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Rev. Ateneo Argent. Odontol ; 61(2): 52-59, nov. 2019. ilus
Artigo em Espanhol | LILACS | ID: biblio-1095411


Esta presentación se centra en la aplicación de la cefalometría en la práctica clínica de la ortodoncia. Su objetivo es relacionar el protocolo utilizado en el Ateneo Argentino de Odontología (AAO) con los cefalogramas laterales diseñados por los Dres. Arne Björk, Joseph Jarabak, James McNamara y Robert Ricketts y proponer las visiones complementarias en la búsqueda de un diagnóstico y un plan de tratamiento de mayor precisión. Para cumplir con este objetivo, el presente trabajo será dividido en dos partes, a saber: "Parte I: Protocolo del AAO" y "Parte II Consideraciones sobre la aplicación de diferentes protocolos cefalométricos laterales en relación al del AAO" (AU)

This paper focuses on the application of cephalometry in the clinical practice of Orthodontics. Its objective is to link the protocol used in the Ateneo Argentino de Odontología (AAO) with the lateral cephalograms designed by Drs. Arne Bjork, Joseph Jarabak, James McNamara and Robert Ricketts and propose complementary visions in the search for a more accurate diagnosis and treatment plan. In order to fulfil this objective, this work will be divided into two parts, namely: Part I: AAO Protocol and Part II Considerations on the application of different lateral cephalometric protocols in relation to that of the AAO (AU)

Humanos , Planejamento de Assistência ao Paciente , Protocolos Clínicos , Cefalometria/métodos , Argentina , Sociedades Odontológicas/normas , Má Oclusão/diagnóstico
J Dent Educ ; 83(4): 464-473, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30936212


The Association of Canadian Faculties of Dentistry (ACFD) recently developed a proposal that reflects its evolving understanding of competency-based dental education. The ACFD proposal was developed into an Educational Framework for the Development of Competency in Dental Programs and has been adopted by all ten Canadian dental schools as the basis for their ongoing curriculum development and assessment. This framework identifies five global competencies that provide a big picture of the complex skills, knowledge, and behaviors that dental graduates must demonstrate. Detail for clarification and illustration is provided by more comprehensive "components" of each area that elaborate on the global statement and by a new dimension that assists with assessment: "indicators" of the specific knowledge, skills, and behaviors that can be measured as steps towards developing competence. In the information supporting understanding and assessment of the five key areas are both the existing national competency statements to facilitate the use of the framework by other stakeholders and a parallel set of knowledge, skills, and abilities statements developed by the National Dental Examining Board of Canada (NDEB) as the starting point for updating its examination blueprints. This article outlines the development, structure, and contents of the ACFD Educational Framework in the hope that it can serve as the foundation for a new Canadian national competencies document serving all national stakeholders.

Competência Clínica/normas , Educação em Odontologia/normas , Docentes de Odontologia , Sociedades Odontológicas/normas , Comitês Consultivos , Canadá , Educação Baseada em Competências/normas , Humanos
Br Dent J ; 224(4): 261-267, 2018 02 23.
Artigo em Inglês | MEDLINE | ID: mdl-29472677


Background The ability of the dental profession to self-regulate and address poor performance or impairment is crucial if practitioners are to demonstrate a public commitment to patient safety. Failure of the profession to actively engage in this activity is likely to call into question trustworthiness and ability to place the interests of patients and the public first.Aim To investigate attitudes towards self-regulation and the raising of concerns as expressed through the ethical codes of different dental professional and regulatory organisations.Method A qualitative review of professional codes of ethics written and published by dental associations and regulatory bodies using thematic analysis to discern common attitudes and perspectives on self-regulation.Results Four main themes were identified; (1) explicit expression of the need to report; (2) warning against frivolous reporting; (3) acceptance of reporting being difficult and; (4) threshold requiring a professional to report. From these themes, common and differing attitudes were then explored.Conclusions This review shows that often codes of ethics and practice do discuss an obligation to self-regulate and raise concerns but that this is accompanied by an anxiety surrounding unsubstantiated or malicious reporting. This gives the collective guidance a defensive tone and message that may be unhelpful in promoting a culture of openness and candour.

