1
|
Tarazona-Valero V, Almerich-Silla JM, Iranzo-Cortés JE, Ortolá-Siscar JC, Almerich-Torres T. Knowledge and perception regarding molar incisor hypomineralisation among dental students and dental hygienist students in Spain: a cross-sectional study. BMC Oral Health 2024; 24:300. [PMID: 38431602 PMCID: PMC10909293 DOI: 10.1186/s12903-024-04074-3] [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: 07/03/2023] [Accepted: 02/26/2024] [Indexed: 03/05/2024] Open
Abstract
BACKGROUND Molar incisor hypomineralisation (MIH) has a high prevalence in the Spanish pediatric population and is a precursor of carious lesions in teeth in which it is present. Although this pathology is included in the curricula of the Degree in Dentistry and the Training Cycle in Oral Hygiene in our country, the contents currently taught seem to be insufficient in relation to the level of knowledge that we have today about this condition. METHODS A digital questionnaire of 18 questions was sent to a sample of 448 students attending the 4th and 5th year of the Degree in Dentistry and 2nd year of the Training Cycle in Oral Hygiene from different universities and vocational training centers in the Valencian Community. Descriptive and multivariate statistical analysis of the data was subsequently performed. RESULTS Of the 290 questionnaires that were obtained, 53.8% were from students attending the 2nd year of a training course in oral hygiene and 46.2% were from students pursuing a degree in dentistry. Most of the respondents had heard about MIH (75.2%), mainly through master classes. However, most students had difficulties distinguishing MIH lesions from other lesions (58.3%). The degree of knowledge about MIH was greater among dental students in all the aspects evaluated: prevalence, diagnosis, prevention, and treatment. Of all the students, 83.8% were interested in increasing their training on MIH, especially in the areas of diagnosis and treatment. CONCLUSION The results of the present study justify the need to expand the content on MIH, both theoretical and practical, in the educational curricula of the Degree in Dentistry and Integrated Vocational Training Centers in Spain.
Collapse
Affiliation(s)
- Vallivana Tarazona-Valero
- Departament d'Estomatologia, Facultat de Medicina i Odontologia, Universitat de València, Gascó Oliag, 1, Valencia, 46010, Spain
| | - José Manuel Almerich-Silla
- Departament d'Estomatologia, Facultat de Medicina i Odontologia, Universitat de València, Gascó Oliag, 1, Valencia, 46010, Spain.
| | - José Enrique Iranzo-Cortés
- Departament d'Estomatologia, Facultat de Medicina i Odontologia, Universitat de València, Gascó Oliag, 1, Valencia, 46010, Spain
| | - José Carmelo Ortolá-Siscar
- Departament d'Estomatologia, Facultat de Medicina i Odontologia, Universitat de València, Gascó Oliag, 1, Valencia, 46010, Spain
| | - Teresa Almerich-Torres
- Departament d'Estomatologia, Facultat de Medicina i Odontologia, Universitat de València, Gascó Oliag, 1, Valencia, 46010, Spain
| |
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
|