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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.
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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
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Restrepo M, Rojas-Gualdrón DF, de Farias AL, Escobar A, Vélez LF, Bussaneli DG, Santos-Pinto L. Development of undergraduate students' diagnostic accuracy for the classification of molar incisor hypomineralization. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2024; 28:154-160. [PMID: 37379461 DOI: 10.1111/eje.12932] [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: 11/18/2022] [Revised: 04/18/2023] [Accepted: 06/09/2023] [Indexed: 06/30/2023]
Abstract
INTRODUCTION One of the major difficulties with respect to molar incisor hypomineralization (MIH) is its classification and differentiation from other enamel development defects (EDDs). The aim of this study was to evaluate diagnostic accuracy in dental students to classify MIH as well as its differentiation from other EDDs by combining conventional theoretical classes and e-learning-assisted pre-clinical practices. METHODS In this one-group pre-test and post-test study, 59 second-year students assessed 115 validated photographs using the MIH Index on the Moodle learning platform. This index assesses the clinical features and extent of MIH, differentiating it from other EDDs. Students received automatic feedback after the pre-test. Two weeks later, students re-evaluated the same photographs. Both pairwise accuracy and overall diagnostic accuracy were estimated and compared for pre- and post-testing, with the area under the curve AUC, along with 95% confidence intervals (95% CI). RESULTS The lowest diagnostic accuracy was for the ability to discriminate between white or cream-coloured demarcated opacities and hypomineralization-type defect that is not MIH. The overall pre-test accuracy was AUC = 0.83 and increased significantly post-test to AUC = 0.99 (p < .001). The overall accuracy to discriminate the extent of the lesion also increased significantly post-test (p < .001). CONCLUSION Diagnostic skills to classify MIH can be developed by combining conventional theoretical classes and e-learning-assisted pre-clinical practices.
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Affiliation(s)
- Manuel Restrepo
- Basic and Clinical Research Group in Dentistry, School of Dentistry, CES University, Medellín, Colombia
| | | | - Aline Leite de Farias
- School of Dentistry, CES University, Medellín, Colombia
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (Unesp), Araraquara School of Dentistry, Araraquara, São Paulo, Brazil
| | - Alfonso Escobar
- Basic and Clinical Research Group in Dentistry, School of Dentistry, CES University, Medellín, Colombia
| | - Luís Fernando Vélez
- Basic and Clinical Research Group in Dentistry, School of Dentistry, CES University, Medellín, Colombia
| | - Diego Girotto Bussaneli
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (Unesp), Araraquara School of Dentistry, Araraquara, São Paulo, Brazil
| | - Lourdes Santos-Pinto
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (Unesp), Araraquara School of Dentistry, Araraquara, São Paulo, Brazil
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Sampaio FC, Bönecker M, Paiva SM, Arthur RA, Cohen-Carneiro F, Ditterich R, Pires FS, Wang L, Cavalcante LM, Gatti-Reis L, Spínola VB, Martignon S, Malheiros Z, Stewart B, Carcereri DL, Scavuzzi AI, Fontanella V. Consensus for teaching dental caries in the Portuguese Language at Brazilian dental schools. Braz Oral Res 2023; 37:e120. [PMID: 38055571 DOI: 10.1590/1807-3107bor-2023.vol37.0120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 10/03/2023] [Indexed: 12/08/2023] Open
Abstract
The aim of this paper was to present a summary of the process of developing and preparing the final documents of the national consensus for teaching undergraduate Brazilian dental students the dental caries curriculum in the Portuguese language. The final document was developed in three steps: a) The ABENO and LAOHA cariology group invited experts from all five regions of Brazil to participate in the discussion. The theoretical support for crafting the first draft of the consensus was based on two publications: National Curriculum Guidelines of the Dentistry graduation in Brazil, Ministry of Education (2021) and the competences described in the European Core Curriculum for Cariology (ORCA-ADEE, 2011); b) The group of experts was divided into 5 working groups: G1-Domain, Main and Specific Competences, G2-Essential knowledge, G3-Life course perspective, G4-Social determinants and dental caries, G5- Glossary. The document was finalized by thoroughly reviewing the process using Delphi methodology; c) The 5-chapter document (one from each working group) was submitted to three open public consultations in 2022 (May-June, August, and October) using Google-forms. The suggestions (content/wording) were discussed within the group as: totally accepted, partially accepted, and rejected. A total of 192 suggestions were registered from 31 dental schools in all regions of Brazil. The number of suggestions received per Group were: 84, 28, 26, 24, 30 suggestions for G1, G2, G3, G4 and G5, respectively. The majority of suggestions were totally accepted by the group of experts (n = 172, 89.6%), 15 were partially accepted (7.8%), and 5 were rejected. Conclusion The final document could be considered to be the first national consensus for teaching the dental caries curriculum in Brazil.
