The rationale for the introduction of implant dentistry into the dental curriculum
Identifieur interne : 005A24 ( Main/Curation ); précédent : 005A23; suivant : 005A25The rationale for the introduction of implant dentistry into the dental curriculum
Auteurs : N. P. Lang [République populaire de Chine] ; H. De Bruyn [Belgique]Source :
- European Journal of Dental Education [ 1396-5883 ] ; 2009-02.
Descripteurs français
- KwdFr :
- Compétence clinique (normes), Enseignement dentaire (normes), Europe, Humains, Mâchoire édentée (rééducation et réadaptation), Pose d'implant dentaire (enseignement et éducation), Pose d'implant dentaire (normes), Procédures de chirurgie reconstructive (enseignement et éducation), Programme d'études (normes), Prosthodontie (enseignement et éducation), Prosthodontie (normes), Évaluation des acquis scolaires ().
- MESH :
- enseignement et éducation : Pose d'implant dentaire, Procédures de chirurgie reconstructive, Prosthodontie.
- normes : Compétence clinique, Enseignement dentaire, Pose d'implant dentaire, Programme d'études, Prosthodontie.
- rééducation et réadaptation : Mâchoire édentée.
- Wicri :
- geographic : Belgique, Europe, Humains, Évaluation des acquis scolaires.
English descriptors
- KwdEn :
- Academic community, Academisch centrum voor tandheelkunde amsterdam, Additional competence, Adult population, Alberto sicilia, Basic aspects, Basic biomechanical, Belgium, Biological complications, Blackwell munksgaard, Blackwell munksgaard lang, Bragger, Bruyn, Chronic periodontitis, Clin, Clin implant dent relat, Clin periodontol, Clinical Competence (standards), Competent health professionals, Complete dentures, Complication, Complication rates, Conventional dentures, Curriculum (standards), Daniel wismeijer, Denis diderot, Dent, Dent educ, Dental Implantation (education), Dental Implantation (standards), Dental caries, Dental curriculum, Dental implant system, Dental implants, Dental students, Dentistry, Dentition, Denture, Eastman specializzato, Economical point, Edentulism, Edentulous, Edentulous patient, Edentulous patients, Education, Dental (standards), Educational Measurement (methods), Elderly patients, Elderly population, Europe, European consensus workshop, European countries, Fpd, Full dentures, Gent, Gent universiteit, Hong kong, Humans, Ignace naert, Immediate loading, Implant, Implant dentistry, Implant dentistry university education, Implant installation, Implant patients, Implant placement, Implant therapy, Implant treatment, Important teeth, Incorporation rates, Jaw, Edentulous (rehabilitation), Journal compilation, Katholieke universiteit leuven, Klaus gotfredsen, Lang, Legal aspects, Leonardo trombelli, Literature review, Major problem, Mandibular overdentures, Material science principles, Mcgill consensus statement, Neighbouring teeth, Nobel biocare, Noel claffey, Observation period, Oral function, Oral health, Oral implants, Other hand, Overall treatment planning, Overdentures, Partial dentures, Pedro bullon, Philippe bouchard, Pjetursson, Prospective cohort study, Prosthesis, Prosthetic, Prosthetic techniques, Prosthodontics (education), Prosthodontics (standards), Reconstructive Surgical Procedures (education), Reconstructive dentistry, Removable prostheses, Restorative dentists, Sebastiaan koole, Single crowns, Single tooth replacement, Such treatment, Surgical procedure, Surgical technique, Swed dent, Systematic review, Systematic reviews, Technical complications, Tissue integration, Tooth loss, Tooth structures, Trinity college, Universiteit, Various aspects, Various prosthetic reconstructions.
- MESH :
- geographic : Europe.
- education : Dental Implantation, Prosthodontics, Reconstructive Surgical Procedures.
- methods : Educational Measurement.
- rehabilitation : Jaw, Edentulous.
- standards : Clinical Competence, Curriculum, Dental Implantation, Education, Dental, Prosthodontics.
