Dental Auxiliaries Research Articles

Direct Bonding and Its Application to Minor Tooth Movement

For years orthodontists have dreamed of "bandless orthodontics" and the day when attachments could be bonded directly to the enamel surfaces of teeth, thus eliminating the tedious task of band fitting and cementation. Rapid progress has been made in recent years in bonding techniques. It is possible, but remains questionable, whether the need for banding teeth in orthodontic treatment will ever be entirely eliminated. There is no doubt that direct bonding has proven to be sufficiently dependable to be used in the treatment of full orthodontic cases, with apparently no significant harm being done to the enamel of the teeth. It is reasonable to believe that in time newer resins and bonding systems will be developed that will still provide sufficient strength but will be easier to remove when treatment has been completed. It may even be possible to develop resins that can be at least partly removed by the use of a solvent. By the elimination of conventional banding, it is now within the scope of many general practitioners to use fixed appliances in the treatment of minor tooth movement that cannot be easily treated with removable appliances. For orthodontists, the chair time required to start cases is considerably reduced when attachments are bonded. The trend today is to expand the duties that can be performed by dental auxiliaries in orthodontics. Direct bonding is a procedure that can be almost totally performed by a trained auxiliary. As a result, direct bonding may make it possible for orthodontists to manage a greater number of patients in the future. There is no doubt that even at this early stage, this technique has made a significant impact on the dental profession as a whole, and orthodontic practice in particular, and will continue to do so as further research is conducted and newer and better materials and techniques are developed.

Psychological Needs as Moderators of Reactions to Job Enrichment in a Field Setting.

No differences were found in satisfaction, alienation, involvement, and subjective stress between a job enriched and non-job enriched group of dental auxiliaries. However auxiliaries co...

Book Reviews

Book reviewed in this article:CURRENT ADVANCES IN ORAL SURGERY, by W. B. Irby.EVOLUTIONARY CHANGES TO THE PRIMATE SKULL AND DENTITION, by C. L. B. Lavelle, R. P. Shellis, and D. F. G. Poole.A SERIES OF MONOGRAPHS ON THE ASSESSMENT OF THE QUALITY OF DENTAL CARE, edited by H. Alfred.A GUIDE TO DENTAL RADIOGRAPHY, by Rita A. Mason.PAIN IN THE TRIGEMINAL REGION.CURRENT THERAPY IN DENTISTRY, by H. M. Goldman, H. W. Gilmore, W. B. Irby, and R. E. McDonald.ORAL HYGIENE IN ORAL HEALTH, edited by Hyman J. V. Goldberg, and Louis W. Ripa.ORTHODONTIC TREATMENT WITH REMOVABLE APPLIANCES, by W. J. B. Houston and K. G. Isaacson.WORLD DIRECTORY OF SCHOOLS FOR DENTAL AUXILIARIES. Geneva, World Health Organization, 1977.

DENTAL ASSISTANT EVALUATION INDEX: A TECHNIC TO EVALUATE THE WORK PERFORMANCE OF INDIAN HEALTH SERVICE DENTAL ASSISTANTS

1. The DAEI appears to be a useful instrument to evaluate dental assistant students in a reliable, uniform manner for the "core" dental assistant activities. 2. Calibration of the supervisors will be needed if the evaluation data are to be used on comparative bases from clinic to clinic or area to area. 3. Further study is needed to confirm the reliability and to establish the validity of the index. The current study should be considered an initial effort that should be continuously modified to maximize its usefulness. 4. Further study is needed to ascertain whether there is a real difference in the way dental auxiliaries view their job as compared to dentists. 5. Scores for dental assistants cannot be indiscriminately compared in a meaningful manner between auxiliaries at different locations. Even within a facility, caution should be applied before making conclusions based upon comparative scores. 6. The use of the DAEI for assessing the quality of the Dental Assistant Training Center was not adequately evaluated. The index may have this potential, but more study is required before it will be clear as to how the index might apply.

