Does the Level of Confidence Exhibited by Dental Students Predict the Outcome of Complete Denture Therapy?

MATERIALS AND METHODS: Fifty-seven final-year dental students in the year 2019 and the first edentulous patient managed by them were recruited for the study. A fourteen-item questionnaire was given to the students to assess their level of confidence just before commencement of the treatment. Questionnaire for the patients was used to assess their satisfaction both with the operator and the dentures. Clinical outcome of dentures was assessed using ten criteria. RESULTS: The average confidence level of the students was found to be 2.17 in a 4-point scale. A two-sample test indicated that there is a significant difference in the overall level of confidence between female and male students (p value = 0.004). Moreover, a nonparametric correlation analysis revealed that there is no significant correlation between the overall level of confidence of each student and patient satisfaction regarding student performance, level of satisfaction of patients regarding dentures, and the quality of dentures as assessed by the clinicians (p value = 0.545, 0.877, and 0.801, respectively). CONCLUSIONS: Students' level of confidence in carrying out complete denture procedures is satisfactory. Male students exhibited a better overall level of confidence than female students. However, the level of confidence exhibited by the dental students does not predict patient satisfaction or clinical outcome.

Effectiveness of Procedural Video Versus Live Demonstrations in Teaching Laboratory Techniques to Dental Students.

Even though the traditional live demonstration method is commonly used in teaching laboratory techniques to dental students, it has many drawbacks. The aim of this study was to assess the acquisition of knowledge, practical skills, and perceptions of dental students who had a live demonstration versus procedural video on arranging artificial teeth. All 79 third-year dental students at a dental school in Sri Lanka, who had no previous experience in arrangement of teeth, were randomly divided into two groups in 2016. Students in group 1 had a live demonstration, while students in group 2 had a video demonstration. A pretest and posttest were conducted to assess the students' knowledge about arrangement of teeth. After one week, students in both groups were requested to arrange teeth, and a practical skills score was given. Following this, a questionnaire was used to assess the students' perceptions regarding their method of learning. Three students in group 1 did not attend the live demonstration, so the results were based on 76 participants: group 1 n=36, group 2 n=40. The results showed no significant difference between the two group's mean pretest scores (p=0.460). However, group 2 showed a statistically significant increase in mean posttest score over its pretest score (p=0.002). This difference was not seen in group 1. There was no significant difference in the mean skills test score for the two groups (p=0.588). These results suggest the procedural video was as good as the live demonstration in teaching the specific task selected for this study. However, when the perceptions of the two groups were compared, the students considered the video as a better teaching tool except when clarification was needed.

Awareness, attitudes, need and demand on replacement of missing teeth among a group of partially dentate patients attending a University Dental Hospital.

OBJECTIVE: Our objective was to assess awareness, attitudes, need and demand on replacement of missing teeth according to edentulous space, age, gender, ethnicity, educational level and socio-economical status of the patient. RESULTS: 76.2% of the study group was opined that the missing teeth should be replaced by prosthetic means. Majority were keen in getting them replaced mainly for the comfort in mastication. Although 77.9 and 32.9% were aware of the removable prostheses and implants respectively, only 25.2% knew about tooth supported bridges as an option of replacement of missing teeth. Participants' awareness on tooth and implant supported prostheses is at a higher level. Participants' opinion on need of regular dental visit was statistically significant when gender, ethnicity and education level were considered. The highest demand for replacement of missing teeth was observed in Kennedy class I and II situations in both upper and lower arches. Demand for fixed prostheses was significantly highest in Kennedy class II in upper and lower arches. In conclusion, although removable prosthodontic options are known to most of the patients, their awareness on tooth and implant supported prostheses is also at a higher level. The highest demand for replacement of missing teeth is by patients with Kennedy class I and II situations whereas Kennedy class II being the category with highest demand for fixed prostheses. We recommend that the location of missing teeth to be considered as a priority when educating patients on the most appropriate prosthetic treatment options. Dentists' involvement in educating patients on prosthetic options needs to be improved.