e-viDENTevident.tdb.org.tr/documents/Common_Report.pdf · E-vident kick-off meeting...

EUROPEAN DENTISTS MAKE EVIDENCE BASED DECISIONS

e-viDENT

KICK-OFF MEETING

17-18 November 2011

Hosted by Gazi University

www.gazi.edu.tr

Report on institutional background and current situation of evidence based dentistry in each

partner country:

1. Turkish Dental Association & Gazi University

Taner Yücel, Nermin Yamalik & Cansu Alpaslan

2. Steinbeis Transfer Institut Biotechnology in Interdisciplinary Dentistry

Slavicek Gregor

3. Katholieke Universiteit Leuven

Naert Ignace & Katleen Vandamme

4. Helsingin Yliopisto

Heikki Murtomaa & Jorma Virtanen

A-PDF Merger DEMO : Purchase from www.A-PDF.com to remove the watermark

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Current situation of evidence based dentistry

Turkish Dental Association

Gazi University

Taner Yücel

Nermin Yamalik

Cansu Alpaslan

1

11.12.2011

Report of Turkish Dental Association (TDA) regarding Evidence-Based Dentistry (EBD)

Survey

E-vident kick-off meeting 17-18.November.2011, Ankara

Taner Yücel

Nermin Yamalik

Although EBD is widely promoted and supported, stil it is not implemented into daily

practiice to the desired extent. To improve its acceptance by the dental practitioners it

is important to understand the perceptions and attitıtudes of dental practitioners

regarding EBD.

In order to analyze the current perceptions and attitudes of dental practitioners

(members of TDA), regarding EBD, a short questionnaiffe was prepared. The

questionnaire basically aimed at analyaing the familiarity of the dental practitioners

with the concept of EBD and if and how they benefited from it. The survey was placed

in the web-site of TDA (13. October.2011 - 2. November. 2011) and a total of 123

responses were received.

Figure 1 demonstrates the practice modes of the participants. Most of the participants

were private practitioners (94 %) and they were either having their own practices (75%)

or were working in private hospitals (19%). This is in line with the general figures in Turkey

as approximately 85% of dental services in the country are provided by private

practitioners.

Figure 1. Practice modes of the participants.

2

Responses were received from a wide range of dentists starting from 1-5 years of

practice to 31-44 years of practice. However, the majority were practicing dentistry for

11-15 years (Figure 2).

Figure 2. Distribution based on the years in practice

In a similar manner participants were from various different age groups, 35-40 years

being the highest in number. Figure 3 presents the distribution based on age

.

Figure 3. Distribution based on age

0

5

10

15

20

25

30

16 18

29

17 12

9 15

0

5

10

15

20

25

30

35

23 - 28 YEARS

OLD

29 - 34 YEARS

OLD

35 - 40 YEARS

OLD

41 - 45 YEARS

OLD

46 - 50 YEARS

OLD

51 - 56 YEARS

OLD

56 - 68 YEARS

OLD

11

19

32

20

8 9 12

3

When the responses to the question ‘Are you familiar with the concept of evidence-

based dentistry’ was concerned, it was noticed that the majority of the participants

(61%) were in fact familiar with the concept of EBD. However, still a significant portion of

the participants either did not have any idea of EBD or did not respond (39%).

Figure 4. Familiarity of the participants with the concept of EBD

When the participants were asked if they benefited from EBD for their treatments?

responses the majority of the participants (64%) were felt that they benefited from EBD,

while 25% did not benefit from EBD. A total of 36% did not respond in a positive manner.

Figure 5. Familiarity of the participants with the concept of EBD

75, 61%

39, 32%

9, 7%

YES NO

ARE YOU FAMILIAR WITH THE CONCEPT OF EVIDENCE-BASED DENTISTRY ?

78, 64%

31, 25%

14, 11%

YES

DO YOU BENEFIT FROM EVIDENCE-BASED DENTISTRY FOR TREATMENTS?

4

The participants were also asked to share their additional and personal comments

regarding the issue of EBD and its implementation into daily dental practice.

The individual comments of the participants included;

I sometımes use my ınternet search, semınar-workshops and the research artıcles

ı read ın the professıonal publıcatıons whıch ı am subscrıbed ın, by combınıng

wıth my experıences ın the clınıcal practıce.

I follow the trends by doing literature survey.

