Training Of Dental Professionals Research Articles

EVALUATION OF EFFICACY OF COLOUR CORRECTED LIGHT SOURCE IN DETERMINING THE ACCURACY OF SHADE MATCHING DONE WITH A COMMONLY USED SHADE GUIDE SYSTEM BY CONVENTIONAL VISUAL METHOD AND AN INTRA ORAL SPECTROPHOTOMETER

Aim: The objective of this study was to evaluate the efficiency of colour corrected light source in shade matching and to determine accuracies and inter-rater agreement of three shade matching methods (conventional visual method, visual method using colour corrected light source and spectrophotometric method). Methodology: In the conventional visual method and the visual method using colour corrected light source, four examiners with normal colour vision matched five target control shade tabs taken from the VITAPAN 3D MasterTM shade guide, with other full set of the same shade guide. Shade matching with the colour corrected light source was done under daylight mode simulating 5500K or natural daylight. Each tab was matched three times to determine repeatability of visual examiners. In the spectrophotometric method, two independent examiners matched the control tabs with three repetitions for each tab. The data was collected and statistical analysis was performed. Results: Visual method using colour corrected light source produced more accurate results (80%) than the conventional visual method (68.3%) and spectrophotometric method (0%), thus proving the efficacy of colour corrected light source (p<0.05). All three methods exhibited poor inter-rater agreement. Conclusion: The question is whether handheld light correcting devices and digital assessments are clinically useful or are they unreliable andunnecessary costly. Even though visual shade matching is subjective, it is not inferior and should not be underrated. The low accuracy value obtained for the spectrophotometer may be a misrepresentation of the machines capabilities due to its inability to measure any reading asclose to the correct value. If both analyses are combined, digital determination of the basic shade and visual determination of the effects, can provide the best possible esthetic outcome. Although human eye will be the finalarbitrator, success can best be achieved by combining traditional artistic techniques with advancements in technology, complemented with innovations in colour-related research, education, and training of dental professionals.

Performance of Generative Artificial Intelligence in Dental Licensing Examinations

Generative artificial intelligence (GenAI), including large language models (LLMs), has vast potential applications in health care and education. However, it is unclear how proficient LLMs are in interpreting written input and providing accurate answers in dentistry. This study aims to investigate the accuracy of GenAI in answering questions from dental licensing examinations. A total of 1461 multiple-choice questions from question books for the US and the UK dental licensing examinations were input into 2 versions of ChatGPT 3.5 and 4.0. The passing rates of the US and UK dental examinations were 75.0% and 50.0%, respectively. The performance of the 2 versions of GenAI in individual examinations and dental subjects was analysed and compared. ChatGPT 3.5 correctly answered 68.3% (n = 509) and 43.3% (n = 296) of questions from the US and UK dental licensing examinations, respectively. The scores for ChatGPT 4.0 were 80.7% (n = 601) and 62.7% (n = 429), respectively. ChatGPT 4.0 passed both written dental licensing examinations, whilst ChatGPT 3.5 failed. ChatGPT 4.0 answered 327 more questions correctly and 102 incorrectly compared to ChatGPT 3.5 when comparing the 2 versions. The newer version of GenAI has shown good proficiency in answering multiple-choice questions from dental licensing examinations. Whilst the more recent version of GenAI generally performed better, this observation may not hold true in all scenarios, and further improvements are necessary. The use of GenAI in dentistry will have significant implications for dentist-patient communication and the training of dental professionals.

Overview of robot-assisted systems used in the training of dental professionals

Overview of robot-assisted systems used in the training of dental professionals

Pensamento crítico e a formação de profissionais em Odontologia: uma revisão narrativa da literatura

O objetivo do estudo foi investigar e descrever, por meio de uma revisão narrativa da literatura, evidências do pensamento crítico no processo de formação de profissionais em saúde, dentre eles o cirurgião-dentista. Os dados foram coletados nas bases Medline, Lilacs e SciELO, selecionando textos completos na área das ciências da saúde, especificamente, Medicina, Enfermagem e Odontologia. A análise descritiva dos resultados revelou três categorias, sobre as quais conduziu-se o estudo. A análise final foi realizada com 25 artigos do total de 211 encontrados. Os resultados mostraram que 76,2% dos trabalhos foram publicados entre 2009 e 2015, apenas 33,3% são brasileiros e 66,7% expressam análises e resultados de publicações internacionais. Verificou-se, também, que 66,7% dos estudos abordavam o pensamento crítico na Odontologia, dentre os quais 9,5% eram brasileiros. Conclui-se que são evidentes os benefícios que habilidades envolvendo o pensamento crítico podem proporcionar na formação de profissionais da saúde. O pensamento crítico possibilita que os profissionais tornem-se mais reflexivos e questionadores, requisitos essenciais à tomada de decisões num mundo tão complexo.