- Teeft :
- Academic community, Academisch centrum voor tandheelkunde amsterdam, Additional competence, Adult population, Alberto sicilia, Basic aspects, Basic biomechanical, Belgium, Biological complications, Blackwell munksgaard, Blackwell munksgaard lang, Bragger, Bruyn, Chronic periodontitis, Clin, Clin implant dent relat, Clin periodontol, Competent health professionals, Complete dentures, Complication, Complication rates, Conventional dentures, Daniel wismeijer, Denis diderot, Dent, Dent educ, Dental caries, Dental curriculum, Dental implant system, Dental implants, Dental students, Dentistry, Dentition, Denture, Eastman specializzato, Economical point, Edentulism, Edentulous, Edentulous patient, Edentulous patients, Elderly patients, Elderly population, European consensus workshop, European countries, Fpd, Full dentures, Gent, Gent universiteit, Hong kong, Humans, Ignace naert, Immediate loading, Implant, Implant dentistry, Implant dentistry university education, Implant installation, Implant patients, Implant placement, Implant therapy, Implant treatment, Important teeth, Incorporation rates, Journal compilation, Katholieke universiteit leuven, Klaus gotfredsen, Lang, Legal aspects, Leonardo trombelli, Literature review, Major problem, Mandibular overdentures, Material science principles, Mcgill consensus statement, Neighbouring teeth, Nobel biocare, Noel claffey, Observation period, Oral function, Oral health, Oral implants, Other hand, Overall treatment planning, Overdentures, Partial dentures, Pedro bullon, Philippe bouchard, Pjetursson, Prospective cohort study, Prosthesis, Prosthetic, Prosthetic techniques, Reconstructive dentistry, Removable prostheses, Restorative dentists, Sebastiaan koole, Single crowns, Single tooth replacement, Such treatment, Surgical procedure, Surgical technique, Swed dent, Systematic review, Systematic reviews, Technical complications, Tissue integration, Tooth loss, Tooth structures, Trinity college, Universiteit, Various aspects, Various prosthetic reconstructions.
Abstract
This paper provides arguments for the introduction of implant dentistry into the undergraduate curriculum. The survival of teeth is very high when disease is diagnosed and treated properly and maintenance is taken care of. Nevertheless, tooth replacements by fixed and removable prostheses are highly prevalent. It is expected that dentists will face a dramatically increased need to care for elderly patients and partially edentulous patients. Hence, the demand for implant reconstructions will be substantial and more appropriately trained and competent health professionals will be needed. Increasing demands of the patient regarding aesthetics and function will influence the demands for implant therapy. The improvement of oral function and subjective chewing comfort, the preservation of tooth structures or existing reconstructions and the replacement of missing, strategically important teeth are major indications for implant placement. From both a biological and an economical point of view, the single tooth replacement with an implant is the first choice in situations with no or minimally restored neighbouring teeth compared with conventional bridgework. Stability of full dentures represent a major problem especially for the mandible. It is well documented that placement of two implants supporting an overdenture substantially improve chewing capacity, increase quality of life and is a simple and cost‐effective treatment thus rendering such treatment a ‘standard of care’ procedure. There is no doubt that dental students should learn to incorporate the indication of oral implants in their overall treatment planning. Therefore, they will have to understand the basic aspects of healing and tissue integration, basic biomechanical and material science principles as well as surgical and prosthetic techniques. They will have to be able to monitor continuously the peri‐implant tissues, render appropriate supportive therapy and cope with biological and technical complications. While it is evident that the surgical procedure per se may require additional competence, the remainder of the aspects mentioned should be taught in the dental curriculum. This should include the attribution of responsibility for maintenance of implants and handling of biological and technical complications. Moreover, it is desirable to include the surgical technique for implant placement for ‘straightforward’ cases into the dental curriculum. The levels and limitations to which the various aspects of implant dentistry and related skills are to be taught are determined by the academic community. Obviously, ethical and legal aspects of implant dentistry should not be forgotten.
Url:
DOI: 10.1111/j.1600-0579.2008.00540.x
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<term>Dental Implantation (standards)</term>
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<term>Elderly population</term>
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<term>Lang</term>
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<term>Mandibular overdentures</term>
<term>Material science principles</term>
<term>Mcgill consensus statement</term>
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<term>Nobel biocare</term>
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<term>Overdentures</term>
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<term>Philippe bouchard</term>
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<term>Prosthodontics (standards)</term>
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<term>Various prosthetic reconstructions</term>
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<term>Europe</term>
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<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Pose d'implant dentaire (enseignement et éducation)</term>
<term>Pose d'implant dentaire (normes)</term>
<term>Procédures de chirurgie reconstructive (enseignement et éducation)</term>
<term>Programme d'études (normes)</term>
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<term>Enseignement dentaire</term>
<term>Pose d'implant dentaire</term>
<term>Programme d'études</term>
<term>Prosthodontie</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
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<term>Curriculum</term>
