Practicing Dentistry (Personal Skills & Strength)

Practicing Dentistry

Personal Skills & Strength

By,

Dr. Fawaz Shamim Ahmad Siddiqui

BDS, MPH, MDS, MDTFEdin

Email: drfawazsiddiqui@gmail.com

                    Dentistry is a rewarding career because it involves both art and science. “Art” as in creating something new, and “science” of why something new has to be created in the first place. Learning the art and science of dentistry together requires certain personal skills and strengths. While these skills and strengths are inculcated during the training period, it is prudent to know them beforehand so that you can build on them and have a productive dental career.  

 Let’s explore the top ten personal skills and strengths that can make your journey through dentistry enjoyable and exciting.

 1. Manual Dexterity: Dentistry involves working with precision in a small and sensitive oral cavity. Excellent manual dexterity and fine motor skills are essential for performing delicate procedures, such as dental fillings, root canal treatment, extractions, or orthodontic adjustments.

2. Attention to Detail: Dental treatments require meticulous attention to detail. Dentists must carefully examine and diagnose oral conditions, identify cavities or abnormalities, and plan and execute treatment strategies with precision. For example, the placement of a dental implant requires precision and attention to small details for successful results.

3. Spatial Awareness: Dentists work in a confined space within the oral cavity. Having good spatial awareness enables dentists to navigate this limited area effectively and perform procedures accurately. For example, extracting a lower third molar tooth requires spatial awareness to locate the position of the impacted tooth from the x-ray and clinical examination.

4. Aesthetics and Creativity: Dentistry involves a degree of artistry, as dentists often work to enhance the appearance of patients' smiles. Assess your eye for aesthetics, creativity, and your interest in combining science with artistic elements to achieve optimal dental outcomes.

5. Problem-Solving Abilities: Dentistry often presents complex cases and challenges that require analytical thinking and problem-solving skills. Dentists need to evaluate different treatment options, consider patients' specific needs, and find the best solutions for oral health issues.

6. Scientific Aptitude: Dentistry is grounded in scientific knowledge, including subjects like anatomy, physiology, and dental materials. A solid understanding of these scientific principles is crucial for diagnosing conditions, developing treatment plans, and staying updated with advancements in the field.

7. Interpersonal and Communication Skills: Dentists interact with patients daily, so strong interpersonal and communication skills are vital. Dentists need to build rapport, listen to patients' concerns, explain diagnoses and treatment options clearly, and address any anxieties or fears related to dental procedures.

8. Empathy and Compassion: Patients may experience dental anxiety or fear, and dentists with empathy and compassion can help alleviate their concerns. Being able to connect with patients on an emotional level and provide a supportive environment can make a significant difference in their overall dental experience.

9. Professionalism, Ethics, and personal integrity: Dentistry is a profession that demands high standards of professionalism and ethics. Dentists should exhibit personal integrity, demonstrate respect for patient autonomy and confidentiality, and adhere to ethical guidelines while providing care.

10. Lifelong Learning: Dentistry is a continuously evolving field, with new techniques, technologies, and research emerging regularly. Dentists should have a commitment to lifelong learning, staying updated with the latest advancements, and participating in continuing education to provide the best possible care to their patients.

                    These personal skills and strengths can contribute to a successful and fulfilling career in dentistry as they align with the demands and requirements of the field. Remember that while possessing these skills can be advantageous, they can also be further developed and honed through education, training, and practical experience in dentistry.

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Choosing the Right Dental School

 

Choosing the Right Dental School

Paving the Path to a Successful Dental Career 

 With numerous options available locally and globally to study dentistry, choosing the right dental school is a pivotal decision. This decision has to be an informed decision and a choice based on your level of aspiration to start a successful dental career.  While different people may have different aspirations and personal circumstances, the decision boils down to setting priorities based on factors that can influence your learning experience and impact your skills to practice dentistry.

 In this article, we'll explore 10 essential factors to consider when selecting a dental school. Let's start with each, one by one:

 1. Accreditation:

The first and foremost aspect to consider is accreditation. Ensure that the dental school you choose is accredited by the dental council or the dental education governing bodies in the respective country or region.