Training of Dental Professionals in Motivational Interviewing can Heighten Interdental Cleaning Self-Efficacy in Periodontal Patients.

Background: The success of periodontal therapy depends on the adherence of patients to professional recommendations. The aim of this study was to investigate the influence of a workshop in motivational interviewing (MI) on non-surgical periodontal treatment performed by dental students.Materials and Methods: In the experimental group patients with periodontitis were treated by students trained in MI, while in the control group patients were treated by students who had not been trained in MI. Clinical oral parameters were assessed by a blinded periodontist in addition to the evaluation of psychological questionnaires given before and after the non-surgical periodontal treatment (6 months). Conversations between patients and students were recorded and rated with the Motivational Treatment Integrity Code (MITI-d) by a blinded psychologist.Results: There were 73 patients in the MI group and 99 patients in the control group. The MI group showed significantly higher scores in the MITI-d analysis. Regression analysis showed that there were no significant differences between groups with regard to plaque level, gingival bleeding, pocket depth reduction or bleeding upon probing. However, patients in the MI-group showed significantly higher interdental cleaning self-efficacy than patients in the control group (MI = 19.57 ± 4.7; control = 17.38 ± 6.01; p = 0.016).Conclusion: Teaching MI to dental students resulted in a significant improvement in the self-efficacy of interdental cleaning in patients compared to a control group of non-trained students, but no improvement in other aspects of non-surgical periodontal therapy. The study also showed that an 8-h workshop with supervision significantly improved the MI-compliant conversations of dental students without requiring more conversation time.

Qualitative assessment of ethical issues in dental practice: An expert opinion

Aim: The aim of this study is to assess the ethical issues in dental practice using the experts opinion. Methodology: The study was conducted among 15 bioethicists. The bioethicists working in various healthcare institutions and nongovernmental organizations were interviewed with the open-ended questions to describe the possible ethical challenges that now exist in dental practice. They were also questioned regarding the influence of ethical issues on dental profession, patients, and community. Further, they were probed how to overcome such an ethical challenge in dental practice. The statements given by bioethicists were analyzed using common coding, constant comparative method, and inductive approach of qualitative data analysis. Attempts were made to look into the theoretical insight of the statements and discrepancies in coding were discussed among the investigators until the consensus was reached. Finally, 18 categories of perceived ethical challenges in dental practice emerged. Results: The ethical challenges were issues such as competence of dentist, conflict of interest, overtreatment, lack of time, practicing defensive medicine, paternalism, confidentiality and its limit, informed consent, infectious diseases, lack of awareness, management issues such as commercialization of dental practice, high cost of dental care, training of dental professionals, hospital management policies, advent of new technologies, and lack of guidance from professional organizations. Conclusion: The study helped identify the present ethical challenges prevailing in dental practice in Indian scenario. It also helps sensitize the dental professionals in maintaining and providing quality dental care. It is important to incorporate ethical standards in daily dental practice. It is needed to provide appropriate training methods in the dental profession for continuing toward acceptable ethical behavior in dentistry.

The Francis Report--Implications for the Education and Training of Dental Professionals.

This paper explores the implications of the Francis Report for education of the dental team. It considers selection of candidates for training, issues relating to the curriculum itself, including assessment and the importance of listening to trainees. The overriding importance of the 'informal' or 'hidden' curriculum, through which students and trainees observe their teachers and develop a sense of the professional and ethical culture within an educational institution, is stressed. Clinical relevance: Sound education, rooted in the recognized ethical principles highlighted in the Francis Report, is essential to the delivery of a dental work force that will deliver care according to the fundamental standards laid down by the GDC.