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<term>Education, Dental</term>
<term>Prosthodontics</term>
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<term>Academisch centrum voor tandheelkunde amsterdam</term>
<term>Additional competence</term>
<term>Adult population</term>
<term>Alberto sicilia</term>
<term>Basic aspects</term>
<term>Basic biomechanical</term>
<term>Belgium</term>
<term>Biological complications</term>
<term>Blackwell munksgaard</term>
<term>Blackwell munksgaard lang</term>
<term>Bragger</term>
<term>Bruyn</term>
<term>Chronic periodontitis</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clin periodontol</term>
<term>Competent health professionals</term>
<term>Complete dentures</term>
<term>Complication</term>
<term>Complication rates</term>
<term>Conventional dentures</term>
<term>Daniel wismeijer</term>
<term>Denis diderot</term>
<term>Dent</term>
<term>Dent educ</term>
<term>Dental caries</term>
<term>Dental curriculum</term>
<term>Dental implant system</term>
<term>Dental implants</term>
<term>Dental students</term>
<term>Dentistry</term>
<term>Dentition</term>
<term>Denture</term>
<term>Eastman specializzato</term>
<term>Economical point</term>
<term>Edentulism</term>
<term>Edentulous</term>
<term>Edentulous patient</term>
<term>Edentulous patients</term>
<term>Elderly patients</term>
<term>Elderly population</term>
<term>European consensus workshop</term>
<term>European countries</term>
<term>Fpd</term>
<term>Full dentures</term>
<term>Gent</term>
<term>Gent universiteit</term>
<term>Hong kong</term>
<term>Humans</term>
<term>Ignace naert</term>
<term>Immediate loading</term>
<term>Implant</term>
<term>Implant dentistry</term>
<term>Implant dentistry university education</term>
<term>Implant installation</term>
<term>Implant patients</term>
<term>Implant placement</term>
<term>Implant therapy</term>
<term>Implant treatment</term>
<term>Important teeth</term>
<term>Incorporation rates</term>
<term>Journal compilation</term>
<term>Katholieke universiteit leuven</term>
<term>Klaus gotfredsen</term>
<term>Lang</term>
<term>Legal aspects</term>
<term>Leonardo trombelli</term>
<term>Literature review</term>
<term>Major problem</term>
<term>Mandibular overdentures</term>
<term>Material science principles</term>
<term>Mcgill consensus statement</term>
<term>Neighbouring teeth</term>
<term>Nobel biocare</term>
<term>Noel claffey</term>
<term>Observation period</term>
<term>Oral function</term>
<term>Oral health</term>
<term>Oral implants</term>
<term>Other hand</term>
<term>Overall treatment planning</term>
<term>Overdentures</term>
<term>Partial dentures</term>
<term>Pedro bullon</term>
<term>Philippe bouchard</term>
<term>Pjetursson</term>
<term>Prospective cohort study</term>
<term>Prosthesis</term>
<term>Prosthetic</term>
<term>Prosthetic techniques</term>
<term>Reconstructive dentistry</term>
<term>Removable prostheses</term>
<term>Restorative dentists</term>
<term>Sebastiaan koole</term>
<term>Single crowns</term>
<term>Single tooth replacement</term>
<term>Such treatment</term>
<term>Surgical procedure</term>
<term>Surgical technique</term>
<term>Swed dent</term>
<term>Systematic review</term>
<term>Systematic reviews</term>
<term>Technical complications</term>
<term>Tissue integration</term>
<term>Tooth loss</term>
<term>Tooth structures</term>
<term>Trinity college</term>
<term>Universiteit</term>
<term>Various aspects</term>
<term>Various prosthetic reconstructions</term>
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<term>Humains</term>
<term>Évaluation des acquis scolaires</term>
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<front><div type="abstract" xml:lang="en">This paper provides arguments for the introduction of implant dentistry into the undergraduate curriculum. The survival of teeth is very high when disease is diagnosed and treated properly and maintenance is taken care of. Nevertheless, tooth replacements by fixed and removable prostheses are highly prevalent. It is expected that dentists will face a dramatically increased need to care for elderly patients and partially edentulous patients. Hence, the demand for implant reconstructions will be substantial and more appropriately trained and competent health professionals will be needed. Increasing demands of the patient regarding aesthetics and function will influence the demands for implant therapy. The improvement of oral function and subjective chewing comfort, the preservation of tooth structures or existing reconstructions and the replacement of missing, strategically important teeth are major indications for implant placement. From both a biological and an economical point of view, the single tooth replacement with an implant is the first choice in situations with no or minimally restored neighbouring teeth compared with conventional bridgework. Stability of full dentures represent a major problem especially for the mandible. It is well documented that placement of two implants supporting an overdenture substantially improve chewing capacity, increase quality of life and is a simple and cost‐effective treatment thus rendering such treatment a ‘standard of care’ procedure. There is no doubt that dental students should learn to incorporate the indication of oral implants in their overall treatment planning. Therefore, they will have to understand the basic aspects of healing and tissue integration, basic biomechanical and material science principles as well as surgical and prosthetic techniques. They will have to be able to monitor continuously the peri‐implant tissues, render appropriate supportive therapy and cope with biological and technical complications. While it is evident that the surgical procedure per se may require additional competence, the remainder of the aspects mentioned should be taught in the dental curriculum. This should include the attribution of responsibility for maintenance of implants and handling of biological and technical complications. Moreover, it is desirable to include the surgical technique for implant placement for ‘straightforward’ cases into the dental curriculum. The levels and limitations to which the various aspects of implant dentistry and related skills are to be taught are determined by the academic community. Obviously, ethical and legal aspects of implant dentistry should not be forgotten.</div>
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