I benefit from ebd in orthodontics practices .

I have always benefıted from ebd. Moreover when ada.org web page has

started a sectıon on ebd, ı had wondered why tda web page lacked a sımılar

one. Thank you.

I try my best to follow and make use of new technologıes and tools.

I benefit from the written sources i have, ınternet facılıtıes, ı attend scıentıfıc

meetıng, congresses, ı read scıentıfıc publıcatıons, ı dıscuss wıth professors for

the professıonal cases that ı am confused wıth, the moments ı doubt my own

success, the cases that ı fınd approprıate for my patıent but have never applıed

before or ı rarely apply.

I benefit from congresses, scientific publications and academicss.

I try to apply the knowledge and the trends i learn in the seminar and congresses

in my clinic.

By showıng the patıent from ınternet, by showıng the patıent from prevıous

models.

I try to reach and read as many scıentıfıc research and experıment results, case

reports as possıble so that ı can fıgure out ıf ı wıll be able to apply the treatment

or not.

I certaınly request requıred screenıngs and examens after the clınıcal

ınformatıons and systematıcal amnesıa whıch are essentıal for the dıagnosıs. I

analyse (vıa essentıal researches) pluses and mınuses of the alternatıves’ success

rates, usages and expenses.

I make use of reıfıed treatment technıques, materıal and tools ın all of my

applıcatıons.

I try to follow the lıterature. I benefıt from ulakbım, tubıtak web page.

I apply the best ebd treatment optıon by readıng the studıes and metaanalysıs.

plan and necessıty of proper treatment

I apply the knowledge that ı learned ın the semınars and symposıum on my

patıents.

Inspectıng ınternatıonal and local dental publıctıons, attendıng semınars

sponsored by dental ındustry

5

Although it is limited (few questions, limited number of participants, short durtaion), still

this brief survey provides us with an understanding of the perceptions and attitudes of

dentists regarding EBD. It is clear that much needs to be done to increase the

awareness of dental practitioners in the field of EBD and for a more efficient

implementation of EBD into daily dental practice. Many institutions (e.g. dental

associations, dental faculties, dental industry, specialization organizations, etc..) all may

play significant roles for this purpose.


Steinbeis Transfer Institut Biotechnology in

Interdisciplinary Dentistry

Slavicek Gregor

1

© 2011 Steinbeis | Project Competence Study | www.bid.or.at | [email protected] 1Prof. Dr. Gregor Slavicek, MD, DDS, MSc

© 2011 Steinbeis | Partner for innovation | www.stw.de

Knowledge.Transfer.Application.

STEINBEIS TRANSFER INSTITUTE

BIOTECHNOLOGY

INTERDISCIPLINARY DENTISTRY

PROF. GREGOR SLAVICEK, MD, DDS, MSC


Research & Science

Human Mastication

Standard Food Model

FragmentedChewing Sequence

Modelling Human Mastication

Occlusal Biotechnology

Occlusal Morphology

Wax upModification

Occlusion andCranio-mandibular

Disorder

Interdisciplinarity

Interdisciplinary Dental Education

e-Vident (Leonardo DaVinci Program)

Education

Bachelor ofScience BSc

Dental Technology and Management

Master of Science Msc

Innovation Dental Technology IDT

Biotechnology Interdisciplinary

Dentistry

PhD

Technology andManagement

2


Ferdinand von Steinbeis

• Technical Advisor (1848-1880) Königreich

Württemberg (Stuttgart)

• Technology Transfer

• Founder of Schools for Industrial Workers

• Father of the Dual Education

Ferdinand von Steinbeis (1807 - 1893)


Development of Steinbeis University

1971 1998

Gründung der Steinbeis-Stiftung

als Stiftung bürgerlichen Rechts, Stiftungskapital:

34.768 EUR

1983

Auf- und Ausbau derSteinbeis-Stiftung

Prof. Dr. Johann Löhn wirdVorstandsvorsitzender

der Steinbeis-Stiftungund in Personalunion

Regierungsbeauftragter fürTechnologietransfer Baden-

Württemberg.Aufbau der Steinbeis-

Stiftung aus 16 TechnischenBeratungsdiensten an Fachhochschulen

des Landes Baden-Württemberg.Ausbau des Transfernetzes

durch eigenständigeSteinbeis-Transferzentren

zunächst an Fachhochschulen.