Accreditation guarantees that the dental school meets rigorous educational standards, ensuring the quality of education you receive and the recognition of your degree by licensing boards.

 2. Curriculum:

Evaluate the dental school's curriculum to ensure it offers a well-rounded education. Look for a curriculum that strikes a balance between theoretical knowledge and practical experience. Seek programs that incorporate the latest advancements in dentistry, such as digital technologies and evidence-based practices.

Additionally, check if the curriculum includes specialized programs or tracks that align with your interests, allowing you to pursue your chosen field of dentistry.

 3. Faculty and Expertise:

The faculty members at a dental school play a crucial role in shaping your education. Research the qualifications and expertise of the faculty members to ensure they possess the necessary skills and experience to guide you effectively.

Experienced faculty members who are actively involved in clinical practice or research can provide valuable insights and mentorship, nurturing your growth as a dental professional.

 4. Clinical Opportunities:

Practical clinical experience is paramount in dental education. Look for dental schools that offer ample clinical opportunities for students to gain hands-on experience treating patients.

Inquire about the types of dental clinics affiliated with the school, the number of patients treated, and the level of student involvement in patient care. The more exposure you have to diverse cases and experienced faculty, the better prepared you will be to excel in your dental career.

5. Student Exchange / Mobility Program:

            Explore whether the dental school has collaborations with other overseas universities for student exchange/mobility programs. These programs help the students to explore the practice of dentistry in other countries which broadens their horizons for future career prospects. 

6. Location:

Consider the location of the dental school and its impact on your lifestyle and support system. Evaluate factors such as proximity to family, cost of living, transportation, and cultural diversity.

Additionally, think about the local dental community and the potential networking opportunities and job prospects in the area. Choose a location that aligns with your preferences and offers a conducive environment for your educational journey.

 7. Cost and Financial Considerations:

Evaluate the cost of tuition, fees, and living expenses associated with each dental school. Private dental schools tend to be more expensive than public institutions, but they may offer additional resources and facilities.

Research scholarships, grants, and financial aid options to ease the financial burden. Proper planning and understanding of the financial implications will ensure a smoother educational journey.

 8. Facilities and Resources:

Assess the quality of facilities and resources offered by the dental school. Look for modern clinics equipped with advanced dental technologies, well-equipped laboratories, libraries, and other resources that support dental education. These facilities contribute to a conducive learning environment and provide opportunities for hands-on training and research.

 9. Student Support Services:

Consider the availability of student support services provided by the dental school. Look for schools that offer academic advising, counseling services, tutoring, and career placement assistance. A supportive environment with access to guidance and resources can significantly enhance your educational experience and future success as a dental professional.

 10. Alumni Network:

Investigate the strength and size of the dental school's alumni network. A robust alumni network can provide valuable networking opportunities, mentorship, and potential job prospects after graduation. Consider schools with active alumni engagement programs or events that foster connections between current students and successful alumni.

     

            Choosing the right dental school is a critical decision that shapes your educational journey and future dental career. By considering factors such as accreditation, curriculum, faculty expertise, clinical opportunities, location, cost, facilities, student support services, and alumni network, you can make an informed decision that aligns with your aspirations. Thorough research, campus visits, and discussions with current students and alumni are invaluable in gaining insights into each dental school. Remember, selecting the right dental school sets the stage for a successful dental career, so invest time and effort into making the best choice for your future. 

