Adolescent patients may present with unique and challenging ethical dilemmas and legal considerations during dental treatment. From the moment the patient registers with the practice, the issues of medical history, informed consent, treatment decisions, and role of the patient and parent affect the dynamic of the doctor-patient relationship. Providers are challenged with balancing the physical, psychological, and social changes occurring in these patients and the changing relationships between the patients and their parents/guardians.
View Article and Find Full Text PDFJ Evid Based Dent Pract
June 2016
Unlabelled: Direct access care provided by dental hygienists can reduce oral health disparities for the underserved, yet legal, regulatory, and ethical considerations create complexities and limits.
Background And Purpose: Individual state dental practice acts regulate the scope of practice and level of supervision required when dental hygienists deliver care. Yet, inconsistent state practice act regulations contribute to ethical and legal limitations and dilemmas for practitioners.
Community Dent Oral Epidemiol
October 2016
Objective: This study aims to assess patient attitudes toward mid-level dental providers, known as dental therapists (DTs), by surveying those likely to be their patients. The recent adoption of accreditation standards by the Commission on Dental Accreditation has reignited a debate surrounding the state-by-state legalization of DTs in the United States; while the dental profession is divided on DTs, it is important to understand how potential patients may view the DT model.
Methods: A questionnaire that asks about oral health experience, and comfort with the model of a dually trained dental therapist-hygienist, based on a provided definition, was administered to 600 patients and their waiting room companions at a large urban university-based dental clinic.
The introduction of mid-level providers to the U.S. dental workforce is currently a topic of heated debate.
View Article and Find Full Text PDFJ Mich Dent Assoc
September 2011
J Mich Dent Assoc
September 2009
With issues such as shrinking revenue, access to care, faculty workloads, and graying faculty, dental schools are faced with difficult challenges that fall to dental school deans to manage. Do dental school deans have the organizational skill sets and ethical frameworks necessary to address the challenges now facing dental schools? The purpose of this article is to pose questions and suggestions regarding some of the key issues in dental colleges today and to stimulate discussion in the dental community about needed changes in dental education.
View Article and Find Full Text PDFThis study explores the little-understood process of evaluating the performance of assistant and associate deans at dental colleges in the United States and Canada. Specifically, this research aimed to identify the methods, processes, and outcomes related to the performance appraisals of assistant/associate deans. Both deans and assistant/associate deans were surveyed.
View Article and Find Full Text PDFImproving the adaptation of resin composites during placement is necessary to increase durability and reduce microleakage. Flowable resin liners have been introduced to improve adaptation in composite restorations. In addition, a device that lowers the viscosity of regular dental composites has been introduced (Calset, AdDent Inc, Danbury, CT, USA).
View Article and Find Full Text PDFThis study explores the little understood process of evaluating the performance of department chairs/division heads in dental schools. Specifically, this research aimed to elucidate the methods, processes, and outcomes related to the job performance of department chairs/division heads. Forty-three deans and 306 chairs completed surveys with both close-ended and open-ended questions.
View Article and Find Full Text PDFFlowable resin materials have been suggested as liners beneath packable composites to improve marginal integrity. This investigation evaluated the effect of low-viscosity liners on microleakage in Class II packable composite restorations. Twenty Class II cavities were prepared in extracted third molars for each of four packable composites (Heliomolar HB, Prodigy Condensable, Surefil and Tetric Condense).
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