Notes On Operative Dentistry And Endodontics Download.zip
Bernd Manison
The aim of the current study was to investigate current dental practice in operative dentistry in Jordan, and the relationship between evidence-based dentistry in caries research and decision making in clinical practice in operative dentistry.
In operative dentistry, the evidence-based research is not implemented clinically. To optimize relationship between evidence-based dentistry and clinical decision-making, dental curriculum has to be updated and modified constantly.
The aim of this study was to investigate contemporary dental practice in operative dentistry, and the relationship between EBD in caries research and decision making in clinical practice in operative dentistry.
When treating discolored occlusal fissures, most dentists use fissure sealants or preventive resin restoration (41.2%), while the rest use preventive non-operative treatment (33%) or Class I cavity preparation (25.8%). Class I cavity preparation was used more frequently by graduates from East Europe and least frequently by graduates from West Europe and USA and those specialized in conservative dentistry and prosthodontics. When experience was taken into account, those who had experience more than 20 years showed the highest tendency to use fissure sealants or preventive resin restoration compared to those with less than 20 years of experience.
Nearly two-thirds of dentists (65.2%) treat lesions confined to enamel with operative treatment. Graduates from West Europe and USA and specialists in conservative dentistry and endodontics utilize preventive treatments more frequently.
In the current study the null hypothesis was accepted. There was no correlation between EBD in caries research and decision making in clinical practice in operative dentistry for dentists in Jordan. The good news is the partial presence of these research-based cariology concepts among our dentists.
Therefore, in the present era, productive and desirable changes are mandatory in the daily practice clinical decisions in which the practice of dentistry emphasizes or should emphasize more on preventive non-operative treatment and remineralization of demineralized tooth structure rather than simply drilling and filling teeth [11, 22].
The null hypothesis in the current study was accepted in most of its facets, indicating a gap between evidence-based research and clinical practice in terms of cariology and operative dentistry. On the other hand, in our previous study investigating various restorative options (esthetic treatment, replacement of missing teeth, endodontic treatment, and treatment of badly damaged teeth), the null hypothesis was rejected in most of its facets [16]. This variation in treatment strategies among the same population maybe attributed to different dental schools and curriculums, personal experience and knowledge, or it may be due to absence of definitive universal evidence-based clinical guidelines.
The Wilson-Jennings-Bloomfield UCLA Venice Dental Center has been serving the community since 1969 and welcomes new patients to the practice. They offer comprehensive dental care for the entire family provided by dental students, residents and faculty. The clinic has grown from a five-chair storefront operation to a 27-chair state-of-the-art facility that sees more than 12,000 patient visits annually. Services at the facility include general dentistry, restorative dentistry, oral surgery, pediatrics, orthodontics, endodontics, implants, and more.
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