Atitude do Pessoal de Saúde , Códigos de Ética , Ética Odontológica , Autonomia Profissional , Odontologia/organização & administração , Odontologia/normas , Humanos , Imperícia , Sociedades Odontológicas/organização & administração , Sociedades Odontológicas/normas
Am J Orthod Dentofacial Orthop ; 150(6): 997-1004, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27894549


INTRODUCTION: This retrospective study included a sample of 300 randomly selected patients from the archived records of Saint Louis University's graduate orthodontic clinic, St. Louis, Mo, from 1990 to 2012. The objective of this study was to quantify the changes obtained in phase 1 of orthodontic treatment and determine how much improvement, if any, has occurred before the initiation of the second phase. METHODS: For the purpose of this study, prephase 1 and prephase 2 records of 300 subjects were gathered. All were measured using the American Board of Ortodontics Discrepancy Index (DI), and a score was given for each phase. The difference of the 2 scores indicated the quantitative change of the complexity of the treatment. Paired t tests were used to compare the scores. Additionally, the sample was categorized into 3 groups according to the Angle classifications, and the same statistics were used to identify significant changes between the 2 scores. Analysis of variance was applied to compare the 3 groups and determine which had the most change. Percentages of change were calculated for the significant scores. RESULTS: The total DI score overall and the scores of all 3 groups were significantly reduced from before to after phase 1. Overall, 42% improvement was observed. The Class I group showed 49.3% improvement, the Class II group 34.5% and the Class III group 58.5%. Most components of the DI improved significantly, but a few showed negative changes. CONCLUSIONS: Significant reductions of DI scores were observed in the total sample and in all Angle classification groups. This indicates that early treatment reduces the complexity of the malocclusions. Only 2 components of the DI showed statistically significant negative changes.

Má Oclusão/terapia , Ortodontia Corretiva/normas , Ortodontia/normas , Sociedades Odontológicas/normas , Humanos , Má Oclusão de Angle Classe I/terapia , Má Oclusão de Angle Classe II/terapia , Resultado do Tratamento
J Oral Maxillofac Surg ; 74(5): 903-10, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26752186


PURPOSE: Benchmark statistics are used in quality assurance/quality improvement processes. The purposes of the present report are to 1) review the rationale for a new specialty-specific benchmark study, 2) summarize the methods to create a practice-based research collaborative (P-BRC) designed for collecting data to create benchmarks, and 3) describe the characteristics of the P-BRC surgeon participants. MATERIALS AND METHODS: The study was designed as a prospective cohort study. We created a P-BRC composed of randomly selected American Association of Oral and Maxillofacial Surgeons (AAOMS) members in private practice in the United States, who agreed to enroll patients scheduled to receive anesthesia of any type in the office-based ambulatory setting. The study variables included clinician demographics and their P-BRC status, grouped as 1) invited, active participants, 2) invited, inactive participants, and 3) uninvited AAOMS members. The P-BRC participants collected data for dozens of variables from their patients related to anesthesia. If the procedure was third molar (M3) surgery, additional M3 procedure-specific data were collected. Data analyses were composed of computing descriptive and bivariate statistics. Preliminary sample size estimates suggested that the P-BRC should include 300 surgeons to produce estimates with a ±5% error. RESULTS: During the 1-year study interval, 642 surgeons (11.8%) were invited to join the P-BRC from a population of 5,455 eligible AAOMS members. The 124 active participants in the P-BRC contributed 6,344 subjects to the anesthesia data set and 2,978 subjects who had had 9,207 M3s removed to the M3 data set. The active participants in the P-BRC were younger and more likely to be board-certified than were the inactive participants (P < .05). Details of the anesthesia and M3 variables will follow in future reports. CONCLUSIONS: Despite vigorous efforts, we did not achieve our stated goal of creating a P-BRC composed of a random sample of 300 AAOMS members. With the current P-BRC sample, variables with very high (>93%) or very low (<7%) frequency estimates will produce estimates with the desired range of ±5% error. The P-BRC includes a sample of self-selected, not random, participants and is well-characterized in terms of age, gender, board-certification status, academic degrees, and geographic distribution.

Anestesia Dentária/métodos , Dente Serotino/cirurgia , Sociedades Odontológicas/normas , Extração Dentária/métodos , Anestesia Dentária/normas , Benchmarking , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Padrões de Prática Odontológica/estatística & dados numéricos , Estudos Prospectivos , Estados Unidos
Dent Update ; 43(6): 505, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-29148643