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Affiliation(s)
- Fabio Correia Sampaio
- Universidade Federal da Paraíba - UFPB, Department of Clinical and Community Dentistry , Health Science Center , Joao Pessoa , PB , Brazil
| | - Marcelo Bönecker
- Universidade de São Paulo - USP, School of Dentistry , Department of Pediatric Dentistry , São Paulo , SP , Brazil
| | - Saul Martins Paiva
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry , Department of Pediatric Dentistry , Belo Horizonte , MG , Brazil
| | - Rodrigo Alex Arthur
- Universidade Federal do Rio Grande do Sul - UFRGS, Dental School , Department of Preventive and Community Dentistry , Porto Alegre , RS , Brazil
| | | | - Rafael Ditterich
- Universidade Federal do Paraná - UFPR, Department of Community Dentistry , Curitiba , PR , Brazil
| | - Fabiana Schneider Pires
- Universidade Federal do Rio Grande do Sul - UFRGS, Dental School , Department of Preventive and Community Dentistry , Porto Alegre , RS , Brazil
| | - Linda Wang
- Universidade de São Paulo - USP, Bauru, School of Dentistry , Department of Operative Dentistry, Endodontics and Dental Materials , Bauru , SP , Brazil
| | | | - Luisa Gatti-Reis
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry , Department of Pediatric Dentistry , Belo Horizonte , MG , Brazil
| | - Vitoria Borges Spínola
- Universidade de São Paulo - USP, School of Dentistry , Department of Pediatric Dentistry , São Paulo , SP , Brazil
| | - Stefania Martignon
- UNICA - Caries Research Unit, Research Department , Universidad El Bosque , Bogotá , Colombia
| | - Zilson Malheiros
- Latin American Oral Health Association - LAOHA, São Paulo , SP , Brazil
| | - Bernal Stewart
- Latin American Oral Health Association - LAOHA, São Paulo , SP , Brazil
| | | | - Ana Isabel Scavuzzi
- Universidade Estadual de Feira de Santana - UEFS, Feira de Santana , BA , Brazil
| | - Vania Fontanella
- ABENO, Brazilian Association of Dental Education , Florianópolis , Brazil
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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.
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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
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Abreu-Placeres N, Newton JT, Avila V, Garrido LE, Jácome-Liévano S, Pitts NB, Ekstrand KR, Ochoa EM, Martignon S. How do dental practitioners, educators and students diagnose and manage caries risk and caries lesions? A COM-B analysis. Community Dent Oral Epidemiol 2023; 51:265-273. [PMID: 35229897 DOI: 10.1111/cdoe.12735] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 02/11/2022] [Accepted: 02/21/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The International Caries Classification and Management System (ICCMS™), a comprehensive, evidence-informed, best clinical practice system, comprises a 4D cycle: 1D-Determine risk; 2D-Detect and assess lesions; 3D-Decide on a personalized care plan; and 4D-Do preventive and tooth-preserving care. The aim of this study was to establish how Colombian dental practitioners, educators and students diagnose and manage caries risk and caries lesions using the COM-B model and the ICCMS™ system. METHODS A total of 1094 participants (practitioners: n = 277; educators: n = 212; students: n = 605) completed a previously validated 79-item questionnaire which explores, based on the COM-B model, the practitioners' self-reported caries diagnosis and management behaviours. Descriptive statistics, Welch's ANOVAs and multiple linear regressions were computed. RESULTS All groups generally performed the behaviours within the 4-D categories 'Most of the time' to 'Always' (students: 4.06 ± 0.95; educators: 3.94 ± 0.98; practitioners: 3.86 ± 1.01). The most frequently performed diagnosis behaviours (1D/2D) were for practitioners assessing initial/moderate lesions (4.09 ± 1.01) and for educators and students cleaning teeth before lesion assessment (4.41 ± 0.80 and 4.38 ± 0.77 respectively). The least frequently performed decision/management (3D/4D) behaviour was non-operative care for moderate-caries lesions (when applicable) (practitioners: 2.64 ± 1.23; educators: 2.68 ± 1.17; students: 3.22 ± 1.41). Opportunity (Resources and Relevance) was the best COM-B predictor for diagnostic behaviours, whereas capability and opportunity (Relevance) were the strongest predictors for management behaviours. CONCLUSION Colombian practitioners, educators and students diagnose and manage caries risk and caries lesions implementing best practice with a high to very high frequency.
