitative study design was used, based on recorded focus group interviews, guided by 12 predetermined questions. The discussions were transcribed verbatim and analysed by inductive qualitative content analysis. Common categories were identified to aid understanding. Forty undergraduate dental students from 4th and 5th years in Dublin Dental University Hospital participated in the study. RESULTS Student stress and confidence were multifactorial and broadly linked to specific domains: clinical procedure, academic education, clinical training, evaluation/grading, organization and equipment, vital pulp biomaterial and the patient. Most students expressed a preference for one-stage selective carious removal to soft dentine rather than potential pulp exposure in deep carious lesions, noting that although it helped to decrease their immediate stress, it also caused longer-term concern by leaving caries close to the pulp. Nevertheless, their confidence was affected by limited clinical experience of carrying out selective removal procedures in deep caries. A recurrent finding was students citing high levels of stress after pulp exposure. Feelings including anger, fear, embarrassment and denial were associated with pulp exposure during deep caries management. Generally, the students felt able to manage pulp capping procedures, but were less certain about partial pulpotomy, suggesting that although they are aware of its advantages, they were unsure about the appropriate volume of pulp tissue to remove. To reduce stress, students suggested that laboratory teaching should employ new 3-D printed solutions and clinics should establish clear consensus amongst supervising teachers about the best way to manage the exposed pulp. CONCLUSIONS Students lacked confidence as they neared the pulp and prefer selective caries removal techniques, which reduce the likelihood of pulp exposure. Students identified stressors and suggested improvements in several domains that would improve confidence. These ameliorations could lead to enhancements in student ability to perform these conservative techniques, and improve the provision of treatment in this area.
Collapse
Affiliation(s)
- V Chevalier
- Brest University Hospital, University of Bretagne Occidentale, Brest, France.,UMR CNRS 6027, IRDL, University of Bretagne Occidentale, Brest, France.,Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
| | - A Le Fur Bonnabesse
- Brest University Hospital, University of Bretagne Occidentale, Brest, France.,LIEN, University of Bretagne Occidentale, Brest, France
| | - H F Duncan
- Division of Restorative Dentistry and Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
| |
Collapse
|
17
|
Fernández CE, Chanin M, Appice GM, Culver AM, Stein A. Conceptualization of dental caries by dental students is related to their preventive oral care routine. J Dent Educ 2020; 84:1426-1437. [PMID: 32805773 DOI: 10.1002/jdd.12357] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Revised: 07/21/2020] [Accepted: 07/26/2020] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Whether the understanding of dental caries influences how future dentists manage the disease themselves has not been previously studied. Thus, this study evaluated whether the conceptualization (understanding) of dental caries by dental students is related to their own preventive oral care routine. METHODS Dental students at a U.S. dental school (n = 517) were invited to voluntarily respond to an anonymous electronic survey in spring 2018. Demographic characteristics, caries conceptualization (CC), dental care habits, and self-caries risk determination were asked. Discursive responses to CC were analyzed by content analysis technique, and categories [c] were created. Chi-square and Fisher's exact tests were used for analysis. RESULTS Overall response rate was 54.5% (n = 282, 48.2% female). Three researchers independently analyzed discursive answers and classified them into 1 of 6 caries concept categories [c]: [c1] only signs of the disease (10.3%), [c2] bacterial disease-not specifying bacterial metabolism (38.3%), [c3] bacterial byproducts-not specifying substrate (13.8%), [c4] biological or multifactorial concept (24.8%), [c5] comprehensive multifactorial disease (8.2%), or [c6] other (4.6%). Only 33% completely defined dental caries according to the modern understanding of the disease (c4-c5). Statistical differences were found between: CC and diet modification, CC and rinsing after brushing, year of school (YS) and self-determined caries-risk, YS and brushing at school, and YS and rinsing after brushing (P < 0.05). CONCLUSION Our data suggest that the students' understanding of the disease can influence how they will manage the disease in terms of diet modification and behavior after brushing. Moreover, self-caries risk determination influenced students' brushing behavior.
