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Cariology Education in Canadian Dental Schools: Where Are We? Where Do We Need to Go?

Abstract The aim of this study was to document cariology education across Canadian dental schools. Ten faculty members who supervise cariology education at each of the ten Canadian dental schools were invited to participate in the study in 2016. An adapted version of the European Organization for Caries Research-Association for Dental Education in Europe cariology curriculum group questionnaire was used. Representatives of all ten dental schools completed the questionnaire, for a 100% response rate. In four schools, cariology and restorative dentistry were taught by the same department. Five schools had didactic/laboratory courses focusing primarily on cariology as well as a specific written curriculum. Six schools provided cariology-related hands-on workshops/laboratories before students started working with patients. In teaching cariology, seven institutions included dental hard tissues defects. The following caries detection methods were addressed didactically in cariology education: visual (10/10 total schools), tactile (9/10), International Caries Detection and Assessment System criteria (6/10), caries activity assessment (9/10), radiographic (10/10), and other detection tools (8/10). Seven schools charted activity of carious lesions in clinic. Only one school used the concept of caries risk assessment regularly in clinic. Clinical cariology teaching was carried out mostly by private dentists hired as clinical instructors (7/10) and faculty members involved in didactic cariology education (9/10). Calibration of faculty members for caries detection criteria was reported by only one school. The main concern reported by all institutions was the difficulty of implementing didactic instruction on cariology into clinical training. This study found that contemporary cariology concepts are in the process of being implemented in didactic education across Canadian dental schools, but all schools lacked appropriate integration of cariology education into clinical training. These findings suggest a need for harmonization of evidence-based cariology education in Canada.
PMID
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Authors

Mayor MeshTerms

Curriculum

Dental Caries

Education, Dental

Schools, Dental

Keywords

Canada

caries management

cariology

curriculum

dental caries

dental education

dental schools

Journal Title journal of dental education
Publication Year Start




PMID- 29292324
OWN - NLM
STAT- MEDLINE
DCOM- 20180112
LR  - 20180112
IS  - 1930-7837 (Electronic)
IS  - 0022-0337 (Linking)
VI  - 82
IP  - 1
DP  - 2018 Jan
TI  - Cariology Education in Canadian Dental Schools: Where Are We? Where Do We Need to
      Go?
PG  - 39-46
LID - 10.21815/JDE.018.006 [doi]
AB  - The aim of this study was to document cariology education across Canadian dental 
      schools. Ten faculty members who supervise cariology education at each of the ten
      Canadian dental schools were invited to participate in the study in 2016. An
      adapted version of the European Organization for Caries Research-Association for 
      Dental Education in Europe cariology curriculum group questionnaire was used.
      Representatives of all ten dental schools completed the questionnaire, for a 100%
      response rate. In four schools, cariology and restorative dentistry were taught
      by the same department. Five schools had didactic/laboratory courses focusing
      primarily on cariology as well as a specific written curriculum. Six schools
      provided cariology-related hands-on workshops/laboratories before students
      started working with patients. In teaching cariology, seven institutions included
      dental hard tissues defects. The following caries detection methods were
      addressed didactically in cariology education: visual (10/10 total schools),
      tactile (9/10), International Caries Detection and Assessment System criteria
      (6/10), caries activity assessment (9/10), radiographic (10/10), and other
      detection tools (8/10). Seven schools charted activity of carious lesions in
      clinic. Only one school used the concept of caries risk assessment regularly in
      clinic. Clinical cariology teaching was carried out mostly by private dentists
      hired as clinical instructors (7/10) and faculty members involved in didactic
      cariology education (9/10). Calibration of faculty members for caries detection
      criteria was reported by only one school. The main concern reported by all
      institutions was the difficulty of implementing didactic instruction on cariology
      into clinical training. This study found that contemporary cariology concepts are
      in the process of being implemented in didactic education across Canadian dental 
      schools, but all schools lacked appropriate integration of cariology education
      into clinical training. These findings suggest a need for harmonization of
      evidence-based cariology education in Canada.
FAU - Tikhonova, Svetlana
AU  - Tikhonova S
AD  - Dr. Tikhonova is Faculty Lecturer, Faculty of Dentistry, McGill University; Dr.
      Girard is Assistant Professor, Department of Oral Health, Faculty of Dentistry,
      Universite de Montreal; Dr. Fontana is Professor of Cariology, School of
      Dentistry, University of Michigan. [email protected]
FAU - Girard, Felix
AU  - Girard F
AD  - Dr. Tikhonova is Faculty Lecturer, Faculty of Dentistry, McGill University; Dr.
      Girard is Assistant Professor, Department of Oral Health, Faculty of Dentistry,
      Universite de Montreal; Dr. Fontana is Professor of Cariology, School of
      Dentistry, University of Michigan.
FAU - Fontana, Margherita
AU  - Fontana M
AD  - Dr. Tikhonova is Faculty Lecturer, Faculty of Dentistry, McGill University; Dr.
      Girard is Assistant Professor, Department of Oral Health, Faculty of Dentistry,
      Universite de Montreal; Dr. Fontana is Professor of Cariology, School of
      Dentistry, University of Michigan.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PL  - United States
TA  - J Dent Educ
JT  - Journal of dental education
JID - 8000150
SB  - D
SB  - IM
MH  - Canada
MH  - *Curriculum
MH  - *Dental Caries
MH  - *Education, Dental
MH  - Humans
MH  - *Schools, Dental
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Canada
OT  - caries management
OT  - cariology
OT  - curriculum
OT  - dental caries
OT  - dental education
OT  - dental schools
EDAT- 2018/01/03 06:00
MHDA- 2018/01/13 06:00
CRDT- 2018/01/03 06:00
PHST- 2017/06/30 00:00 [received]
PHST- 2017/09/07 00:00 [accepted]
PHST- 2018/01/03 06:00 [entrez]
PHST- 2018/01/03 06:00 [pubmed]
PHST- 2018/01/13 06:00 [medline]
AID - 82/1/39 [pii]
AID - 10.21815/JDE.018.006 [doi]
PST - ppublish
SO  - J Dent Educ. 2018 Jan;82(1):39-46. doi: 10.21815/JDE.018.006.