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Affiliation(s)
- Ninoska Abreu-Placeres
- UNICA - Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
- Biomaterials and Dentistry Research Center (CIBO-UNIBE), Research and Innovation Department, Universidad Iberoamericana, Santo Domingo, Dominican Republic
| | - Jonathon Tim Newton
- Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK
| | - Viviana Avila
- UNICA - Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
| | - Luis E Garrido
- School of Psychology, Pontificia Universidad Católica Madre y Maestra, Santo Domingo, Dominican Republic
| | - Sofia Jácome-Liévano
- UNICA - Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
| | - Nigel B Pitts
- Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK
| | - Kim R Ekstrand
- Section of Cariology and Endodontics, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Emilia M Ochoa
- Dental School, Universidad Cooperativa de Colombia, Envigado, Colombia
- Dental School, Universidad de Antioquia, Medellín, Colombia
| | - Stefania Martignon
- UNICA - Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia
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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.
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Jablonski-Momeni A, Korbmacher-Steiner H, Temming A, Wernke P, Heinzel-Gutenbrunner M, Haak R, Krause F. Knowledge of undergraduate dental students regarding management of caries lesions. BDJ Open 2022; 8:9. [PMID: 35365612 PMCID: PMC8976014 DOI: 10.1038/s41405-022-00101-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 03/09/2022] [Accepted: 03/14/2022] [Indexed: 11/17/2022] Open
Abstract
Objectives Understanding of lifelong control of disease processes associated with caries and its management is an essential part of dental education. This study evaluated the dental students’ knowledge of caries diagnosis and management using the International Caries Classification and Management System (ICCMS). Methods A survey was conducted among undergraduate dental students at two dental schools, attending the sixth (centre 1) and seventh semester (centre 2), respectively. Medical histories, clinical images and radiographs of 12 patients were compiled as anonymous cases. For each case, a specific lesion was to be assessed. In addition, the students should determine the patient’s caries risk and select a treatment option. An expert report (consensus decision) was used as the reference standard. For statistical analysis, kappa statistics and binomial tests were used. Results A total of 46 students participated in this study. The percentage of agreement of responses to the reference was: centre 1: 40.7–51.3%, centre 2: 57.9–67.9%. The corresponding Kappa values were: centre 1: 0.073–0.175, centre 2: 0.315–0.432. Overall, students tended to underestimate the codes compared to the reference standard (p < 0.001). Conclusion Introducing systematic content about caries diagnosis and management such as ICDAS and ICCMS in the learning objectives of undergraduate dental students can be proposed. However, in order to improve diagnosis and enable a more reliable choice of treatment options, attention should also be given to the way they are didactically taught.