Collapse
Affiliation(s)
- Constanza E Fernández
- Cariology Unit, Department of Oral Rehabilitation, Faculty of Health Sciences, University of Talca, Talca, Chile
| | - Marisa Chanin
- College of Dental Medicine-Illinois (CDMI), Midwestern University, Illinois, USA
| | - Gabriella M Appice
- College of Dental Medicine-Illinois (CDMI), Midwestern University, Illinois, USA
| | - Ashley M Culver
- College of Dental Medicine-Illinois (CDMI), Midwestern University, Illinois, USA
| | - Amy Stein
- Office of Research and Sponsored Programs, Midwestern University, Arizona, USA
| |
Collapse
|
18
|
Tikhonova S, Jessani A, Girard F, Macdonald ME, De Souza G, Tam L, Eggert F, Nguyen‐Ngoc C, Morin N, Aggarwal N, Schroth RJ. The Canadian Core Cariology Curriculum: Outcomes of a national symposium. J Dent Educ 2020; 84:1245-1253. [DOI: 10.1002/jdd.12313] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 06/14/2020] [Accepted: 07/02/2020] [Indexed: 11/06/2022]
Affiliation(s)
| | - Abbas Jessani
- College of Dentistry University of Saskatchewan Saskatoon Saskatchewan Canada
- Schulich School of Medicine & Dentistry University of Western Ontario London Ontario Canada
| | - Felix Girard
- Faculty of Dentistry Université de Montréal Montreal Quebec Canada
| | | | - Grace De Souza
- Faculty of Dentistry University of Toronto Toronto Ontario Canada
| | - Laura Tam
- Faculty of Dentistry University of Toronto Toronto Ontario Canada
| | | | | | - Nathalie Morin
- Faculty of Dentistry McGill University Montreal Quebec Canada
| | - Neha Aggarwal
- Faculty of Dentistry McGill University Montreal Quebec Canada
| | - Robert J. Schroth
- Dr. Gerald Niznick College of Dentistry University of Manitoba Winnipeg Manitoba Canada
| |
Collapse
|
19
|
Dental Caries Preventive Considerations: Awareness of Undergraduate Dental Students. Dent J (Basel) 2020; 8:dj8020031. [PMID: 32244840 PMCID: PMC7345073 DOI: 10.3390/dj8020031] [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: 02/29/2020] [Revised: 03/24/2020] [Accepted: 03/30/2020] [Indexed: 11/16/2022] Open
Abstract
The aim of this study was to assess awareness and knowledge of undergraduate dental students of common caries-related preventive considerations and to highlight these factors in a concise manner to act as a guide for dental practitioners. A sample of 118 undergraduate students at a local government dental school was included. An interactive survey that contains questions related to common preventive strategies against dental caries was presented to the students. The survey contained 22 questions concerning dietary and therapeutic strategies. Students casted their votes using their mobile cellphones. The correct answer for each question was shown to the students, and further discussion was held. Data was collected, and the statistical analysis was conducted using one-sample z- and chi-squared tests at 0.05 significance level. The students answered the questions related to oral hygiene practices, xylitol, and the common knowledge regarding fluoride. The questions related to the use of chlorhexidine, dietary factors, and fluoride formulations were answered mostly incorrectly. The students seemed to grasp details of important concepts of flossing, brushing, reducing frequency of sugar exposure, and the use of fluoride products. Still, more emphasis should be given to increase students’ awareness of dietary guidelines for caries prevention, since adequate knowledge of these modalities is paramount for graduating dentists.
Collapse
|
20
|
Meyer-Lueckel H, Opdam NJM, Breschi L, Buchalla W, Ceballos L, Doméjean S, Federlin M, Field J, Gurgan S, Hayashi M, Laegreid T, Loomans BAC, Lussi A, Lynch CD, Pallesen U, Peumans M, Toth Z, Wilson NHF. EFCD Curriculum for undergraduate students in Integrated Conservative Oral Healthcare (ConsCare). Clin Oral Investig 2019; 23:3661-3670. [PMID: 31270666 DOI: 10.1007/s00784-019-02978-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Accepted: 06/11/2019] [Indexed: 11/30/2022]
Affiliation(s)
- H Meyer-Lueckel
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland.
| | - N J M Opdam
- Radboud Institute for Health Sciences, Department of Dentistry, Radboud University Medical Center, P.O. Box 9101, 6500HB, Nijmegen, The Netherlands
| | - L Breschi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna-Alma Mater Studiorum, Bologna, Italy
| | - W Buchalla
- Department for Conservative Dentistry and Periodontology, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany
| | - L Ceballos
- Departamento de Medicina y Cirugía, Psicología, Medicina Preventiva y Salud Pública e Inmunología y Microbiología Médica y Enfermería y Estomatología, Universidad Rey Juan Carlos, Madrid, Spain
| | - S Doméjean
- Département Odontologie Conservatrice. CHU Estaing Clermont-Ferrand, Service d'Odontologie, 63001 Clermont-Ferrand, UFR d'Odontologie, Centre de Recherche en Odontologie Clinique EA 4847, University Clermont Auvergne, 63000, Clermont-Ferrand, France
| | - M Federlin
- Department for Conservative Dentistry and Periodontology, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany
| | - J Field
- School of Clinical Dentistry, The University of Sheffield, Sheffield, UK
| | - S Gurgan
- Faculty of Dentistry, Department of Restorative Dentistry, Hacettepe University, 06100, Ankara, Turkey
| | - M Hayashi
- Department of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadoka, Suita, Osaka, 565-0871, Japan
| | - T Laegreid
- Section of Cariology, Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Postboks 7804, 5020, Bergen, Norway
| | - B A C Loomans
- Radboud Institute for Health Sciences, Department of Dentistry, Radboud University Medical Center, P.O. Box 9101, 6500HB, Nijmegen, The Netherlands
| | - A Lussi
- Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland
| | - C D Lynch
- University Dental School & Hospital, University College, Cork, Ireland
| | - U Pallesen
- Section for Cariology and Endodontics, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Nörre Alle 20, DK-2200, Copenhagen N, Denmark
| | - M Peumans
- Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Dentistry, KU Leuven (University of Leuven), Kapucijnenvoer 7, B-3000, Leuven, Belgium
| | - Z Toth
- Department of Conservative Dentistry, Semmelweis University, Üllői út 26, Budapest, H-1085, Hungary
| | - N H F Wilson
- Emeritus Professor of Dentistry, King's College London, London, UK
| |
Collapse
|
21
|
Afshari FS, Campbell SD, Curtis DA, Garcia LT, Knoernschild KL, Yuan JCC. Patient-Specific, Risk-Based Prevention, Maintenance, and Supportive Care: A Need for Action and Innovation in Education. J Prosthodont 2019; 28:775-783. [PMID: 30924568 DOI: 10.1111/jopr.13059] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2019] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To develop a competency-based curriculum framework for prevention, supportive care, and maintenance for use in educational and patient care programs and to seek consensus on an overarching competency statement that embraces these critical learning and patient care concepts. MATERIALS AND METHODS A preliminary survey of current preventive and maintenance practices in U.S. dental and prosthodontic programs was completed and summarized with quantitative analysis. The American College of Prosthodontists organized a one-day consensus workshop with 14 participants from various U.S. dental schools with diverse backgrounds to develop a curriculum framework. The curriculum framework was used in the development of a joint competency statement using an iterative, online consensus process of debate and feedback. RESULTS The preliminary survey helped frame the initiative and identify potential educational needs and gaps. Consensus was achieved for a recommended competency statement: "Graduates must be competent in promoting oral health through risk assessment, diagnosis, prevention, and management of the hard tissue, soft tissue, and prostheses, and as part of professional recall and home maintenance." This competency statement complements the proposed curriculum framework designed around 3 domains-caries prevention, periodontal supportive care, and prosthesis supportive care-with a set of recommended learning objectives. CONCLUSIONS Commission on Dental Accreditation (CODA) learning standards do not outline patient-customized, evidence-based recall and home maintenance programs that highlight prevention of dental caries, periodontal supportive care, prosthesis maintenance, and patient education. The proposed competency-based curricular framework serves as an initial step in addressing student learning and patient care within the context of a recall system and home maintenance program while offering schools the needed flexibility for implementation within their curriculum.