1990

Überregional:Gründung von Steinbeis-

Transferzentren inanderen Bundesländern

Start: Bayern

1994

Erweiterung desTransferpotenzials

durch Gründung von Steinbeis-

Transferzentren anUniversitäten inBaden-Württemberg

Gründung der Steinbeis GmbH & Co. KG für

TechnologietransferOperative Einheit für die

erweiterten wirtschaftlichenAktivitäten

Gründung und staatliche

Anerkennung derSteinbeis-Hochschule

BerlinGründungspräsident:Prof. Dr. Johann Löhn

3


Steinbeis Organisation and Structure

Steinbeis GmbH & Co. KG für Technologietransfer (StC)

Geschäftsführung

Steinbeis-Stiftung (StW)Kuratorium/Kuratoriumsausschuss Vorstand

Steinbeis-Unternehmen (SU)

Steinbeis-Transferzentren

(STZ)

Steinbeis-Forschungs- und

Entwicklungszentren (SFZ)

Steinbeis-Beratungs-zentren(SBZ)

Steinbeis-Transfer-Institute (STI) der Steinbeis-

Hochschule Berlin -SHB

Steinbeis-Beteiligungen

(SBT)

496 STZ 42 SFZ 58 SBZ 102 STI 46 SBT

[Sta

nd 3

1.1

2.0

8]

Weitere den Transfer unterstützende zentrale Instrumente:

Steinbeis-Immobilien (SMI) Steinbeis-Edition (STE) Ferdinand-Steinbeis-Institut (FSTI)


Steinbeis Worldwide

Steinbeis-Unternehmen

BrasilienBulgarienChinaDänemarkDeutschlandIranJapanMoldawienÖsterreichPolen RumänienRusslandSchweizTürkeiUngarnUSA

Kooperations-/Projektpartner

Australien Italien RusslandBelgien Japan SchwedenBrasilien Kanada SchweizBulgarien Lettland SerbienBurundi Libanon SingapurChina Liechtenstein SlowenienDänemark Litauen SpanienDeutschland Luxemburg SüdkoreaEstland Marokko TaiwanFinnland Mexiko ThailandFrankreich Niederlande TschechienGeorgien Nordkorea TürkeiGriechenland Norwegen UkraineGroßbritannien Österreich UngarnIndien Polen USAIrland Portugal Vereinigte Arab. EmirateIsrael Rumänien Zypern

© 2009 Steinbeis | Partner für Innovation | www.stw.de

4


Steinbeis Germany

760 Steinbeis Centers (120 Steinbeis Transfer Institutes)

Hessen 13

Rheinland-Pfalz 6

Saarland 1

Bremen 8

Niedersachsen 14

Brandenburg 3

Schleswig-Holstein 4

Baden-Württemberg 464

Berlin 95 Sachsen-Anhalt 14

Mecklenburg-Vorpommern 31

Bayern 48

Sachsen 21

Thüringen 16

Nordrhein-Westfalen 21

Hamburg 1


Evidence Based Dentistry in Germany

• Academic: communication, used for supporting own point of view

• Government / Social Insurance: decision making

• Dentists / Dental Associations: general directives, only limited use

in daily decision making processes

• Dental Technicians: - (no access, no information, lake of

knowledge)

• Industry: - - - (setting their own standards, no interest)

5


German Cochrane Centre


Arbeitsgemeinschaft Wissenschaftliche

Medizinische Fachgesellschaft AWMF (1962)

6


Guidelines DELBI (2005)


Guidelines DELBI (2005)

Leitlinien, die mit dem Suchbegriff verschlagwortet sind (10)Fissuren- und Grübchenversiegelungherausgegeben von der DGZMK; Status: überarbeitete VersionVeröffentlicht: Oktober 2005Leitlinien-Thema: Zahnkrankheiten; Fachgebiet: Zahnmedizin, Kinder- und Jugendmedizin

Implantat-Versorgung zur oralen Rehabilitation im Zusammenhang mit Kopf-Hals-Bestrahlungherausgegeben von der DGMKG; Status: ACHTUNG! Das Gültigkeitsdatum dieser Leitlinie ist laut Dokument überschritten. Laut AWMF gültig bis 31.12.2012.Veröffentlicht: Januar 2003Leitlinien-Thema: Zahnkrankheiten; Fachgebiet: Hals-, Nasen-, Ohrenheilkunde (HNO), Mund-Kiefer-Gesichtschirurgie, Radioonkologie, Zahnmedizin

