Undergraduate basic science preparation for dental school.

In the Institute of Medicines report Dental Education at the Crossroads, it was suggested that dental schools across the country move toward integrated basic science education for dental and medical students in their curricula. To do so, dental school admission requirements and recommendations must be closely reviewed to ensure that students are adequately prepared for this coursework. The purpose of our study was twofold: 1) to identify student dentists' perceptions of their predental preparation as it relates to course content, and 2) to track student dentists' undergraduate basic science course preparation and relate that to DAT performance, basic science course performance in dental school, and Part I and Part II National Board performance. In the first part of the research, a total of ninety student dentists (forty-five from each class) from the entering classes of 1996 and 1997 were asked to respond to a survey. The survey instrument was distributed to each class of students after each completed the largest basic science class given in their second-year curriculum. The survey investigated the area of undergraduate major, a checklist of courses completed in their undergraduate preparation, the relevance of the undergraduate classes to the block basic science courses, and the strength of requiring or recommending the listed undergraduate courses as a part of admission to dental school. Results of the survey, using frequency analysis, indicate that students felt that the following classes should be required, not recommended, for admission to dental school: Microbiology 70 percent, Biochemistry 54.4 percent, Immunology 57.78 percent, Anatomy 50 percent, Physiology 58.89 percent, and Cell Biology 50 percent. The second part of the research involved anonymously tracking undergraduate basic science preparation of the same students with DAT scores, the grade received in a representative large basic science course, and Part I and Part II National Board performance. Using T-test analysis correlations, results indicate that having completed multiple undergraduate basic science courses (as reported by AADSAS BCP hours) did not significantly (p < .05) enhance student performance in any of these parameters. Based on these results, we conclude that student dentists with undergraduate preparation in science and nonscience majors can successfully negotiate the dental school curriculum, even though the students themselves would increase admission requirements to include more basic science courses than commonly required. Basically, the students' recommendations for required undergraduate basic science courses would replicate the standard basic science coursework found in most dental schools: anatomy, histology, biochemistry, microbiology, physiology, and immunology plus the universal foundation course of biology.

Routine dental care in patients with temporomandibular disorders.

AIMS: While a significant number of therapeutic models have been suggested for management of orofacial pain and limited opening in patients experiencing temporomandibular disorders (TMD), little attention has been given to the issue of routine daily care activities, such as toothbrushing and flossing. The purpose of this study was to develop an understanding of the extent to which TMD patients experience difficulty in performing routine daily mouth care. METHODS: Forty patients seeking care for TMD in the Orofacial Pain Center at the University of Kentucky College of Dentistry were age- and gender-matched to a group of general dentistry patients not experiencing TMD. Participants completed a survey of oral health habits, and a clinical exam. RESULTS: Results indicated that TMD patients felt their discomfort had created more difficulty with daily mouth care as compared with the general dentistry patients (P < .000). Most TMD patients, however, continued with routine daily mouth care, except for 15% who reported an inability to floss on a regular basis. Also, a majority of TMD patients (63%) reported a change in seeking routine professional care because of their disorder (P < .000). CONCLUSION: The present data indicate the need for TMD patients to receive information concerning routine daily mouth care and visits for professional dental care. The results are discussed in terms of the strategies that dental care providers need to develop in order to address the significant consequences of orofacial pain on regular dental care.