Collapse
Affiliation(s)
- Fatemeh S Afshari
- Department of Restorative Dentistry, UIC College of Dentistry, Chicago, IL
| | - Stephen D Campbell
- Department of Restorative Dentistry, UIC College of Dentistry, Chicago, IL
| | - Donald A Curtis
- Department of Prevention and Restorative Dental Sciences, UCSF School of Dentistry, San Francisco, CA
| | - Lily T Garcia
- Department of Prosthodontics, The University of Iowa College of Dentistry, Iowa City, IA
| | | | | |
Collapse
|
22
|
Brons-Piche E, Eckert GJ, Fontana M. Predictive Validity of a Caries Risk Assessment Model at a Dental School. J Dent Educ 2019; 83:144-150. [DOI: 10.21815/jde.019.017] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2018] [Accepted: 08/21/2018] [Indexed: 11/20/2022]
Affiliation(s)
| | - George J. Eckert
- Department of Biostatistics; School of Medicine; Indiana University
| | - Margherita Fontana
- Department of Cariology, Restorative Sciences, and Endodontics; School of Dentistry; University of Michigan
| |
Collapse
|
23
|
Ngoc CN, Mehta R, Donovan TE, Ferreira Zandona AG. Teaching Silver Diamine Fluoride in U.S. Dental Schools' Predoctoral Curricula. J Dent Educ 2018; 82:1305-1309. [PMID: 30504468 DOI: 10.21815/jde.018.141] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Accepted: 04/02/2018] [Indexed: 01/28/2023]
Abstract
Silver diamine fluoride (SDF), a low-cost topical agent used in many countries to arrest dental caries, was cleared as a desensitizing agent by the Food & Drug Administration for the U.S. market in 2014. The aim of this study was to survey U.S. dental schools regarding their teaching of SDF. Email invitations were sent to all accredited U.S. predoctoral dental education programs (n=66) in September 2016. Deans, chairs, and selected faculty members were asked to respond or forward the survey-link provided to the appropriate person in their school. Under the assumption that some respondents from the same school were unaware of SDF implementation across departments, multiple responses from the same school were collapsed for analysis. A total of 62 schools (94% response rate) responded to the survey, and 67.7% of them reported that SDF was part of their curricula. There was a wide variation across dental schools' teaching about SDF indications and protocols of application. All but one school consistently agreed on using SDF for arresting caries on primary teeth. Only 18 respondents were able to confirm if there was an existing protocol at their school for the use of SDF. When re-application after initially arresting caries with SDF was taught, 50% of respondents advocated 2×/year re-application. Schools not teaching SDF (n=20) planned on including it in their curricula in the future. These findings suggest that, with the use of SDF increasing rapidly in the U.S. and its adoption in most dental schools, there is a need for the development of standardized evidence-based protocols.
Collapse
Affiliation(s)
- Caroline Nguyen Ngoc
- Caroline Nguyen Ngoc, DMD, MS, is Assistant Professor, Department of Restorative Dentistry, Faculté de Médecine Dentaire, Université de Montréal; Ritu Mehta, BDS, is Research Assistant, Department of Operative Dentistry, University of North Carolina at Chapel Hill School of Dentistry; Terry E. Donovan, DMD, is Professor, Division of Operative Dentistry and Biomaterials, Department of Restorative Sciences, University of North Carolina at Chapel Hill School of Dentistry; and Andrea G. Ferreira Zandona, DDS, MSD, PhD, is Professor and Chair, Department of Comprehensive Dentistry, Tufts University School of Dental Medicine
| | - Ritu Mehta
- Caroline Nguyen Ngoc, DMD, MS, is Assistant Professor, Department of Restorative Dentistry, Faculté de Médecine Dentaire, Université de Montréal; Ritu Mehta, BDS, is Research Assistant, Department of Operative Dentistry, University of North Carolina at Chapel Hill School of Dentistry; Terry E. Donovan, DMD, is Professor, Division of Operative Dentistry and Biomaterials, Department of Restorative Sciences, University of North Carolina at Chapel Hill School of Dentistry; and Andrea G. Ferreira Zandona, DDS, MSD, PhD, is Professor and Chair, Department of Comprehensive Dentistry, Tufts University School of Dental Medicine
| | - Terry E Donovan
- Caroline Nguyen Ngoc, DMD, MS, is Assistant Professor, Department of Restorative Dentistry, Faculté de Médecine Dentaire, Université de Montréal; Ritu Mehta, BDS, is Research Assistant, Department of Operative Dentistry, University of North Carolina at Chapel Hill School of Dentistry; Terry E. Donovan, DMD, is Professor, Division of Operative Dentistry and Biomaterials, Department of Restorative Sciences, University of North Carolina at Chapel Hill School of Dentistry; and Andrea G. Ferreira Zandona, DDS, MSD, PhD, is Professor and Chair, Department of Comprehensive Dentistry, Tufts University School of Dental Medicine
| | - Andrea G Ferreira Zandona
- Caroline Nguyen Ngoc, DMD, MS, is Assistant Professor, Department of Restorative Dentistry, Faculté de Médecine Dentaire, Université de Montréal; Ritu Mehta, BDS, is Research Assistant, Department of Operative Dentistry, University of North Carolina at Chapel Hill School of Dentistry; Terry E. Donovan, DMD, is Professor, Division of Operative Dentistry and Biomaterials, Department of Restorative Sciences, University of North Carolina at Chapel Hill School of Dentistry; and Andrea G. Ferreira Zandona, DDS, MSD, PhD, is Professor and Chair, Department of Comprehensive Dentistry, Tufts University School of Dental Medicine.