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Affiliation(s)
- Anahita Jablonski-Momeni
- Department of Orthodontics, Medical Faculty, Dental School, Philipps-University Marburg, Marburg, Germany.
| | - Heike Korbmacher-Steiner
- Department of Orthodontics, Medical Faculty, Dental School, Philipps-University Marburg, Marburg, Germany
| | - Alexa Temming
- Department of Orthodontics, Medical Faculty, Dental School, Philipps-University Marburg, Marburg, Germany
| | - Pia Wernke
- Department of Orthodontics, Medical Faculty, Dental School, Philipps-University Marburg, Marburg, Germany
| | | | - Rainer Haak
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany
| | - Felix Krause
- Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany.,Clinic for Operative Dentistry, Periodontology and Preventive Dentistry, University Hospital RWTH Aachen, Aachen, Germany
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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.
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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
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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.
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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
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10
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AMORIM JUNIOR LAD, BRAGA BR, CASTRO CG, CORRÊA-FARIA P. Minimal intervention procedures: evaluating how much pediatric dentists really know about this field. Braz Oral Res 2022; 36:e0124. [DOI: 10.1590/1807-3107bor-2022.vol36.0124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 05/02/2022] [Indexed: 12/24/2022] Open
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11
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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.
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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
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12
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Sampaio FC, Bönecker M, Paiva SM, Martignon S, Ricomini Filho AP, Pozos-Guillen A, Oliveira BH, Bullen M, Naidu R, Guarnizo-Herreño C, Gomez J, Malheiros Z, Stewart B, Ryan M, Pitts N. Dental caries prevalence, prospects, and challenges for Latin America and Caribbean countries: a summary and final recommendations from a Regional Consensus. Braz Oral Res 2021; 35:e056. [PMID: 34076080 DOI: 10.1590/1807-3107bor-2021.vol35.0056] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 03/12/2021] [Indexed: 11/21/2022] Open
Abstract
Dental caries can be effectively managed and prevented from developing into cavitated lesions while preserving tooth structure at all levels. However, the strong correlation between caries and socioeconomic factors may compromise the efficacy of preventive strategies. The high prevalence of persistent inequalities in dental caries in Latin American and Caribbean countries (LACC) is a matter of concern. The estimates of the burden of disease in some countries in this region are outdated or absent. This paper aims to summarize and present the final recommendations of a regional Consensus for Dental Caries Prevalence, Prospects, and Challenges for LACC. This consensus is based on four articles that were written by a team of Latin American experts, reviewed by dental associations, and presented and discussed in two consensus events. The following domains were explored: epidemiology, risk factors, prevention strategies, and management of dental caries with a focus on restorative procedures. Dental caries can manifest throughout the lifespan of an individual, making it a matter of concern for infants, children, adults, and older people alike. The prevalence rates of untreated caries in deciduous and permanent teeth are high in many parts of the world, including LACCs. Previous evidence suggests that the prevalence of dental caries in 12-year-olds is moderate to high in most Latin American countries. Moreover, the prevalence of treatment needs and dental caries in the adult and elderly population can also be regarded as high in this region. The risk/protective factors (e.g., sugar consumption, exposure to fluoride, and oral hygiene) probably operate similarly in all LACCs, although variations in the interplay of these factors in some countries and within the same country cannot be ruled out. Although salt and water fluoridation programs are implemented in many countries, there is a need for implementation of a surveillance policy. There is also room for improvement with regard to the introduction of minimal intervention techniques in practice and public health programs. Dental caries is a marker of social disadvantage, and oral health promotion programs and interventions aimed at reducing the burden of dental caries in LACCs must consider the complexity of the socioeconomic dynamics in this region. There is an urgent need to promote engagement of stakeholders, policymakers, medical personnel, universities, dental associations, community members, and industries to develop regional plans that enhance the oral health agenda for LACCs. A list of recommendations has been presented to underpin strategies aimed at reducing the prevalence and severity of dental caries and improving the quality of life of the impacted LACC population in the near future.
