Challenges in clinical performance of dentistry clinicians: towards  strengthening areas of outcomes or competencies

The study investigated the phenomenon of challenges and difficulties in the clinical performance of students in a university. All eighteen faculty clinical consultants who were supervising the 7 Clinical Departments in the College of Dentistry in a university were invited to participate in the study, wherein questionnaires were given in two stages to identify and recall the frequency of occurrence of errors or weaknesses in the clinical performance of student clinicians in the 3rd and 4th year proper levels of the Dentistry Program. The seven Clinical Departments included the Restorative Dentistry Department, Oral Diagnosis Department, Periodontics Department, Oral Surgery Department, Endodontics Department, Prosthodontics Department, and the Pediatric Dentistry Department. The findings revealed several errors or weaknesses in clinical performance of students and some of these weaknesses were seen by the clinical consultants to be frequently performed. Some of these are critical in the proper training of future dentists and thus interventions in the target outcomes in the clinical training program, as well as target outcomes and competencies in the area of pre-clinical training, were recommended to be addressed.

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NEEDLE STICK INJURIES;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.01.418 ◽

2017 ◽

Vol 24 (01) ◽

pp. 177-181

Author(s):

Suneel Kumar Punjabi ◽

Munir Ahmed Banglani ◽

Priya - ◽

Nayab Mangi

Keyword(s):

Clinical Training ◽

Oral Surgery ◽

Cross Sectional Study ◽

Needle Stick Injury ◽

Sectional Study ◽

Cross Sectional ◽

Needle Stick ◽

Study Population ◽

Needle Stick Injuries ◽

Surgery Department

Objectives: To evaluate the concepts & handling of needle stick injuries amongjunior dentists of city Hyderabad. Study Design: Descriptive Cross Sectional study. Setting:Dental House Surgeons & Postgraduates. Period: June 2015 to January 2016. Methodology:The study population of 200 dentists were included working either in civil or private settingsof Hyderabad, Sindh. Questionnaire designed to obtain information about their concepts andhandling regarding NSIs. Results: 75(37.5%) of them were working in Oral Surgery department,53(26.5%) in Operative dentistry, 35(17.5%) in Orthodontics, 22(11%) in Periodontology, and15(7.5%) in Prosthodontics. 77(38.5%) had idea about transmission of Hepatitis B, 89(44.5%)about Hepatitis C, & 34(17%) about HIV/AIDS by NSI. 168(84%) had knowledge aboutuniversal precautions guidelines, 16(8%) use safety devices to dispose used sharp objects.189(94.5%) had faced NSIs ever. 97(48.5%) had knowledge about post exposure prophylaxisin the management of needle stick injury. 37(18.5%) had said that they will contact to medicalemergency room if they expose to NSI, 32(16%) will contact to oral surgery department,53(26.5%) will consult with their physician & 78(39%) said that they will manage themselves.Conclusion: this study confirm that junior dentists of Hyderabad experience the NSIs but arenot liable to report them, therefore they necessitate the improvement in clinical training forpreventing & reporting all NSIs. Through Support, counseling and tutoring by their OccupationalHealth Department.

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Revision of a clinical training program: Integrated diversity

PsycEXTRA Dataset ◽

10.1037/e580342009-006 ◽

1968 ◽

Author(s):

Clifford H. Swensen

Keyword(s):

Training Program ◽

Clinical Training ◽

Clinical Training Program

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Physician Courtesy and Patient Satisfaction in a Pediatric Plastic and Oral Surgery Department

Journal of Healthcare Management ◽

10.1097/jhm-d-16-00002 ◽

2017 ◽

Vol 62 (3) ◽

pp. 211-219 ◽

Cited By ~ 1

Author(s):

Kimberly M. Daniels ◽

Rachel R. Yorlets ◽

Susan J. Flath-Sporn ◽

Brian I. Labow ◽

Ronald R. Heald ◽

...