| |
Collapse
|
24
|
Abstract
This article aims to outline the early development of a King's College London dental spinout company, Reminova, formed to commercialize a novel clinical method of caries remineralization: electrically accelerated and enhanced remineralization (EAER). This method is being developed to address the unmet clinical need identified by modern caries management strategies to keep enamel "whole" through remineralization of clinical caries as a form of nonoperative caries treatment for initial-stage and moderate lesions. A progressive movement within dentistry is shifting away from the restorative-only model, which, it is suggested, has failed. The high prevalence of initial-stage caries across populations provides a significant opportunity to prevent restorations and reduce repeat restorations over a patient's lifetime. Reminova has set out to provide a method to repair lesions without drilling, filling, pain, or injections. The article outlines the rationale for and the chronological stages of the technology and company development. It then outlines corroborative evidence to show that EAER treatment can, in this preliminary in vitro investigation, remineralize clinically significant caries throughout the depth of the lesion as measured by Knoop microhardness and corroborated by scanning electron microscopy. Furthermore, the presented data show that EAER-treated enamel is harder than the healthy enamel measured nearby in each sample and is very similar in appearance to healthy enamel from the subjective interpretation made possible by scanning electron microscopy imagery. The data presented also show that this more "complete" remineralization to a high hardness level has been achieved with 2 remineralizing agents via in vitro human tooth samples. The broad clinical potential of this new treatment methodology seems to be very encouraging from these results. Reminova will strive to continue its mission, to ensure that, in the future, dental teams will not need to drill holes for the treatment of initial-stage and moderate caries lesions.
Collapse
Affiliation(s)
- N B Pitts
- 1 Dental Innovation and Translation Centre, King's College London Dental Institute, London, UK.,2 Reminova Ltd., Inveralmond Business Centre, Perth, UK
| | - J P Wright
- 2 Reminova Ltd., Inveralmond Business Centre, Perth, UK
| |
Collapse
|
25
|
Ngoc CN, Donovan TE. Education About Dental Erosion in U.S. and Canadian Dental Schools. J Dent Educ 2018; 82:1296-1304. [DOI: 10.21815/jde.018.140] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Accepted: 03/16/2018] [Indexed: 11/20/2022]
Affiliation(s)
- Caroline Nguyen Ngoc
- Department of Restorative Dentistry, Faculté de Médecine Dentaire; Université de Montréal
| | - Terry E. Donovan
- Department of Operative Dentistry; University of North Carolina at Chapel Hill School of Dentistry
| |
Collapse
|
26
|
Everett AC, Anderson OS, Wright MC, Fontana M. Longitudinal Assessment of Critical Thinking Skills Across a Dental Curriculum. J Dent Educ 2018; 82:921-928. [DOI: 10.21815/jde.018.088] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Accepted: 02/10/2018] [Indexed: 11/20/2022]
Affiliation(s)
| | - Olivia S. Anderson
- Department of Nutritional Sciences; School of Public Health, University of Michigan
| | - Mary C. Wright
- Sheridan Center for Teaching and Learning; Brown University
| | | |
Collapse
|
27
|
Affiliation(s)
- Avijit Banerjee
- BDJ Minimum Intervention Themed Issue and Professor of Cariology &Operative Dentistry, King's College London Dental Institute, King's Health Partners, London, UK
| |
Collapse
|
28
|
Mitchell JK, Furness AR, Sword RJ, Looney SW, Brackett WW, Brackett MG. Diagnosis of Pit-and-fissure Caries Using Three-dimensional Scanned Images. Oper Dent 2018; 43:E152-E157. [PMID: 29676978 DOI: 10.2341/17-076-l] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Diagnosis of the extent of pit-and-fissure caries has been subjective and thus difficult to teach and categorize for treatment planning. This in vitro study compares occlusal caries diagnosis of extracted posterior teeth (n=49) using three-dimensional (3D) scanned images vs visual examination, according to the International Caries Detection and Assessment System (ICDAS). The surfaces chosen for study represent all ICDAS classifications. Five experienced restorative faculty members examined scanned images for 60 seconds from a standardized series of views of each surface and scored them independently. One month later, the same teeth were examined visually by the same five raters with magnification and LED headlamps, with compressed air available. Intrarater and interrater agreement and validity were assessed using intraclass correlation coefficients (ICCs). The ICCs, ranging from 0.90 to 0.93, indicated excellent agreement between and within raters and between the raters and the gold standard ICDAS determination. This suggests that both photographs and 3D scans of pits and fissures are equally effective in diagnosing caries.