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Affiliation(s)
- Fabio Correia Sampaio
- Universidade Federal da Paraíba - UFPB, Health Science Center, Department of Clinical and Community Dentistry, João Pessoa, PB, Brazil
| | - Marcelo Bönecker
- Universidade de São Paulo - USP, School of Dentistry, Department of Pediatric Dentistry, São Paulo, SP, Brazil.,Latin American Oral Health Association, LAOHA, São Paulo, SP, Brazil
| | - Saul Martins Paiva
- Universidade Federal de Minas Gerais - UFMG, School of Dentistry, Department of Pediatric Dentistry, Belo Horizonte, MG, Brazil
| | - Stefania Martignon
- Universidad El Bosque - Unica, Caries Research Unit, Research Department, Bogotá, Colombia
| | - Antonio Pedro Ricomini Filho
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Biosciences, Piracicaba, SP, Brazil
| | - Amaury Pozos-Guillen
- Universidad Autónoma de San Luis Potosí, Facultad de Estomatología, San Luis Potosí, México
| | - Branca Heloisa Oliveira
- Universidade do Estado do Rio de Janeiro - UERJ, Department of Community and Preventive Dentistry, Rio de Janeiro, RJ, Brasil.,Latin American Oral Health Association, LAOHA, São Paulo, SP, Brazil
| | - Miriam Bullen
- University of Panama, School of Dentistry, Panama City, Panama.,Federación Odontológica Latinoamericana - FOLA, Panama City, Panama
| | - Rahul Naidu
- The University of the West Indies, Faculty of Medical Sciences, School of Dentistry, Saint Augustine, Trinidad and Tobago.,Caribbean Oral Health Initiative - COHI, San Juan, Puerto Rico
| | | | - Juliana Gomez
- Colgate Palmolive Company, Colgate Technology Center, Piscataway, NJ, USA
| | - Zilson Malheiros
- Colgate Palmolive Company, Colgate Technology Center, Piscataway, NJ, USA.,Latin American Oral Health Association, LAOHA, São Paulo, SP, Brazil
| | - Bernal Stewart
- Colgate Palmolive Company, Colgate Technology Center, Piscataway, NJ, USA.,Latin American Oral Health Association, LAOHA, São Paulo, SP, Brazil
| | - Maria Ryan
- Colgate Palmolive Company, Colgate Technology Center, Piscataway, NJ, USA
| | - Nigel Pitts
- King's College London, Faculty of Dentistry, Oral & Craniofacial Sciences, Dental Innovation and Translation hub, London, UK
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13
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Martignon S, Roncalli AG, Alvarez E, Aránguiz V, Feldens CA, Buzalaf MAR. Risk factors for dental caries in Latin American and Caribbean countries. Braz Oral Res 2021; 35:e053. [PMID: 34076077 DOI: 10.1590/1807-3107bor-2021.vol35.0053] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 03/09/2021] [Indexed: 11/22/2022] Open
Abstract
Identifying the risk factors for dental caries is vital in epidemiology and clinical practices for developing effective preventive strategies, both, at the individual and collective levels. Different causality/determination models have been proposed to understand the development process of dental caries. In the present review, we designed a model inspired by the world-known social determinants models proposed in the 90s and more recently in the 10s, wherein the contextual factors are placed more externally and encompass the individual factors. The contextual factors included those related to the cultural and societal values, as well as the social and health government policies. The individual factors were classified into the following categories: socioeconomic (social class, occupation, income, and education level), demographic characteristics (age, sex, and ethnicity), behavioral factors (non-use of fluoride dentifrice, sugar consumption, poor oral hygiene, and lack of preventive dental care), and biological factors (recent caries experience/active caries lesions, biofilm retentive factors, developmental defects of the enamel, disabilities, saliva amount and quality, cariogenic biofilm). Each of these variables was addressed, while focusing on the current evidence from studies conducted in Latin American and Caribbean countries (LACC). Based on the proposed model, educational aspects were addressed, and individual caries risk assessment and management decisions were proposed; further, implications for public health policies and clinical practice were described. The identification of modifiable risk factors for dental caries should be the basis for multi-strategy actions that consider the diversity of Latin American communities.