Infektiöse Mundschleimhauterkrankungenherausgegeben von der DGMKG; Status: Achtung! Das Gültigkeitsdatum dieser Leitlinie ist laut Dokument abgelaufen. Laut AWMF gültig bis 01.02.2013.Veröffentlicht: März 1997Leitlinien-Thema: Antibiotikatherapie, Bakterielle Infektionen, Zahnkrankheiten,Viruskrankheiten, ausgenommen Influenza (Grippe); Fachgebiet: Mund-Kiefer-Gesichtschirurgie, Zahnmedizin

Odontogene Infektionen und Abszesseherausgegeben von der DGMKG; Status: Achtung! Das Gültigkeitsdatum dieser Leitlinie ist laut Dokument abgelaufen. Laut AWMF gültig bis 31.12.2011Veröffentlicht: März 1997Leitlinien-Thema: Bakterielle Infektionen, Zahnkrankheiten, Sinusitis; Fachgebiet:Mund-Kiefer-Gesichtschirurgie

Operative Entfernung von Weisheitszähnenherausgegeben von der DGMKG; Status: ACHTUNG! Das Gültigkeitsdatum dieser Leitlinie ist überschritten. Leitlinie befindet sich in Überarbeitung.Veröffentlicht: November 2005Leitlinien-Thema: Zahnkrankheiten; Fachgebiet: Mund-Kiefer-Gesichtschirurgie,Zahnmedizin

http://www.leitlinien.de/leitlinie/fissuren-und-gruebchenversiegelung




http://www.leitlinien.de/keyword/Zahnkrankheiten

http://www.leitlinien.de/fachgebiet/Zahnmedizin

http://www.leitlinien.de/fachgebiet/Kinder- und Jugendmedizin




http://www.leitlinien.de/leitlinie/implantat-versorgung-zur-oralen-rehabilitation-im-zusammenhang-mit-kopf-hals-bestrahlung








http://www.leitlinien.de/fachgebiet/Hals-, Nasen-, Ohrenheilkunde (HNO)





http://www.leitlinien.de/fachgebiet/Mund-Kiefer-Gesichtschirurgie





http://www.leitlinien.de/fachgebiet/Radioonkologie


http://www.leitlinien.de/leitlinie/infektioese-mundschleimhauterkrankungen

http://www.leitlinien.de/keyword/Antibiotikatherapie

http://www.leitlinien.de/keyword/Bakterielle Infektionen


http://www.leitlinien.de/keyword/Viruskrankheiten, ausgenommen Influenza (Grippe)







http://www.leitlinien.de/leitlinie/odontogene-infektionen-und-abszesse

http://www.leitlinien.de/keyword/Bakterielle Infektionen


http://www.leitlinien.de/keyword/Sinusitis






http://www.leitlinien.de/leitlinie/operative-entfernung-von-weisheitszaehnen








7


DGZMK


DGZMK

8


DGZMK


Guideline PDF File

9


EBD in Germany


EBD in Germany

10


EBD in Germany

• Guidelines

• Cochrane Reviews

• General Information to a known problem

• What is missing:

• Tools to use EBD

– Within the daily work

– To be applied for individual patients and problems

– Clear statements on EBD solutions

– Clear statements in case no EBD solutions are available


Interdisciplinary Dentistry

Research Questions

What is the proportion of IDD in daily work?

What are the aims of IDD?

What are frequently recognized drawbacks in IDD?

How frequent are disciplines collaborating?

How dentists perceive IDD?

11


Dem

ogra

phic

al

Analy

sis


Demographical Analysis

12


Work Experience


Research Questions


What are the aims of IDD?




13


0% 100%

Actual Level of IDD


0% 100%

Wanted Level of IDD

14



15


Actual vs. Wanted Level of IDD Actual Level of IDD vs. Age


Work Experience vs. Wanted Level of IDD

16


Research Questions


What are the purposes (aims) of IDD?





