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Barwacz CA, Pantzlaff E, Allareddy V, Avila-Ortiz G. Graduate Periodontics Programs' Integration of Implant Provisionalization in Core Curricula: Implementation of CODA Standard 4-10.2.d. J Dent Educ 2017; 81:696-706. [PMID: 28572416 DOI: 10.21815/jde.016.033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 12/18/2016] [Indexed: 11/20/2022]
Abstract
The aim of this descriptive study was to provide an overview of the status of implementation of Commission on Dental Accreditation (CODA) Standard 4-10.2.d (Provisionalization of Dental Implants) by U.S. graduate periodontics programs since its introduction in 2013. Surveys were sent in May 2015 to 56 accredited postdoctoral periodontics program directors to ascertain program director characteristics; status of planning, implementation, and curriculum resulting from adoption of Standard 4-10.2.d; preferred clinical protocols for implant provisionalization; interdisciplinary educational collaborators; and competency assessment mechanisms. The survey response rate was 52% (N=29); the majority were male, aged 55 or older, and had held their position for less than ten years. Among the responding programs, 93% had formal educational curricula established in implant provisionalization. Graduate periodontics (96%) and prosthodontics (63%) faculty members were predominantly involved with curriculum planning. Of these programs, 96% used immediate implant provisionalization, with direct (chairside) provisionalization protocols (86%) being preferred over indirect protocols (14%) and polyethylethylketone provisional abutments (75%) being preferred to titanium (25%) provisional abutments. Straight and concave transmucosal emergence profile designs (46% each) were preferred in teaching, with only 8% of programs favoring convex transmucosal profiles. A majority of responding programs (67%) lacked protocols for communicating to the restorative referral a mechanism to duplicate the mature peri-implant mucosal architecture. Regional location did not play a significant role in any educational component related to implant provisionalization for these graduate periodontal programs. Overall, this study found that a clear majority of graduate periodontics programs had established formal curricula related to implant provisionalization, with substantial clinical and philosophical consensus within the specialty.
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Affiliation(s)
- Christopher A Barwacz
- Dr. Barwacz is Assistant Professor, Department of Family Dentistry and Craniofacial Clinical Research Program, University of Iowa College of Dentistry & Dental Clinics; Dr. Pantzlaff is a Graduate Student, Department of Oral Surgery, University of Michigan School of Dentistry and was a Predoctoral Dental Student Researcher, University of Iowa College of Dentistry & Dental Clinics, at the time of this study; Dr. Allareddy is Associate Professor, Department of Orthodontics, University of Iowa College of Dentistry & Dental Clinics; and Dr. Avila-Ortiz is Associate Professor, Department of Periodontics, University of Iowa College of Dentistry & Dental Clinics.
| | - Ed Pantzlaff
- Dr. Barwacz is Assistant Professor, Department of Family Dentistry and Craniofacial Clinical Research Program, University of Iowa College of Dentistry & Dental Clinics; Dr. Pantzlaff is a Graduate Student, Department of Oral Surgery, University of Michigan School of Dentistry and was a Predoctoral Dental Student Researcher, University of Iowa College of Dentistry & Dental Clinics, at the time of this study; Dr. Allareddy is Associate Professor, Department of Orthodontics, University of Iowa College of Dentistry & Dental Clinics; and Dr. Avila-Ortiz is Associate Professor, Department of Periodontics, University of Iowa College of Dentistry & Dental Clinics
| | - Veerasathpurush Allareddy
- Dr. Barwacz is Assistant Professor, Department of Family Dentistry and Craniofacial Clinical Research Program, University of Iowa College of Dentistry & Dental Clinics; Dr. Pantzlaff is a Graduate Student, Department of Oral Surgery, University of Michigan School of Dentistry and was a Predoctoral Dental Student Researcher, University of Iowa College of Dentistry & Dental Clinics, at the time of this study; Dr. Allareddy is Associate Professor, Department of Orthodontics, University of Iowa College of Dentistry & Dental Clinics; and Dr. Avila-Ortiz is Associate Professor, Department of Periodontics, University of Iowa College of Dentistry & Dental Clinics
| | - Gustavo Avila-Ortiz
- Dr. Barwacz is Assistant Professor, Department of Family Dentistry and Craniofacial Clinical Research Program, University of Iowa College of Dentistry & Dental Clinics; Dr. Pantzlaff is a Graduate Student, Department of Oral Surgery, University of Michigan School of Dentistry and was a Predoctoral Dental Student Researcher, University of Iowa College of Dentistry & Dental Clinics, at the time of this study; Dr. Allareddy is Associate Professor, Department of Orthodontics, University of Iowa College of Dentistry & Dental Clinics; and Dr. Avila-Ortiz is Associate Professor, Department of Periodontics, University of Iowa College of Dentistry & Dental Clinics
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