RESUMO
The aim of this cross-sectional study was to evaluate the status of laser use and training in the U.S. and Canadian graduate periodontology programs. A survey questionnaire was sent electronically to 55 periodontology program directors in North America. The questions focused on laser implementation, types of lasers used, for which procedures lasers were used, and level of education/clinical training provided to residents. Data were analyzed using descriptive statistics and Fisher's exact test. Twenty-two directors responded (40%). Most programs (86%) used lasers and 89% used a diode laser. Laser treatment was the most used for periimplantitis (84%). Fifteen programs (79%) provided didactic and clinical training, with 47% programs giving 4-12 h of didactic training. In 53% of programs, residents completed 4 to10 procedures. Only 29% of programs had residents who had received a certification in lasers, with most (80%) programs requiring between 1-9 cases for certification. Of the participants not providing laser training, the major barrier was indicated as being "expense", with 68.7% reporting plans to implement laser education. Conclusions: Most graduate periodontics programs were providing laser training and treatment. There was great variability regarding the training methods, specifically in number of dedicated laser courses, time allocated for laser training, and prerequisites for laser certification.
RESUMO
BACKGROUND: The enrollment of international periodontal students in U.S. dental schools has been increasing in recent years. Interest in applying to a periodontics specialty program may differ between U.S and international dental school graduates. The purpose of this study is to assess, from the perspective of periodontal residents, (1) factors that interest dental students to apply to periodontics programs and (2) differences in background and interest between U.S and international graduates. METHODS: A 20-question survey was sent out electronically to periodontics residents. The survey questions were designed to obtain information on the participants' backgrounds, factors that influenced them to specialize in periodontics, and their preferred features of graduate periodontics programs. The data were analyzed using descriptive statistics for socio-demographic variables, a Wilcoxon two sample test to compare mean Likert scale scores, and Fisher's exact test for associations between comparison groups. RESULTS: Of the two hundred residents invited to participate, 28% responded. The majority of the respondents stated that interest in implantology, previous exposure to periodontal procedures, interest in improving periodontal surgery skills, a good relationship with periodontics faculty, the residency curriculum, advanced program and faculty reputation as influencing factors in selecting periodontics as specialization. The majority of international graduates have up to $50,000 dollars in student debt; by comparison, half of the domestic graduates have a debt of over $250,000 dollars (p ≤ 0.05). Working experience as a dentist was significantly greater among international residents (73%) in comparison to U.S graduates (32%). In contrast with international graduates, U.S graduates more frequent reported that good relationships with the periodontics predoctoral faculty contributed to their interest in periodontics (p ≤ 0.05). Program cost and location had a greater impact on the decision of U.S. graduates than international graduates (p ≤ 0.05). CONCLUSIONS: Overall, factors associated with personal finance and predoctoral education have a greater impact on the decision of American graduates than international graduates to pursue an advanced education in periodontics, which may influence the increased enrollment of international students.