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Affiliation(s)
- Stefania Martignon
- Universidad El Bosque, Caries Research Unit, Research Department, Bogotá, Colombia
| | | | - Evelyn Alvarez
- Universidad Científica del Sur, School of Dentistry, Department of Pediatric Dentistry, Lima, Perú
| | - Vicente Aránguiz
- Universidad de los Andes, Faculty of Dentistry, Cariology Unit, Santiago, Chile
| | - Carlos Alberto Feldens
- Universidade Luterana do Brasil, School of Dentistry, Department of Pediatric Dentistry, Canoas, RS, Brazil
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14
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Costa LR, Bendo CB, Daher A, Heidari E, Rocha RS, Moreira APDSC, Moura LS, Banerjee A, Newton JT, Hosey MT. A curriculum for behaviour and oral healthcare management for dentally anxious children-Recommendations from the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE). Int J Paediatr Dent 2020; 30:556-569. [PMID: 32112461 DOI: 10.1111/ipd.12635] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Revised: 02/11/2020] [Accepted: 02/23/2020] [Indexed: 12/17/2022]
Abstract
BACKGROUND Dentists need training in the management of children's anxiety (DA), fear (DF) and behaviour management problems (DBMP) but little is known of their competence on this topic. AIM To report dentists' opinions and attitudes about protective stabilisation and pharmacological techniques for the management of children with DA/DF/DBMP; to propose a postgraduate curriculum focussing on DA/DF/DBMP. DESIGN A survey of 301 Brazilian dentists and later a modified Delphi process to outline the curriculum in two phases: (a) face-to-face discussions with 33 early career researchers mentored by six researchers, both from UK and Brazil; (b) online discussions by eight early and senior researchers on the knowledge, experience, and competencies necessary for a specialist in paediatric dentistry in Brazil that should be included in the core curriculum of postgraduate courses. RESULTS Almost all (99.0%) of the survey respondents provide treatment to children with DA/DF/DBMP, and 91.2% do not systematically diagnose these conditions; 94.3% use protective stabilisation, and 20.0%-30.0% have training in pharmacological techniques. The four-domain framework supporting the proposed curriculum is as follows: DA/DF/DBMP assessment, non-pharmacological and pharmacological approaches, and decision-making. CONCLUSION Dental curricula should be customised to solve the misconceptions and promote a comprehensive and positive attitude to DA/DF/DBMP by paediatric oral healthcare practitioners.
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Affiliation(s)
- Luciane R Costa
- Paediatric Dentistry, Universidade Federal de Goiás, Goiânia, Brazil
| | - Cristiane B Bendo
- Department of Children's and Adolescents' Oral Health, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Anelise Daher
- Paediatric Dentist, Brazilian Dental Association - Goiás section, Goiânia, Brazil
| | - Ellie Heidari
- Department of Sedation and Special Care Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Guy's Dental Hospital, London, UK
| | - Renata Sá Rocha
- Faculty of Dentistry, Universidade Federal de Campina Grande, Patos, Brazil
| | | | | | - Avijit Banerjee
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Guy's Dental Hospital, London, UK
| | - J Tim Newton
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| | - Marie T Hosey
- Paediatric Dentistry Centre of Oral Clinical and Translational Science, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
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15
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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.
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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
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16
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GOUVEA DB, GROISMAN S, BÖNECKER MJS, SAMPAIO F, PAIVA SM, KRIGER L, SCHULTE A, RODRIGUES JA. Cariology education for undergraduate Brazilian dental students. ACTA ACUST UNITED AC 2018. [DOI: 10.1590/1981-863720180003000073428] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT This study sought to provide an overview of current cariology education for undergraduate Brazilian dental students. Data collection was via a Portuguese version of a 12-item questionnaire (Schulte et al., 2011) that was sent to all Brazilian dental schools (n = 219). The response rate was 57.0% (n = 125). Of the schools that returned the questionnaire, 84.8% supported the development of a Brazilian cariology curriculum. The units responsible for teaching cariology were predominantly operative dentistry (49.6%), pediatric dentistry (49.6%), dental public health (44.8%), and cariology (32%). Theoretical teaching of cariology (74.4%) and pre-clinical exercises (63.2%) were cited to occur mainly during the second year of the course, while clinical activities were placed in the third (71.2%) and fourth (64.8%) years. Among respondents, 76.8% of the schools included dental erosion and 86.4% included defects of dental hard tissues, such as abrasion, in teaching cariology. This survey was able to determine the panorama of cariology education in Brazil and to detect some differences among Brazilian geographic areas. The promotion of a workshop to discuss the topics that should be taught to undergraduate dental students and the development of a Brazilian core curriculum in cariology would be likely to reduce the differences in teaching cariology in Brazil.