Work-related musculoskeletal disorders among dental professionals in Saudi Arabia

[Purpose] Musculoskeletal disorders are common causes of work-related disability in different professions involving the frequent practice of lifting, stooping, twisting, prolonged sitting, or standing. The dental profession is one such profession. Our aim was to determine the prevalence of work-related musculoskeletal disorders among dental professionals in Saudi Arabia, the factors associated with them, and their consequences and to propose preventive measures for them. [Subjects and Methods] A self-administered online questionnaire was sent to 225 members of the Saudi Dental Association. It included questions on demographic and professional characteristics, general medical history, and history of work-related musculoskeletal disorders before and after joining the dental profession. [Results] The questionnaire was completed by 65% of the respondents. Among them 85% reported that they had developed some pain due to work after joining the dental profession, and 42% reported that they were suffering pain at the time of the survey. Besides lower back, shoulder, and neck regions, the hands, upper back, and other regions like the elbows, buttocks, thighs, leg, and feet were areas in which they pain. [Conclusion] The prevalence of work-related musculoskeletal disorders among dental professionals in Saudi Arabia is high, affecting their daily activities, sometimes even forcing them to change their work setting. Age, gender, specialty of work, work setting, number of contact hours with patients, etc., were all found to be related to their work-related pain. We need to emphasize the role of ergonomics, counseling, proper techniques of patient handling, etc., during the training of dental professionals so that they can work efficiently.

Comparing Health Promotion Programs in Public Dental Service of Vantaa, Finland: A Clinical Trial in 6–36-Month-Old Children

Objective. The study assessed whether the new family-based programs in health promotion or the training of dental professionals had an impact on the colonization of mutans streptococci (MS) in young children. Material and Methods. The participants were children born in 2008 and inhabitants of Vantaa aged 24–36 months. The families with first-born children were invited to a questionnaire study. Vantaa was categorized into three matching areas, which were randomly assigned to different programs. New counseling methods were trained. The routine program used earlier served as the control group. The children born in 2006 served as a historic control. The outcome measure was the presence of MS. Statistical method was logistic regression. Results. Colonization of MS was found only in few children born in 2006 or 2008; 15% and 11%, respectively. Within the 2008 birth cohort, the addition of parental counseling did not improve the routine program. Instead, the father's advanced level of education (P = 0.044) and the child's reported the use of xylitol at least three times a day (P = 0.014) associated with negative MS scores. Conclusions. The routine program and training of the professionals seem to reduce the proportion of children with MS more than adding parental self-care to oral health programs.

Education, education, disillusion?

Between the end of 2009 and 2010, the General Dental Council (GDC) changed and the part appointed, part elected body which had been in place since its inception in 1957 became fully appointed. Since then, various quite radical departures in terms of its committee structure and proposals for the education and training of dental professionals have emerged. This paper reviews these developments in the wider context of the Council's role, recent record and overall accountability.

Disparities in children's oral health and access to dental care.

Dental caries can be prevented by a combination of community, professional, and individual measures including water fluoridation, professionally applied topical fluorides and dental sealants, and use of fluoride toothpastes. Yet, tooth decay is the most common chronic disease of childhood. Dental care is the most prevalent unmet health need in US children with wide disparities existing in oral health and access to care. Only 1 in 5 children covered by Medicaid received preventive oral care for which they are eligible. Children from low income and minority families have poorer oral health outcomes, fewer dental visits, and fewer protective sealants. Water fluoridation is the most effective measure in preventing caries, but only 62% of water supplies are fluoridated, and lack of fluoridation may disproportionately affect poor and minority children. Childhood oral disease has significant medical and financial consequences that may not be appreciated because of the separation of medicine and dentistry. The infectious nature of dental caries, its early onset, and the potential of early interventions require an emphasis on preventive oral care in primary pediatric care to complement existing dental services. However, many pediatricians lack critical knowledge to promote oral health. We recommend financial incentives for prioritizing Medicaid Early and Periodic Screening, Diagnostic, and Treatment dental services; managed care accountability; integration of medical and dental professional training, clinical care, and research; and national leadership. JAMA. 2000;284:2625-2631.

Social work and dentistry in clinical, training and research collaboration.

The knowledge and knowledge building skills of social workers can improve in three ways the quality and type of services provided to dental patients. First, social workers can be involved in the training of dental professionals so as to improve their interactions with patients. Second, social workers may provide social work clinical services to dental patients. Finally, social workers can conduct research that can add to the body of knowledge on patient behaviors relevant to dental treatment. This paper outlines a program conducted by social workers that incorporates all three of these activities.