A Critical Incidents Approach to Determining Dental Auxiliary Job Requirements

A Critical Incidents Approach to Determining Dental Auxiliary Job Requirements

Fissure sealing of first permanent molars. An improved technique applied by a dental auxiliary

Fissure sealing of first permanent molars. An improved technique applied by a dental auxiliary

The professional role of the dental hygienist as viewed by accreditation commissioners and consultants

Members of the Commission on Accreditation of Dental and Dental Auxiliary Educational Programs and of its associated Committee D (Committee on Dental Hygiene) were asked a series of questions designed to elicit their positions on (1) the occupational status of dental hygiene in society at large and in the social prestige hierarchy of the dental profession, (2) reference groups for dental hygienists, (3) ethical norms for the hygienist role, (4) revivalism movements within dental hygiene, and (5) images of the "ideal dental hygienist." Results indicate that commissioners and consultants see dental hygienists as (1) ranking 7.1 on a ten-point scale of professional status in the community-at-large, (2) somewhat lower than dentists but higher than other auxiliaries in the social hierarchy of the dental profession, (3) socially referenced to dentists rather than hygienists, (4) primarily oral health educators with strong clinical skills, (5) better educated and more skilled now than they have ever been before, (6) bound to essentially the same ethics as dentists, except for self-regulation, and (7) much too aggressive at the national level for their own good. The ideal dental hygienist was seen as a behavioral change specialist with (1) clinical skills, (2) an attitude of service to patients (3) a willingness to work with dentists to increase the scope of dental hygiene duties in the preventive and periodontal areas, and (4) a willingness to leave the decisions regarding the profession of dental hygiene to dentists.

Universities and Education in Orthodontics

Summary Educators are faced with the realization that dental practice has advanced to such an extent that it is now unrealistic to expect a graduate to have mastered all the basic science knowledge and necessary clinical skills by the time he completes the traditional five-year curriculum. The increased utilization of dental auxiliaries in treatment situations throws doubt on the wisdom of continuing our present system of education which attempts to graduate one type of dentist who has moderate skills in all branches of general dentistry. A pathway curriculum would go a long way towards producing dentists with the special expertise that will be required in the future. Should orthodontists be general practitioners of dentistry first? If the answer to this question is ‘Yes’, then it will be difficult to achieve any substantial increase in orthodontic training in the traditional dental curriculum and the gap between orthodontist and general practitioner will remain. If the answer is ‘No’, then the pathway approach provides the Chance of commencing some orthodontic education at an earlier time by including much of the basic science and clinical training thought to be essential but excluded from conventional undergraduate courses. In addition, this system would at last break down the technical approach to dentistry that underlies many of the profession’s problems today.

Effects of feedback on performance of Army-trained expanded duty dental auxiliaries.

Effects of feedback on performance of Army-trained expanded duty dental auxiliaries. A D MangelsdorffCopyRight https://doi.org/10.2105/AJPH.67.7.674 Published Online: October 07, 2011

Blood serum mercury test report

A clinical blood serum mercury test of 111 dentists and auxiliaries revelaed that more than 50% had above normal serum mercury levels. This study showed that there may be a mercury health hazard in some dental environments. Acute mercury poisoning may be corrected simply by removing the cause, but long-term chronic effects are not known. Frequent screening of offices and personnel is advised. Experience reported here indicates that large amounts of mercury vapor are emitted when an amalgam carrier is heated over a flame ot dislodge particles, and also, that water-covered amalgam scrap relesases mercury vapor.

Congenital anomalies and inhalation anesthetics

Nitrous oxide and halothane, alone and in combination, have been repeatedly shown to cause fetal anomalies and increased fetal death rates in experimental animals. Epidemiologic studies dealing with pregnant operating room personnel who were chronically exposed to trace amounts of nitrous oxide and halothane have indicated an increased number of miscarriages amoung these women compared with women employed outside the operating room. Dental personnel are exposed to even higher concentrations of nitrous oxide in the dental operatory than those levels foun in the operating room. More numerous and more encompassing studies are required. Meanwhile, the dentist has a primary responsibility to give careful consideration to the use of inhalation anesthetics when planning or administering treatment to a pregnant patient, especially one in the first trimester. In addition, the profession must recognize the potential hazard to both pregnant dentists and pregnant dental assistants in this early stage of pregnancy. Of course, the dentist should always consider the developing fetus before using or prescribing any pharmacologic agents.