Keyword(s):

Patient Satisfaction ◽

Oral Surgery ◽

Surgery Department

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Avascular osteonecrosis of the premaxilla secondary to disseminated intravascular coagulation: a case report

Journal of Oral Medicine and Oral Surgery ◽

10.1051/mbcb/2018016 ◽

2018 ◽

Vol 24 (4) ◽

pp. 173-177

Author(s):

Alizée Mouraret ◽

Eric Gérard ◽

Joey Le Gall ◽

Rémi Curien

Keyword(s):

Disseminated Intravascular Coagulation ◽

Oral Surgery ◽

Disease Process ◽

Vascular Supply ◽

Pathological State ◽

Avascular Osteonecrosis ◽

Bone Necrosis ◽

Intravascular Coagulation ◽

Severity Of The Disease ◽

Surgery Department

Introduction:Disseminated intravascular coagulation (DIC) is a complexe systemic disorder characterized by a widespread activation of the coagulation, that may lead to thrombosis, ischemia and finally, end-organ failure. The clinical presentation of DIC depends on the site of intravascular coagulation and the severity of the disease process. Avascular osteonecrosis is a pathological state, that can occur secondary to DIC and where a reduced vascular supply leads to ischemia and bone necrosis.Observation:A 83 years old patient was sent to the oral surgery department for tooth mobility in the premaxilla, following the diagnosis of sepsis and DIC induced acute myeloid leukemia, one month ago. The examination showed an exposed avascular bone behind the 12-11-21. A diagnosis of DIC induced osteonecrosis of the premaxilla was made. A resection surgery was then programmed.Discussion:DIC may generates thrombi that might occlude intraosseous vessels in the premaxilla, and lead to bone necrosis. The maxilla is supplied by multiple branches of external carotide artery, therefore, usually, there is a lower risk of osteonecrosis in the maxilla. Nevertheless, since 1993, 4 cases of avascular necrosis of the maxilla secondary to DIC are repported in literature.Conclusion:This kind of complication, although being rare, can be dramatic for the patient as bone and aesthetic defects. Early support and management of these complications is necessary.

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Essentials of minimally invasive operative dentistry

Pickard's Guide to Minimally Invasive Operative Dentistry ◽

10.1093/oso/9780198712091.003.0008 ◽

2015 ◽

Author(s):

Avijit Banerjee ◽

Timothy F. Watson

Keyword(s):

Patient Management ◽

Oral Surgery ◽

Care Plan ◽

Healthcare Team ◽

Restorative Dentistry ◽

Clinical Environment ◽

Dental Therapist ◽

Normal Hand ◽

Light Cure Unit ◽

The Uk

All members of the oral healthcare team have a part to play in patient management, and the team is comprised of the lead dentist (plus other colleagues in the dental practice), the dental nurse, hygienist, receptionist, laboratory technician, and possibly a dental therapist. In the UK, registered dental nurses can take further qualifications in teaching, oral health education, and radiography, and can specialize in other aspects of dentistry, including orthodontics, oral surgery, sedation, and special care. If the dentist wishes to have a second specialist opinion regarding a difficult diagnosis, formulating a care plan or even executing it, they may refer the patient to a specialist dentist working in another practice, or to a hospital-based consultant specialist in restorative dentistry. These specialists have undergone further postgraduate clinical and academic training and gained qualifications enabling them to be registered as specialists with the General Dental Council (GDC) in the UK in their specific trained fields (e.g. endodontics, periodontics, prosthodontics), or have further specialist training in restorative dentistry. The lead dentist will act as a central hub in the coordinating wheel of patient management, possibly outsourcing different aspects of work to relevant specialist colleagues, as spokes of that wheel. This is the clinical environment in which patients are diagnosed and treated. This room has traditionally been known as the ‘dental surgery’, but a more appropriate modern description might be the ‘dental clinic’, as much of the more holistic care offered to patients within its four walls will be non-surgical in the first instance. The operator and nurse must work closely together. To be successful, each must build up an understanding of how the other works. The clinic consists of a dental operating chair with an attached or mobile bracket table carrying the rotary instruments and 3-1 air/water syringe (and possibly the light-cure unit and ultrasonic scaler), work surfaces (which should be as clutter-free as possible for good-quality infection control; see later), cupboards for storage, and two sinks, one for normal hand washing and another for decontaminating soiled instruments prior to sterilization. Often the surgery will also house an X-ray unit for taking intra-oral radiographs. Most clinics are designed to accommodate right-handed practitioners, in terms of the location of many of the instruments and controls.