Expanding the own discipline Creating a new discipline

Modification the own conceptual frame Modification of other disciplines

Interdisciplinarity is trendy Overlapping disciplines are required

Solving unsolved problems Interdisciplinarity is case based

Changing my own perspective Developing links to other disciplines

17



Research Questions






18


Costs and Recourses Geographic Problem

Compliance with the Treatment Plan Team Conflicts

Team Composition Imbalance between Workload and Fees

Rejection from Patients Personal Effort

Timing and Scheduling Difficult and Unclear Communication


19


Research Questions







Distance between involved Disciplines?

Close

• Prosthodontics

• Restorative D.

• Orthodontics

• Endodontics

• Periodontics

• Implantology

• Oral Surgery

• CMD Specialist

Intermediate

• Dental Technician

• Speech Therapist

• Max.Fac.Surgery

• Physiotherapist

• Orthopedic

• ENT

• Esthetic Surgery

• Radiology

Remote

• Internal Medicine

• Pediatric

• Gynecology & Obstetrics

• Psychiatry

• Psychology

• Oncology

• Gerontology

• Microbiology

• Dermatology

• Allergology

• Genetics

Discrimination based on constitutional pattern of disciplines

n= 8 n= 11n= 8

20



21



never

11x

frequently

11x

22


Collaboration with the specified disciplines (range from 0 to 8; 11)


23


Research Questions







t = -.347 (95% CI -.7102 ̶ .498) p = .729

t = -.146 (95% CI -1.019 ̶ .156) p = .148

t = -.169 (95% CI -1.168 ̶ .927) p = .094

ns

ns

ns

27%32% 68%39% 61% 73%

• ID based on Cooperation

• ID based on Mixed Disciplines

• ID based Strong Disciplines3 Questions

Score 0 = disagreeScore 3 = agree

Score 5 = strongly agree

24


IDD = task oriented

ID Team?

IDD = Interdisciplinary Space?

(IDD = a-disciplinary?)

IDD = Overlapping

Disciplines?


25


ConclusionProportion of IDD in daily work?

IDD actual 45% wanted 72%

Work experience is -ve correlated to Wanted Level of IDD






Linking disciplines

Solving unsolved problem

Expanding own discipline

26






Linking disciplines




Team: communication, conflict, scheduling

Financial: personal effort, fee, costs and resources






Linking disciplines







IDD happens within close related disciplines

27






Linking disciplines







IDD happens within close related disciplines


Definitions of IDD are unclear and inconsistent


Katholieke Universiteit Leuven - Belgium

Naert Ignace

Katleen Vandamme

Department of Cardiovascular Sciences

Department of Oral Health Sciences

Department of Pharmaceutical & Pharmacological Sciences

Department of Human Genetics

Department of Imaging & Pathology

Department of Kinesiology

Department of Microbiology & Immunology

Department of Cellular and Molecular Medicine

Department of Neurosciences

Department of Oncology

Department of Clinical and Experimental Medicine

Department of Rehabilitation Sciences

Department of Reproduction, Development & Regeneration

Department of Public Health

January 2012

Lifelong Learning Programme - Leonardo da Vinci

e-viDENT

Kick-off meeting 17-18 Nov 2011

Naert Ignace & Vandamme Katleen K.U.Leuven - Department of Oral Health Sciences -

Prosthetic Dentistry Unit

e-viDENT European dentists make evidence-based decisions

1. Obstacles in evidence-based dentistry in BE

2. Current situation of implementation of

evidence-based medicine/dentistry in BE

J Dent Educ 2008; 72:736-44.

e-viDENT Obstacles in evidence-based dentistry in BE


Qualitative study conducted in 2004-05

6 focus groups in the Dutch-speaking part of BE (Flanders)

group 1: academics (n=6)

group 2 to 6: dentists (n=73)

2 major topics were discussed:

1) applicability of EBD

2) specific barriers to implement EBD


Obstacles related to Evidence

Obstacles related to Partners in Health care 1. Government

2. Commercial companies

3. Patients


Obstacles related to the Field of Dentistry



What have we learned ?

obstacles were more strongly expressed by general dentists, including the lack of communication on EBD, the lack of time to invest in EBD, the complexity of dental care, and criticism on the rigidity of EBD and scientific studies.

today’s educators’ challenge is to improve outcomes where it matters the most: at the point of care. Educators have to become aware of dental actions that are desirable from an evidence-based perspective as well as feasible in practice.