Image: freepik.com

Definitions of Dental Specialities 

(Council on Dental Education and Licensure, American Dental Association)

Pediatric Dentistry: 

Pediatric Dentistry is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. (Adopted 1995)

Dental Public Health: 

Dental public health is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice which serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. (Adopted May 1976)

Endodontics: 

Endodontics is the branch of dentistry which is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. (Adopted December 1983)

Oral and Maxillofacial Pathology: 

Oral pathology is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. (Adopted May 1991)

Oral and Maxillofacial Radiology: 

Oral and maxillofacial radiology is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. (Adopted April 2001)

Oral and Maxillofacial Surgery: 

Oral and maxillofacial surgery is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. (Adopted October 1990)

Orthodontics and Dentofacial Orthopedics: 

Orthodontics and dentofacial orthopedics is the dental specialty that includes the diagnosis, prevention, interception, and correction of malocclusion, as well as neuromuscular and skeletal abnormalities of the developing or mature orofacial structures. (Adopted April 2003)

Periodontics: 

Periodontics is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. (Adopted December 1992)

Prosthodontics: 

Prosthodontics is the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth and/or oral and maxillofacial tissues using biocompatible substitutes. (Adopted April 2003)

(Source: http://www.ada.org/en/education-careers/careers-in-dentistry/dental-specialties/specialty-definitions)

Oral Hygiene Instructions for Children

By Dr. Fawaz Siddiqui

Specialist Pedodontist

As healthcare providers we are frequently asked by the patients…How to best take care of our teeth?  And the universal answer is “Brush your teeth twice a day”. Well, we are right but there are age specific oral hygiene instructions that we commonly fail to provide.

Today we will discuss the various age appropriate oral hygiene instruction.

To begin with, the main aim of oral hygiene instruction is to prevent the formation of plaque on the teeth and to disrupt the already formed plaque on the teeth. Both these objectives ultimately prevents the harmful outcome of plaque accumulation on teeth namely, calculus and dental caries.

Now, dental plaque is a thin tenacious, colorless, bio-film which is not visible to the naked eye. It forms on the tooth surface merely 4 to12 hours after brushing. If dental plaque is left undisturbed on the teeth it gets organized and starts to initiate its harmful effects.

In order to prevent formation and disrupt plaque structure following age specific instructions are to be given:

1.      At Pre-natal counseling

2.      For Infants (0 – 1 years)

3.      For Toddlers (1 – 3 years)

4.      For Preschooler (3 to 6 years)

5.      For School age (6 to 12 years)

6.      For Adolescents (12 to 19 years)

7.      For adults (above 9 years)

Pre-natal counseling is the best time for providing oral hygiene instructions. The first time mothers are very receptive to healthcare advice. If they are able to follow good oral hygiene practices they become role models for their children. The healthcare providers should refer the pregnant patients for dental examination to the dentist. Preventive dental services and restorative treatment can prevent painful episodes later in the pregnancy. Also the good oral health in mothers has a protective effect on the oral health of their children

During infancy, the first primary tooth erupts at about 6 – 9 months. The objective of oral hygiene in this age group is to provide healthy oral environment for the teeth to erupt. Therefore before the teeth erupt, cleaning and massaging of gums using finger brush or muslin cloth is recommended. Mechanical cleaning reduces the total bacterial load of the oral cavity, thereby preventing the chances of colonization of bacteria on newly erupted tooth. After the teeth erupt, cleaning is done using soft bristle baby toothbrush. The oral hygiene procedure is performed once a day before bedtime. The child has to be gently restrained to achieve this. Toothpaste is not recommended at this age because the child would invariable swallow the paste and its beneficial effect is not obtained. By one year of age the child has to taken to a dentist for the first oral examination based on the concept called as Dental Home.

                                          Smear of toothpaste     Pea size toothpaste

                                           (Source: http://www.hallerandhug.com)

When the child is a toddler, almost full complement of primary teeth would have erupted. To maintaining the oral hygiene, tooth brushing with an appropriate sized toothbrush with a smear of non-fluoridated toothpaste is recommended. Non-fluoridated tooth paste is recommended because at this age children have not developed the neuromuscular control of spiting and swallowing of fluoridated tooth paste can cause fluoride toxicity. Brushing twice a day particularly at bedtime is most important. Flossing of teeth becomes mandatory once the contacts between teeth are present because food lodgment in-between the teeth causes interproximal caries which requires very careful visual and radiographic diagnostic observation. Since children tend to chew their toothbrush rather than use it, parents are responsible for brushing and flossing. Some children are defiant to the tooth cleaning procedure and resist the situation. Therefore at times gentle restrain or active restrain by both the parents are required.