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Designing a Study to Evaluate a Clinical Training Program: Training Clinicians to Assess Ongoing Risk in People With Borderline Personality Disorder

10.4135/9781529740882 ◽

2020 ◽

Author(s):

Jillian Broadbear ◽

Sathya Rao

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Training Program ◽

Clinical Training ◽

Borderline Personality ◽

Clinical Training Program

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Observational Study on the Preparation of the Implant Site with Piezosurgery vs. Drill: Comparison between the Two Methods in terms of Postoperative Pain, Surgical Times, and Operational Advantages

BioMed Research International ◽

10.1155/2019/8483658 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Michele Maglione ◽

Lorenzo Bevilacqua ◽

Federica Dotto ◽

Fulvia Costantinides ◽

Felice Lorusso ◽

...

Keyword(s):

Postoperative Pain ◽

Operative Time ◽

Oral Surgery ◽

Study Groups ◽

Site Preparation ◽

Medical Sciences ◽

Operative Duration ◽

Significant Difference ◽

Surgery Department ◽

Implant Site Preparation

Purpose. Recent advances show that ultrasonic implant site osteotomy is related to a decreased trauma and a better postoperative healing of the surgical site when compared to traditional drilling techniques. The micrometric bone cutting control and the operative advantages related to the piezoelectric approach are also characterized by a learning curve for the clinician in surgical practice and an increased operative duration of the procedure. The aim of this investigation is to compare the operative time, the postoperative pain, and the amount of painkillers taken by the patient during the healing period. Methods. A total of 65 patients were treated at the Unit of Oral Surgery (Department of Medical Sciences, Surgery and Health, University of Trieste, Italy) using a split mouth model: 75 drill-inserted implants (G1) and 75 piezoelectric device-inserted implants (G2) were placed. The Visual Analogue Scale (VAS) was performed to evaluate the postoperative pain at 15 days from surgery. The operative time and frequency of intake of painkillers were measured. Results. The G1 and G2 groups showed a significant difference with a higher use of painkillers observed for G1. The G2 patients showed a lower level of pain (VAS) at all experimental times between 8 hours to 7 days (p<0.01) postsurgery. At 15 days, the pain levels were similar for both groups. No differences were found in site preparation duration between the study groups. Conclusions. The evidence supports the application of the piezoelectric approach compared to the drill’s osteotomy as a useful technique for implant site preparation. This trial is registered with NCT03978923.

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Oral Implants: The Paradigm Shift in Restorative Dentistry

Journal of Dental Research ◽

10.1177/0022034519853574 ◽

2019 ◽

Vol 98 (12) ◽

pp. 1287-1293 ◽

Cited By ~ 5

Author(s):

N.P. Lang

Keyword(s):

Paradigm Shift ◽

Clinical Performance ◽

Titanium Implants ◽

Restorative Dentistry ◽

Maintenance Care ◽

Parallel Fibers ◽

Infectious Process ◽

Oral Implants ◽

Woven Bone ◽

Natural Teeth

The discovery of the phenomenon “osseointegration,” or functional ankylosis, has led to the development of oral implants with high clinical performance. Consequently, the placement of titanium implants has changed the paradigms of restorative dentistry. Implants are used to prevent placing reconstructions anchored on natural teeth when these are vital and intact. Furthermore, implants are suitable to improve subjective chewing function and to replace missing and strategically important abutments. The osseointegration process is characterized by a predictable sequence of healing events that encompass the formation of woven bone, parallel fibers, and lamellar bone and result in fully functional bone that will remodel throughout life. While the osseointegration facilitates the use of implants as prosthetic abutments, it has to be kept in mind that the peri-implant soft tissue may be subject to biological complications. This, in turn, may result in an infectious process that will jeopardize the osseointegration. Consequently, the monitoring of the peri-implant tissues is an important aspect, and early intervention in situations with peri-implant mucositis is mandatory for the prevention of peri-implantitis. Hence, it is evident that oral implants need lifelong maintenance care if their longevity is to be assured.

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