Collapse
|
29
|
Pitts NB, Mazevet ME, Mayne C. Shaping the future of dental education: Caries as a case-study. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2018; 22 Suppl 1:30-37. [PMID: 29601679 DOI: 10.1111/eje.12345] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/12/2018] [Indexed: 06/08/2023]
Abstract
This study reports on the full-day workshop "The Shape of The Future of Dental Education for Dental Caries-and how we get there" held immediately prior to the May 2017 ADEE/ADEA/King's College London meeting "Shaping the Future of Dental Education." A standardised, evidence-led Core Curriculum in Cariology (CCC) was developed jointly and systematically by ORCA and ADEE, starting in 2010. At the same time, the ICDAS Foundation was developing a comprehensive caries management system, ICCMS™. The workshop reported on what has been achieved on a global basis by many building on these initiatives. The CCC has been, or is currently being, localised in a number of places around the world and has, in some countries, been successfully implemented. There are also other areas which are struggling more with the logistics of introducing it. The workshop presented geographical perspectives and experiences on implementing the CCC from Colombia, the United States and Europe, as well as professional perspectives from hygienists, students and policymakers. The workshop then considered the future of the CCC and the roles of Interprofessional Education, Technology, Global Networking and Assessment in a Global Context in 4 breakout groups. Having had reports back and plenary discussion, it was concluded that the caries world has made good progress towards a "futuristic" curriculum with parallel development of a comprehensive, preventive and tooth-preserving caries management system-ICCMS™. The implementation challenge is now to share even more effectively in order to have these developments more widely accepted and adopted worldwide.
Collapse
Affiliation(s)
- N B Pitts
- Dental Innovation and Translation Centre (DITC), Kings College London Dental Institute, Guy's Hospital, London, UK
| | - M E Mazevet
- Dental Innovation and Translation centre (DITC), Kings College London Dental Institute, London, UK
| | - C Mayne
- The Alliance for a Cavity-Free Future, King's College London Dental Institute, London, UK
| |
Collapse
|
30
|
Pitts NB. The shape of the future of dental education for dental caries- and how we get there: Introduction to the ACFF Caries Workshop. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2018; 22 Suppl 1:28-29. [PMID: 29601681 DOI: 10.1111/eje.12344] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/12/2018] [Indexed: 06/08/2023]
Affiliation(s)
- N B Pitts
- Dental Innovation and Translation Centre (DITC), Kings College London Dental Institute, Guy's Hospital, London, UK
| |
Collapse
|
31
|
Tikhonova S, Girard F, Fontana M. Cariology Education in Canadian Dental Schools: Where Are We? Where Do We Need to Go? J Dent Educ 2018; 82:39-46. [PMID: 29292324 DOI: 10.21815/jde.018.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Accepted: 09/07/2017] [Indexed: 11/20/2022]
Abstract
The aim of this study was to document cariology education across Canadian dental schools. Ten faculty members who supervise cariology education at each of the ten Canadian dental schools were invited to participate in the study in 2016. An adapted version of the European Organization for Caries Research-Association for Dental Education in Europe cariology curriculum group questionnaire was used. Representatives of all ten dental schools completed the questionnaire, for a 100% response rate. In four schools, cariology and restorative dentistry were taught by the same department. Five schools had didactic/laboratory courses focusing primarily on cariology as well as a specific written curriculum. Six schools provided cariology-related hands-on workshops/laboratories before students started working with patients. In teaching cariology, seven institutions included dental hard tissues defects. The following caries detection methods were addressed didactically in cariology education: visual (10/10 total schools), tactile (9/10), International Caries Detection and Assessment System criteria (6/10), caries activity assessment (9/10), radiographic (10/10), and other detection tools (8/10). Seven schools charted activity of carious lesions in clinic. Only one school used the concept of caries risk assessment regularly in clinic. Clinical cariology teaching was carried out mostly by private dentists hired as clinical instructors (7/10) and faculty members involved in didactic cariology education (9/10). Calibration of faculty members for caries detection criteria was reported by only one school. The main concern reported by all institutions was the difficulty of implementing didactic instruction on cariology into clinical training. This study found that contemporary cariology concepts are in the process of being implemented in didactic education across Canadian dental schools, but all schools lacked appropriate integration of cariology education into clinical training. These findings suggest a need for harmonization of evidence-based cariology education in Canada.
Collapse
Affiliation(s)
- Svetlana Tikhonova
- Dr. Tikhonova is Faculty Lecturer, Faculty of Dentistry, McGill University; Dr. Girard is Assistant Professor, Department of Oral Health, Faculty of Dentistry, Université de Montréal; Dr. Fontana is Professor of Cariology, School of Dentistry, University of Michigan.
| | - Félix Girard
- Dr. Tikhonova is Faculty Lecturer, Faculty of Dentistry, McGill University; Dr. Girard is Assistant Professor, Department of Oral Health, Faculty of Dentistry, Université de Montréal; Dr. Fontana is Professor of Cariology, School of Dentistry, University of Michigan
| | - Margherita Fontana
- Dr. Tikhonova is Faculty Lecturer, Faculty of Dentistry, McGill University; Dr. Girard is Assistant Professor, Department of Oral Health, Faculty of Dentistry, Université de Montréal; Dr. Fontana is Professor of Cariology, School of Dentistry, University of Michigan
| |
Collapse
|
32
|
Field JC, Kavadella A, Szep S, Davies JR, DeLap E, Manzanares Cespedes MC. The Graduating European Dentist-Domain III: Patient-Centred Care. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2017; 21 Suppl 1:18-24. [PMID: 29205781 DOI: 10.1111/eje.12310] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/11/2017] [Indexed: 06/07/2023]
Abstract
This position paper outlines the areas of competence and learning outcomes of "The Graduating European Dentist" that specifically relate to patient-centred care. This approach is becoming increasingly prominent within the literature and within policy documents. Whilst working to an evidence base is critical, dentists must also be aware of the scientific basis that underpins the treatment they provide. The evaluation process, which supports treatment planning, also requires dentists to be able to listen, collate, and record pertinent information effectively. In addition, the ability to account for a patient's social, cultural and linguistic needs (cultural competence) will result in a practitioner who is able to treatment plan for patient-centred care.