For preschooler, tooth brushing is again done with appropriate size toothbrush and importantly with pea sized fluoridated toothpaste on the tooth brush. The size of the toothpaste reduces the risk of fluoride toxicity. Commercial toothpaste with low concentration of fluoride is also available in the market for children. Fluoridated toothpaste offers protective benefit against dental caries. Brushing twice a day particularly at bedtime is necessary. It is recommended not to rinse the mouth after spiting the toothpaste after brushing because this increases the amount of time fluoride is present on the teeth. Flossing is again recommended at bedtime and parent’s are required to brush and floss their children’s teeth. Floss picks are convenient to use in children. 

                                                             Floss Pick

                                  (Source:http://labmedical.en.hisupplier.com)

For school aged children, it is assumed that they have developed sufficient neuromuscular coordination to brush their teeth on their own and spit when required. Since children have developed reasoning ability a demonstration of disclosing agents increases their motivation for brushing. Fluoridated toothpaste is recommended along with flossing. Brushing twice a day particularly at bedtime is recommended. For children with high caries risk or those who are undergoing orthodontic treatment, a fluoridated mouthwash for twice a day use, is prescribed. Parents at this stage take the role of supervision of their children’s oral hygiene.

For people in adolescent age group, there are major changes taking place in their bodies as well as in their social environment. On one hand they become very conscious about their appearance and seek dental treatment, or they may neglect their oral hygiene all together. Poor dietary habits and poor patient compliance increases the risk of adolescent rampant caries in this age group. This stage is governed by imaginary audience and personal fable, therefore any changes in their oral hygiene and dietary habits may be met with resistance. Gentle reminders and empathy is required to gain their confidence. Brushing with fluoridated toothpaste and flossing are the main stay of the oral hygiene. Other oral hygiene adjuncts like tongue cleaner help to reduce the total oral bacterial load. Brushing twice a day particularly at bedtime is recommended. Addition of antibacterial mouthwash in the regime improves the gingival health and protects against bad breath. Fluoride mouth rinse is compulsory for those undergoing orthodontic treatment.

For adults patients, as mentioned above for the adolescent age group, brushing twice with fluoridated toothpaste and flossing the teeth are compulsory. Addition of antibacterial or fluoride mouthwash will benefit those at risk of caries for e.g. people with fixed prosthesis, implants and dry mouth syndrome. Currently there is a new type of caries that occurs in old age called as the senile caries. It affects the cervical collar of the tooth weakening the tooth and ultimately tooth fracture occurs before it is symptomatic.

Lastly, we look at the mechanism of action of various oral hygiene tools in very brief easy to understand terms. The tooth brush essentially disrupts the plaque structure while the tooth paste polishes the tooth which makes retention of plaque difficult on the teeth. Tooth paste also delivers medicaments to the teeth such as antibacterial agents and fluoride. The tongue cleaners or brushing the tongue removes the food debris and bacteria present on the rough surface of the tongue. This reduces the bacterial load of the oral cavity and probably reduces halitosis as well. The floss disrupts the plaque structure that forms in-between the teeth where the bristles of toothbrush cannot reach. Also any food lodged in-between the teeth can be removed by the floss. Electronic toothbrushes are innovations of the manual tooth brushing. It is useful in young children where the parents have to brush their child’s tooth.

A general advice for everyone is to visit your dentist every 6 months for dental examination and follow your dentist’s recommendations to prevent initiation of caries. For e.g. application of pit and fissure sealants, application of in-office fluoride therapy to name a few. Change your brush once every 3 months. Change the brand of your toothpaste and mouth rinse often to keep your oral hygiene regime interesting.

Easier said than done, 2-5 minutes spent on your children and yourself goes a long way in protecting one from toothache and losing one’s tooth. As I always say to my patients

“TEETH IS A TOOL FOR A LIFETIME”

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