American Dental Education Association Compendium Entrustable Professional Activities Workgroup report.

PURPOSE: Entrustable professional activities (EPAs) are discrete clinical tasks that can be evaluated to help define readiness for independent practice in the health professions and are intended to increase trust in the dental graduate. EPAs provide a framework that bridges competencies to clinical practice. This report describes the work of the American Dental Education Association (ADEA) Compendium EPA Workgroup to develop a list of EPAs for dental education and supportive resources, including specifications and a glossary. METHODS: Preliminary work including literature and resource review, mapping of existing competencies, and review of other health professions' EPAs informed the development of our EPAs list. Workgroup members achieved consensus using a modified Delphi process. A Qualtrics survey using a validated rubric for the assessment of EPAs as described in peer-reviewed literature was used. Dental educators, including academic deans, were surveyed for feedback on the content and format of the EPAs. RESULTS: Based on findings in the literature analysis of existing EPAs and competencies in health professions, a list of EPAs was developed along with a description of specifications. The EPA workgroup (nine members from multiple institutions) used the Delphi process in receiving feedback from various experts. A list of 11 core EPAs was vetted by dental educators including academic deans (n = âˆ¼23), and the process of development was reviewed by EPAs experts outside dental education. A glossary was developed to align language. CONCLUSION: These EPAs define the scope of dental practice. This report represents Phase 1 of the EPA framework development and vetting process. Future directions will include a broader vetting of the EPA list, faculty development, and national standardized technology that support this work to optimize implementation.

Dentists of tomorrow 2023: An analysis of the results of the ADEA 2023 survey of U.S. Dental School Seniors.

PURPOSE/OBJECTIVES: This study examines the journey of U.S. dental schools' predoctoral senior class of 2023, from the influences on and their motivations to pursue careers in dentistry, the aspects of their dental school experiences, plans upon graduation, and the investment in their careers. METHODS: This study is an analysis of the results of the American Dental Education Association (ADEA) survey of Dental School Seniors, 2023 Graduating Class. Forty-eight percent of senior students from 65 accredited U.S. dental schools in the 2022-2023 academic year responded to the ADEA survey. Whenever feasible, the class of 2023 survey respondents' answers were compared with those of their 2018 counterparts and with the responses of 2023 predoctoral senior students of historically underrepresented race and ethnicity (HURE) groups. RESULTS: The analysis revealed that 47% of the 2023 respondents decided to become a dentist before going to undergraduate college, more than the proportion of their 2018 colleagues (44%). When it comes to preparedness to practice dentistry, the responses indicated a high level of readiness to go into the profession. Ninety percent of respondents agreed and strongly agreed with the preparedness to practice statements indicated in the 2023 ADEA survey. Between 2018 and 2023, the share of survey respondents who planned to join a private practice immediately after graduation increased from 48% to 53%. More than one-third (34%) of the 2023 respondents and 40% of HURE participants who planned to go into private practice immediately upon graduation intended to join a dental service organization (DSO). When accounting for inflation, the average education debt for students graduating with debt who responded to ADEA 2023 survey was 12% lower than what the 2018 respondents reported. CONCLUSIONS: This study finds that some preferences changed between the 2018 and 2023 cohorts, the latter being more likely to decide to go to dental school before college and join a DSO private practice upon graduation. Senior students responding to the ADEA 2023 survey stated a high level of preparedness to practice dentistry.

Utilizing an organizational development framework as a road map for creating a technology-driven agile curriculum in predoctoral dental education.

The landscape of dental education is undergoing a paradigm shift from both the learner's and teacher's perspectives. Evolving technologies, including artificial intelligence, virtual reality, augmented reality, and mixed reality, are providing synergistic opportunities to create new and exciting educational platforms. The evolution of these platforms will likely play a significant role in dental education. This is especially true in the wake of calamities like the COVID-19 pandemic during which educational activities had to be shutdown or moved online. This experience demonstrated that it is prudent to develop curricula that are both agile and efficient via creating hybrid courses that provide effective learning experiences regardless of the mode of delivery. Although there is growing interest in incorporating technology into dental education, there are few examples of how to actually manage the implementation of technology into the curriculum. In this paper, we provide a road map for incorporating technology into the dental curriculum to create agility and discuss challenges and possible solutions.

How to Intervene in the Caries Process: Dentin Caries in Primary Teeth.