Collapse
Affiliation(s)
- J C Field
- The University of Sheffield, Sheffield, UK
| | | | - S Szep
- University of Frankfurt, Frankfurt, Germany
| | | | - E DeLap
- Trinity College Dublin, Dublin 2, Ireland
| | | |
Collapse
|
33
|
Field JC, Cowpe JG, Walmsley AD. The Graduating European Dentist: A New Undergraduate Curriculum Framework. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2017; 21 Suppl 1:2-10. [PMID: 29205782 DOI: 10.1111/eje.12307] [Citation(s) in RCA: 109] [Impact Index Per Article: 15.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/11/2017] [Indexed: 05/05/2023]
Abstract
With "The Graduating European Dentist", ADEE provides a new approach that reflects best academic practice for European undergraduate dental education. The new suite of documents sees increased emphasis on important curriculum components such as patient safety, working as a team and patient-centred care. There is also an increased emphasis on teaching excellence, student satisfaction and student preparedness and support. Guidance relating to methods of teaching and learning, and assessment (educational measurement), is also provided. It is anticipated that this new format will further increase accessibility and utility for educators, institutions, societies and regulators, across the sector.
Collapse
Affiliation(s)
- J C Field
- The University of Sheffield, Sheffield, UK
| | | | | |
Collapse
|
34
|
Kracher C, Breen C, McMahon K, Gagliardi L, Miyasaki C, Landsberg K, Reed C. The Evolution of the Dental Assisting Profession. J Dent Educ 2017; 81:eS30-eS37. [PMID: 28864801 DOI: 10.21815/jde.017.031] [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] [Received: 02/02/2017] [Accepted: 02/28/2017] [Indexed: 11/20/2022]
Abstract
The objectives of this article are to describe the dental assistant's role in the dental delivery system; assess the educational structure of the dental assisting profession; and project factors likely to impact the future role of the dental assistant. The article summarizes the current status and trends of the dental assisting profession including general responsibilities, credentialing, and regulation. An overview of the workforce and parameters of employment is provided with a description of the broad scope of practice, education, and licensure options, which vary by state. Existing academic models and enrollment trends in accredited dental programs are included, as are the strengths and weaknesses of the current educational system. Multiple factors may impact the future of this profession. To address the anticipated increase in the demand for and responsibilities of dental assistants, curricular revisions will be needed to prepare for implementation of interprofessional care models in which dental assistants will play a vital role. Well-educated dental assistants will be needed to support viable models of dental care and wellness in the U.S. Enhanced career opportunities and varied employment environments may increase job satisfaction and practice longevity. As protection of the public is of the utmost importance in the dental profession, this evolving dental clinician must be formally educated in all aspects of clinical practice and be permitted to perform delegated patient care, as legally allowed by their states. This article was written as part of the project "Advancing Dental Education in the 21st Century."
Collapse
Affiliation(s)
- Connie Kracher
- Dr. Kracher is Director, Institute for Research and Associate Professor, Department of Dental Education, Indiana University-Purdue University; Dr. Breen is Professor and Chair, Department of Allied Dental Education, Rutgers University School of Health Professions; Prof. McMahon is a faculty member, Department of Allied Dental Education, Rutgers School of Dental Medicine; Dr. Gagliardi is Professor and Program Administrator of Dental Assisting, Pasadena City College; Prof. Miyasaki is Department Chair, Dental Assisting Program, Foothill College; Ms. Landsberg is Assistant Director of Government Relations, Dental Assisting National Board; and Prof. Reed is Department Chair, Dental Assisting Program, Hillsborough Community College.
