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Overall
Goal
The Advanced
Education Program in General Dentistry at the University of Pittsburgh
School of Dental Medicine provides training in clinical dentistry
and applied basic science beyond the pre-doctoral level. It refines
and enhances those skills necessary for the recent graduate to provide
comprehensive patient care for all population groups. It is also
designed to instill confidence in the resident to allow them to
become a leader in the general dental community.
Specific
objectives
- Enhance competence
and confidence in the various clinical disciplines, which are
integral components of general dentistry.
- Enhance the
recent graduate’s clinical judgment and develop general
dentists with a broad knowledge of dental medicine and related
interdisciplinary subjects.
- Enhance the
recent graduate’s ability to interact with all health practitioners
involved in comprehensive patient treatment - both medical consultations
and appropriate consultations and referrals to dental specialists.
- Enhance understanding
of and provide experience in practice administration including
communication skills, practice management, psychological aspects
of patient management, risk management and quality assurance activities.
- Prepare general
dentists to practice, teach, and be involved in academic presentations
in general dentistry.
- Develop general
dentists who will have a thorough knowledge of the basic and clinical
aspects of general dentistry and who will also have the skills
and abilities to treat patients who present complex and unusual
treatment needs.
Goals
and Objectives of Residency Training
Patient assessment
and diagnosis
- Obtain and
interpret the patient’s chief complaint, medical, dental,
and social history, and review of systems.
- The resident
will be able to apply scientific principles of learning and oral
health care using critical thinking, evidence-based or outcomes-based
clinical decision -making.
- Select and
use assessment techniques to arrive at a differential, provisional,
and definitive diagnosis for patients with complex needs.
- Analyze the
outcomes of patient treatment to improve that treatment.
Planning and
providing comprehensive multidisciplinary oral health care
- Function
as a patient’s primary and comprehensive oral health care
provider who can integrate multiple disciplines into a individualized,
comprehensive, sequenced treatment plan using diagnostic and prognostic
information for patients with complex needs and be able to modify
the treatment plan as indicated.
- Use and implement
accepted sterilization, disinfecting, universal precautions, and
occupational hazard prevention procedures in the practice of dentistry.
Obtaining informed
consent
- Explain and
discuss with patients, or parents/guardians of patients, findings,
diagnoses, treatment options, realistic treatment expectations,
patient responsibilities, time requirements, sequence of treatment,
estimated fees and payment responsibilities in order to establish
a therapeutic alliance between the patient and care provider.
Promoting oral
and systemic health and disease prevention
- Use accepted
prevention strategies such as oral hygiene instruction, nutritional
education, and pharmacologic intervention to help patients maintain
and improve their oral and systemic health.
- Provide instruction
to undergraduate dental students in general dental topics.
Sedation, pain
and anxiety control
- Provide control
of pain and anxiety in the conscious patient through the use of
psychological interventions, behavior management techniques and
local anesthesia, and other pahrmacologic agents using at least
one of the following delivery methods – General anesthesia,
IV sedation, inhalation (nitrous oxide) or oral sedation.
- Prevent,
recognize, and manage complications related to use and interactions
of drugs, local anesthesia, and conscious sedation.
Restoration
of teeth
- Restore single
teeth with a wide range of materials and methods.
- Restore endodontically
treated teeth.
Replacement of teeth
using fixed and removable appliances
- Treat patients
with missing teeth requiring both tissue and implant supported
removable restorations.
- Treat patients
with missing teeth requiring uncomplicated implant and tooth supported
fixed restorations.
- Be exposed
to intra and extracoronal attachments.
Periodontal therapy and
pulpal therapy
- Diagnose
and/or treat early and moderate periodontal disease using appropriate
therapies and procedures.
- Diagnose
advanced periodontal disease, make appropriate referral for treatment
and then be able to evaluate the results of periodontal treatment.
- Diagnose
and treat pain of pulpal origin by performing appropriate uncomplicated
non-surgical endodontic therapy.
- Treat uncomplicated
endodontic complications and diagnose complex endodontic complications
and make appropriate referral for treatment.
Hard and soft
tissue surgery
- Perform non-surgical
and uncomplicated surgical extraction of teeth.
- Perform minor
hard tissue recontouring surgeries.
Treatment of
dental and medical emergencies
- Treat patients
with intra-oral dental emergencies and infections.
- Anticipate,
diagnose and provide initial treatment and follow-up management
for medical emergencies that may occur during dental treatment.
- Treat intraoral
hard and soft tissue lesions of traumatic origin.
Medical risk
assessment
- Diagnose
manifestations of systemic disease and common oral pathological
abnormalities.
- Perform dental
consultations and request medical consultations for patients.
- Treat patients
with a broad variety of acute and chronic systemic disorders and
social difficulties including patient with special needs.
Practice management
Treat patients efficiently
in a dental practice setting.
- Provide patient
care by working effectively with allied dental personnel, including
performing sit down, four handed dentistry.
- Practice
and promote ethical principles in the practice of dentistry and
in relationship with patients, personnel, and colleagues.
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