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Affiliation(s)
| | | | | | | | | | - Léo KRIGER
- Pontifícia Universidade Católica do Paraná, Brazil
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17
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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
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18
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Abreu-Placeres N, Newton JT, Pitts N, Garrido LE, Ekstrand KR, Avila V, Martignon S. Understanding dentists' caries management: The COM-B ICCMS™ questionnaire. Community Dent Oral Epidemiol 2018; 46:545-554. [PMID: 29869802 DOI: 10.1111/cdoe.12388] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Accepted: 04/30/2018] [Indexed: 01/02/2023]
Abstract
OBJECTIVE To design and validate a questionnaire to measure caries management based on the Capability, Opportunity, and Motivation Behavior model (COM-B) and the International Caries Classification and Management System (ICCMS™). METHODS A combination of Cariology and Psychology experts developed a 79-item pool that measured the COM-B components according to the ICCMS™ caries management recommended behaviours. After face and content validation and a pilot study, two samples of Colombian dentists participated: clinicians (n = 277) and clinical-practice educators (n = 212). RESULTS Using parallel analysis and exploratory structural equation modelling (ESEM), the questionnaire was reduced to a 47-item 5-factor instrument that demonstrated good internal consistency and validity properties, including a robust factor structure, measurement invariance across samples and high predictive validity of ICCMS™ recommended behaviours. Scales' mean scores showed that dentists were conducting recommended behaviours "most-of-the-time" (Behavior), showed high confidence in their ability to conduct these behaviours (Capability) and considered recommendations as highly relevant (Opportunity-Relevance), while their appraisals of the available resources (Opportunity-Resources) and remuneration (Motivation) were notably lower. CONCLUSION Overall, the findings highlight the practical utility of the COM-B ICCMS™ Questionnaire in understanding the potential antecedent variables that may explain dentists' behaviours related to caries diagnosis and management and in suggesting avenues for achieving a positive change in their behaviour.
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Affiliation(s)
- Ninoska Abreu-Placeres
- UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Bogotá, Colombia.,Biomaterials and Dentistry Research Center (CIBO-UNIBE), Academic Research Department, Universidad Iberoamericana, Santo Domingo, Dominican Republic
| | | | - Nigel Pitts
- Dental Innovation and Translation Centre, King's College London Dental Institute, London, UK
| | - Luis Eduardo Garrido
- Vicerrectoría de Investigación e Innovación, Pontificia Universidad Católica Madre y Maestra, Santo Domingo, República Dominicana.,Department of Psychology, University of Virginia, Charlottesville, VA, USA
| | - Kim R Ekstrand
- Section of Cariology and Endodontics, School of Dentistry, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Viviana Avila
- 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.,Dental Innovation and Translation Centre, King's College London Dental Institute, London, UK
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19
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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.
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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
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20
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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
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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.
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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
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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.
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Affiliation(s)
- J C Field
- The University of Sheffield, Sheffield, UK
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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.
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Fontana M, Guzmán-Armstrong S, Schenkel AB, Allen KL, Featherstone J, Goolsby S, Kanjirath P, Kolker J, Martignon S, Pitts N, Schulte A, Slayton RL, Young D, Wolff M. Development of a Core Curriculum Framework in Cariology for U.S. Dental Schools. J Dent Educ 2016. [DOI: 10.1002/j.0022-0337.2016.80.6.tb06133.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
| | | | | | | | | | - Susie Goolsby
- School of Dentistry; Virginia Commonwealth University
| | | | - Justine Kolker
- College of Dentistry and Dental Clinics; University of Iowa
| | | | | | - Andreas Schulte
- Department for Special Care Dentistry; Dental School; University of Witten/Herdecke; Witten Germany
| | | | - Douglas Young
- Arthur A. Dugoni School of Dentistry; University of the Pacific
| | - Mark Wolff
- College of Dentistry; New York University
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