| | - Carolyn Breen
- Dr. Kracher is Director, Institute for Research and Associate Professor, Department of Dental Education, Indiana University-Purdue University; Dr. Breen is Professor and Chair, Department of Allied Dental Education, Rutgers University School of Health Professions; Prof. McMahon is a faculty member, Department of Allied Dental Education, Rutgers School of Dental Medicine; Dr. Gagliardi is Professor and Program Administrator of Dental Assisting, Pasadena City College; Prof. Miyasaki is Department Chair, Dental Assisting Program, Foothill College; Ms. Landsberg is Assistant Director of Government Relations, Dental Assisting National Board; and Prof. Reed is Department Chair, Dental Assisting Program, Hillsborough Community College
| | - Kim McMahon
- Dr. Kracher is Director, Institute for Research and Associate Professor, Department of Dental Education, Indiana University-Purdue University; Dr. Breen is Professor and Chair, Department of Allied Dental Education, Rutgers University School of Health Professions; Prof. McMahon is a faculty member, Department of Allied Dental Education, Rutgers School of Dental Medicine; Dr. Gagliardi is Professor and Program Administrator of Dental Assisting, Pasadena City College; Prof. Miyasaki is Department Chair, Dental Assisting Program, Foothill College; Ms. Landsberg is Assistant Director of Government Relations, Dental Assisting National Board; and Prof. Reed is Department Chair, Dental Assisting Program, Hillsborough Community College
| | - Lorraine Gagliardi
- Dr. Kracher is Director, Institute for Research and Associate Professor, Department of Dental Education, Indiana University-Purdue University; Dr. Breen is Professor and Chair, Department of Allied Dental Education, Rutgers University School of Health Professions; Prof. McMahon is a faculty member, Department of Allied Dental Education, Rutgers School of Dental Medicine; Dr. Gagliardi is Professor and Program Administrator of Dental Assisting, Pasadena City College; Prof. Miyasaki is Department Chair, Dental Assisting Program, Foothill College; Ms. Landsberg is Assistant Director of Government Relations, Dental Assisting National Board; and Prof. Reed is Department Chair, Dental Assisting Program, Hillsborough Community College
| | - Cara Miyasaki
- Dr. Kracher is Director, Institute for Research and Associate Professor, Department of Dental Education, Indiana University-Purdue University; Dr. Breen is Professor and Chair, Department of Allied Dental Education, Rutgers University School of Health Professions; Prof. McMahon is a faculty member, Department of Allied Dental Education, Rutgers School of Dental Medicine; Dr. Gagliardi is Professor and Program Administrator of Dental Assisting, Pasadena City College; Prof. Miyasaki is Department Chair, Dental Assisting Program, Foothill College; Ms. Landsberg is Assistant Director of Government Relations, Dental Assisting National Board; and Prof. Reed is Department Chair, Dental Assisting Program, Hillsborough Community College
| | - Katherine Landsberg
- Dr. Kracher is Director, Institute for Research and Associate Professor, Department of Dental Education, Indiana University-Purdue University; Dr. Breen is Professor and Chair, Department of Allied Dental Education, Rutgers University School of Health Professions; Prof. McMahon is a faculty member, Department of Allied Dental Education, Rutgers School of Dental Medicine; Dr. Gagliardi is Professor and Program Administrator of Dental Assisting, Pasadena City College; Prof. Miyasaki is Department Chair, Dental Assisting Program, Foothill College; Ms. Landsberg is Assistant Director of Government Relations, Dental Assisting National Board; and Prof. Reed is Department Chair, Dental Assisting Program, Hillsborough Community College
| | - Constance Reed
- Dr. Kracher is Director, Institute for Research and Associate Professor, Department of Dental Education, Indiana University-Purdue University; Dr. Breen is Professor and Chair, Department of Allied Dental Education, Rutgers University School of Health Professions; Prof. McMahon is a faculty member, Department of Allied Dental Education, Rutgers School of Dental Medicine; Dr. Gagliardi is Professor and Program Administrator of Dental Assisting, Pasadena City College; Prof. Miyasaki is Department Chair, Dental Assisting Program, Foothill College; Ms. Landsberg is Assistant Director of Government Relations, Dental Assisting National Board; and Prof. Reed is Department Chair, Dental Assisting Program, Hillsborough Community College
| |
Collapse
|
35
|
Young DA, Alvear Fa B, Rogers N, Rechmann P. The Effect of Calibration on Caries Risk Assessment Performance by Students and Clinical Faculty. J Dent Educ 2017; 81:667-674. [PMID: 28572412 DOI: 10.21815/jde.017.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Accepted: 02/09/2017] [Indexed: 11/20/2022]
Abstract
Caries management requires a complete oral examination and an accurate caries risk assessment (CRA). Performing Caries Management by Risk Assessment (CAMBRA) is inefficient when the caries risk level assignment is incorrect. The aim of this study was to evaluate the ability of faculty members and students at one U.S. dental school to correctly assign caries risk levels for 22 CRA cases, followed by calibration with guidelines on how to use the CRA form and a post-calibration test two months after calibration. Inter-examiner reliability to a gold standard (consensus of three experts) was assessed as poor, fair, moderate, good, and very good. Of the 162 students and 125 faculty members invited to participate, 13 students and 20 faculty members returned pre-calibration tests, for response rates of 8% and 16%, respectively. On the post-calibration test, eight students and 13 faculty members participated for response rates of 5% and 10%, respectively. Without guidelines and calibration, both faculty members and students when evaluated as one group performed only poor to fair in assigning correct caries risk levels. After calibration, levels improved to good and very good agreements with the gold standard. When faculty and students were evaluated separately, in the pre-calibration test they correctly assigned the caries risk level on average in only one-quarter of the cases (students 24.1%±13.3%; faculty 23.6%±17.5%). After calibration, both groups significantly improved their correct assignment rate. Faculty members (73.8% correct assignments) showed even significantly higher correct assignment rates than students (47.7% correct assignments). These findings suggest that calibration with a specific set of guidelines improved CRA outcomes for both the faculty members and students. Improved guidelines on how to use a CRA form should lead to improved caries risk assessment and proper treatment strategy for patients.