An individualized impression tray utilizing the patient's existing denture

This technique utilizes patients' existing dentures to construct individualized impression trays. Some of the advantages are: (1) the trays are made within 30 minutes; (2) final impressions may be made at the first appointment; (3) it is an inexpensive and uncomplicated laboratory procedure readily taught to dental auxiliaries. (4) chair time is better utilized by both the dentist and patient.

Reflections on the controversy over expanded function dental auxiliaries

Journal of Dental EducationVolume 40, Issue 6 p. 332-333 Article Reflections on the controversy over expanded function dental auxiliaries RM Jacobs, RM JacobsSearch for more papers by this author RM Jacobs, RM JacobsSearch for more papers by this author First published: 01 June 1976 https://doi.org/10.1002/j.0022-0337.1976.40.6.tb00986.xCitations: 2About ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article.Citing Literature Volume40, Issue6June 1976Pages 332-333 RelatedInformation

The chargde of the seventies regarding dental auxiliaries

Journal of Dental EducationVolume 40, Issue 4 p. 200-201 Article The chargde of the seventies regarding dental auxiliaries JS Bluitt, JS BluittSearch for more papers by this author JS Bluitt, JS BluittSearch for more papers by this author First published: 01 April 1976 https://doi.org/10.1002/j.0022-0337.1976.40.4.tb00960.xAbout ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume40, Issue4April 1976Pages 200-201 RelatedInformation

A community health center dental program in Boston, U.S.A.

In 1970, a community-based and federally funded dental program was established in Boston. The multiple objectives of this program included the following: provision of dental treatment; education of schoolchildren in dental health; support for community measures of prevention such as water fluoridation; support of job training programs in dental assisting for community residents; employment of community people; and sensitization and training in community health for dental students and auxiliaries. The program provided a number of dental services at a reasonable benefit-cost ratio of 0.87. Other endeavors included the development of a dental health program with community schools and the involvement of dental students in the delivery of care and in screening for children with dental treatment needs.

Expanded-duty dental auxiliaries and prosthodontics of the future

Expanded-duty dental auxiliaries and prosthodontics of the future

Evaluation of instructional materials for teaching psychomotor skills.

An investigation was conducted to determine the effectiveness of self-instructional materials for a cavity preparation procedure using two types of dental auxiliaries under assisted and unassisted instructional conditions. Results showed significant pretest to posttest performance gains, with the instruction proving equally effective across both types of auxiliaries and instructional conditions.

Development of scales to measure provider attitudes toward expanded duty dental auxiliaries.

Much of the research on attitudes toward utilizing EDDAs has been rather haphazard in its measurement aspects. Examining responses to single items or summing across a series of items without any empirical rationale for such summing cannot be justified given current knowledge about measuring attitudes. The scales developed here are appreciably better from a psychometric point of view than scales reported in the dental literature to date. The use of standardized measuring instruments would facilitate cross-study comparisons. Such a process is presently not feasible because each researcher is using his own idiosyncratic scales of unknown psychometric characteristics. The three scales developed here to measure (1) the value of expanding auxiliary functions, (2) patient reaction to the use of EDDAs, and (3) satisfaction with changed dentist role may permit more standardized measurement of at least some aspects of provider and future provider attitudes toward the utilization of expanded duty dental auxiliaries.

The use of auxiliaries in prosthodontic graduate programs

There is a need for more dental services, and the use of auxiliaries can help the dentist meet this need. Dental educators and the government are encouraging programs and research in the expanded use and management of dental auxiliaries. Advanced prosthetic programs have special needs. The dentist-patient relationship for this highly personal service, usually accompanied by difficult clinical and technical problems, requires a dentist with special skills. No advanced program should use auxiliaries to the extent that the student does not develop these special skills in diagnostic, clinical, and technical areas. Expanded duties to demonstrate how much an auxiliary can do could be harmful. The program director and the faculty should judge the level of assistance each student should have in an advanced program.

Radiology for dental auxiliaries

Radiology for dental auxiliaries