For an ORCA/EFCD consensus, this review systematically assessed available evidence regarding interventions performed and materials used to manage dentin carious lesions in primary teeth. A search for systematic reviews (SRs) and randomized clinical trials (RCTs) with a follow-up of at least 12 months after intervention was performed in PubMed, LILACS, BBO, and the Cochrane Library. The risk of bias tool from the Cochrane Collaboration and the PRISMA Statement were used for assessment of the included studies. From 101 screened articles, 2 SRs and 5 RCTs, which assessed the effectiveness of interventions in terms of pulp vitality and success of restoration, and 10 SRs and 1 RCT assessing the success of restorative materials were included. For treatments involving no carious tissue removal, the Hall technique showed lower treatment failure for approximal carious lesions compared to complete caries removal (CCR) and filling. For the treatment of deep carious lesions, techniques involving selective caries removal (SCR) showed a reduction in the incidence of pulp exposure. However, the benefit of SCR over CCR in terms of pulp symptoms or restoration success/failure was not confirmed. Regarding restorative materials, preformed metal crowns (PMCs) used to restore multisurface lesions showed the highest success rates compared to other restorative materials (amalgam, composite resin, glass ionomer cement, and compomer), and in the long term (12-48 months) these were also less likely to fail. There is limited evidence supporting the use of PMCs to restore carious lesions with single cavities. Among nonrestorative options, silver diammine fluoride was significantly more effective in arresting caries than other treatments for treating active carious lesions of different depths. Considerable heterogeneity and bias risk were observed in the included studies. Although heterogeneity observed among the studies was substantial, the trends were similar. In conclusion, less invasive caries approaches involving selective or no caries removal seem advantageous in comparison to CCR for patients presenting with vital, symptomless, carious dentin lesions in primary teeth. There is evidence in favor of PMCs for restoring multisurface carious lesions in primary molars.

The Knoop hardness of a composite resin polymerized with different curing lights and different modes.

AIM: The purpose of this study was to compare the surface hardness of a hybrid composite resin polymerized with different curing lights. METHODS AND MATERIALS: Two 3.0 mm thick composite resin discs were polymerized in a prepared natural tooth mold using: (1) a conventional quartz-tungsten halogen light (QTH- Spectrum 800); (2) a high-intensity halogen light, Elipar Trilight (TL)-standard/exponential mode; (3) a high-intensity halogen light, Elipar Highlight (HL)-standard/soft-start mode; (4) a light-emitting diode, Elipar Freelight (LED); and (5) a plasma-arc curing light, Virtuoso (PAC). Exposure times were 40 seconds for the halogen and LED lights, and three and five seconds for the PAC light. Following polymerization, the Knoop hardness was measured at the bottom and the top surfaces of the discs. RESULTS: Significant differences were found between top and bottom Knoop Hardness number (KHN) values for all lights. The hardness of the top and bottom surfaces of both specimens cured by the PAC light was significantly lower than the other lights. No significant hardness differences were observed between the remaining curing units at the top of the 2.0 mm specimens. Significant differences were found between the LED and two modes of HL on the bottom surfaces. For the 3.0 mm thick samples, while significant differences were noted between LED and TL standard mode and between the two TL curing modes on the top, significant differences were only observed between QTH and the standard modes of TL and HL at the bottom.

Oral health in postmenopausal Turkish women.

UNLABELLED: The most common condition affecting all women is menopause and most women spend one third of their lives after the menopause. Menopause is accompanied by a number of characteristic physical changes, some of which are manifested in the oral cavity. PURPOSE: The objective of this study was to evaluate the oral health status of a group of menopausal women who visited a menopause clinic in Ankara, Turkey. MATERIALS AND METHODS: A total of 348 women, aged 44-65 (mean 52.17+/-4.67), who spontaneously attended the menopause clinic at Hacettepe University Hospital, Ankara, Turkey, (between 1998 and 2000) were interviewed and examined by a trained dentist over a two-year period. Their oral status was determined by the same dentist by using the follwing indices on the basis of WHO criteria: Decayed, Missing and Filled Teeth (DMFT); Decayed, Missing and Filled Teeth Surfaces (DMFS); Root, Decayed, Filled (RDF); and Community Periodontal Index (CPI). Oral complaints and denture status was also assessed. The data were analysed by means of difference between groups. RESULTS: A total of 23% of the women were using hormones and 77% were not. The most significant symptom was oral dryness with 48.8% in the hormone users and 68.3% in the non-users (p < 0.05). A total of 36.3% of the hormone users and 39.5% of the non-users were edentulous (p > 0.05). DMFT, DMFS and CPI values of non-users were higher than the hormone users (p < 0.001). RDF values did not show any significant difference between hormone users and non users (p > 0.05). CONCLUSIONS: These data suggest that menopause might play a role in the oral status of women. The use of hormones seemed to affect oral health positively.