Collapse
Affiliation(s)
- Douglas A Young
- Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Fa is Assistant Professor, Department of Integrated Reconstructive Dental Sciences, Arthur A. Dugoni School of Dentistry, University of the Pacific; Mr. Rogers is Administrative Lead for Personalized Instructional Programs, Department of Academic Affairs, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco.
| | - Bernadette Alvear Fa
- Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Fa is Assistant Professor, Department of Integrated Reconstructive Dental Sciences, Arthur A. Dugoni School of Dentistry, University of the Pacific; Mr. Rogers is Administrative Lead for Personalized Instructional Programs, Department of Academic Affairs, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco
| | - Nicholas Rogers
- Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Fa is Assistant Professor, Department of Integrated Reconstructive Dental Sciences, Arthur A. Dugoni School of Dentistry, University of the Pacific; Mr. Rogers is Administrative Lead for Personalized Instructional Programs, Department of Academic Affairs, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco
| | - Peter Rechmann
- Dr. Young is Professor, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Fa is Assistant Professor, Department of Integrated Reconstructive Dental Sciences, Arthur A. Dugoni School of Dentistry, University of the Pacific; Mr. Rogers is Administrative Lead for Personalized Instructional Programs, Department of Academic Affairs, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Rechmann is Professor and Director of Clinical Sciences Research Group, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco
| |
Collapse
|
36
|
Mitchell J, Brackett M, Brackett W. Caries Management with the International Caries Detection and Assessment System II: Established Pit and Fissure Lesions. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2017; 13:10602. [PMID: 30800804 PMCID: PMC6338171 DOI: 10.15766/mep_2374-8265.10602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Accepted: 06/22/2017] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Operative dentistry addresses the surgical management of caries, a significant portion of dental practice. Dental students, who typically develop their skill sets in this important discipline by creating idealized preparations in plastic teeth, are often confused by the wide variety of tooth anatomy and caries presentation they see when they subsequently treat patients. To address this significant clinical transition issue, we developed this resource on preparing the moderate carious lesion using a stepwise, structured technique. METHODS This resource consists of a flipped-classroom learning module and associated laboratory activity with an algorithm worksheet to practice critical thinking skills. Prior to the exercise, an interactive tutorial introduces the didactic background. The 4-hour class session starts with a short quiz and review, then learners use the worksheet to prepare and restore their tooth specimens. RESULTS Learner response has been very positive. Moreover, faculty note that learners' skills in treating patients in clinic are noticeably higher and require less faculty intervention than was previously the case. DISCUSSION Since new national curriculum standards for caries are currently being introduced, in addition to providing instruction to dental students, this resource presents an excellent opportunity to calibrate faculty members, who are a secondary learner group in this exercise, on a standard clinical protocol.
Collapse
Affiliation(s)
- Jan Mitchell
- Associate Professor, Restorative Sciences, Dental College of Georgia at Augusta University
| | - Martha Brackett
- Professor, Restorative Sciences, Dental College of Georgia at Augusta University
| | - William Brackett
- Professor, Restorative Sciences, Dental College of Georgia at Augusta University
| |
Collapse
|
37
|
Cortes A, Ekstrand KR, Gamboa LF, González L, Martignon S. Caries status in young Colombian children expressed by the ICCMS™ visual/radiographic combined caries staging system. Acta Odontol Scand 2017; 75:12-20. [PMID: 27776449 DOI: 10.1080/00016357.2016.1242154] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To report (1) the caries experience prevalence and mean, and the caries severity and distribution patterns, expressed clinically and combined with radiographs with the conventional and ICCMS™ systems in young children from Bogotá, Colombia; (2) the contribution of including radiographs to the clinical caries scoring and (3) in which surfaces the radiograph adds to the clinical caries registration. MATERIAL AND METHODS Six hundred children from kindergartens/schools were enrolled: Cohort A: 2-year (n = 200), Cohort B: 4-year (n = 200) and Cohort C: 6-year (n = 200) olds. Radiographs were taken of the 4- and 6- year olds. Children were examined clinically using the Clinical (C) and Radiographic (R) ICCMS™-epi Caries Scoring Systems, staging caries lesions (d) as: Initial (Cepi/RA), Moderate (CM/RB) or Extensive (CE/RC). Caries experience including missing (m) and filled (f) surfaces was expressed as follows: clinical conventional (CdMEmfs); clinical ICCMS™ (CdepiMEmfs); combined conventional (C + RdMEmfs) and combined ICCMS™ (C + RdepiMEmfs). RESULTS The prevalence of CdMEmfs was: Cohort A: 32%; Cohort B: 59%; Cohort C: 67.5%, increasing to 73.5%, 99.8% and 100%, respectively, with the C + R depiMEmfs. The CdMEmfs means doubled when initial caries lesions (Cdepi) and radiographs (R) were included. The d component corresponded to over two-thirds of the caries experience. Findings on the radiographs significantly raised caries experience prevalence and means (p < .02), detecting primarily approximal lesions. Surfaces with highest caries frequency were occlusal/approximal of molar teeth and buccal of upper incisor teeth. CONCLUSION Participants' caries experience was high. The radiographic assessment significantly contributed to caries experience. Molar and upper incisor teeth were most prone to caries.
Collapse
|
38
|
Nascimento MM, Behar-Horenstein LS, Feng X, Guzmán-Armstrong S, Fontana M. Exploring How U.S. Dental Schools Teach Removal of Carious Tissues During Cavity Preparations. J Dent Educ 2017. [DOI: 10.1002/j.0022-0337.2017.81.1.tb06241.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Marcelle M. Nascimento
- Department of Restorative Dental Sciences; Division of Operative Dentistry; College of Dentistry; University of Florida
| | - Linda S. Behar-Horenstein
- Colleges of Dentistry, Education, Veterinary Medicine, and Pharmacy; CTSI Educational Development and Evaluation; HRSA Faculty Development in Dentistry; University of Florida
| | - Xiaoying Feng
- School of Human Development and Organizational Studies in Education; College of Education; University of Florida
| | | | - Margherita Fontana
- Department of Cariology; Restorative Sciences, and Endodontics; School of Dentistry; University of Michigan
| |
Collapse
|