1. Obstacles in evidence-based dentistry in BE

2. Current situation of implementation of

evidence-based practice in BE

e-viDENT Current situation of evidence-based practice in BE

Primary sources

Quaternary sources Tertiary sources

Secondary sources

The Finnish e-xperience Ilkka Kunnamo, MD, PhD

Editor-in-Chief, EBM Guidelines & EBMeDS

Duodecim Medical Publications Ltd.

Adjunct Professor of General Practice, University of Helsinki

Leuven

June 16, 2011

Collaboration Finland/Belgium

• Continuous discussions between editorial teams

• Feedback from editors and users from both countries

compared and acted upon

• Development of clinical terminologies and indexing

tools

• Platform for developing national or local decision

support rules

• Collaborative development of drug databases

• Development of translation tools


e-future ?

• EBM-platform-decision support (E-Health)

• Education via undergraduate students and online post-graduates

• Credits for use?



Helsingin Yliopisto - Finland

Heikki Murtomaa

Jorma Virtanen

Institute of Dentistry

Faculty of Medicine

University of Helsinki

Heikki Murtomaa and Jorma Virtanen

e-viDENT Kick-off meeting 17.-18.11.2011

University of Helsinki Faculty of Medicine

The Royal Academy of Turku

(later: University of Helsinki) was

founded in 1640

Moved to Helsinki in 1827: ”The

Imperial Alexander University”

started next year 1828

Faculty of Medicine was also

founded in 1640 (together with

faculties of Theology, Law and

Philosophy)

Queen Kristina Charter of Foundation

Chancelor, count Per

Brahe Emperor Alexander I

Helsinki University Central Hospital and

Biomedicum Helsinki

University of Helsinki

Faculty of Medicine

Institute of Biomedicine

Institute of Dentistry

Hjelt-Institute

Institute of Clinical Medicine

Haartman Institute

Research Programs Unit

University of Helsinki and Helsinki

University Central Hospital

Main library of the Faculty

of Medicine

Biomedicum Ruskeasuo

Campus

Surgical Hospital

Töölö Hospital

Children’s Hospital

Meilahti campus

Students

Annually

Medicine 820 140

Dentistry 275 50

Doctoral 840 110

Swedish-speaking Finnish program (5 %)

- University of Helsinki only

- Annual intake about 25 new medical and 8 dental students

Reaserch training program

-Simultaneous undergraduate and doctoral education

- Annually 2-5 students

Faculty of Medicine Staff

Research and teaching 590

Administrative 110

Other 220

Total 920

Staff 2010 (person years)

Faculty of Medicine degrees in 2010

2010

Licentiate of Medicine 141

Licentiate of Dentistry 33

Doctoral degrees 109

Specialist degree in medicine 193

Specialist degree in dentistry 6

Specific training in general medical practice 130

Supplemental training program 18

Dental / oral research at the University of Helsinki

The research topics range from epidemiological

and public health issues to basic, applied and

clinical research on oral and dental diseases.


The scientific research programmes of the Institute of Dentistry consist of clinical and basic research.

One of the main goals of research activities is to promote clinical research using methods of molecular biology and biotechnology.

The Institute has excellent research laboratory facilities at the Biomedicum Helsinki building, where the majority of laboratory analyses are being made.

Clinical research is mainly conducted at the Surgical Hospital.

The Institute has a large network of research partners both in Finland and abroad.


A total of 112 original publications were issued in 2010, of

these, 62 articles were published in international scientific

publication series



publication series



publication series

Numbers of PhD dissertations in Dentistry

years 1997-2010

1997 7

1998 7

1999 5

2000 10

2001 6

2002 1

2003 8

2004 2005

10

7

2006 6

2007 4

2008 7

2009 8

2010 10

Courses in

Schedule

Accumulative Tests

Compulsory Studies,

not in Schedule

Right to work as a

dentist

Preclinical stage Clinical stage

Clinical work

Oral pathology 3,95

cr

Integrated studies

Odontological Radiology

Diagnostics 1,4 cr

Clinical Chemistry 1,95 cr

Growth of the Masticatory

System

Oral Diagnostics

Development Guidance of

the Occlucion

Stomatognathic Physiology

Reconstruction of

Bite Function

Infectious Diseases of the

Tooth and Periodontium

Traumatology and Diseases of

Soft and Hard Tissues

Oral Medicine

Oral Public Health

Dental Disciplines

Growing to be a Dentist

11,25 cr

The size and location of

the courses within an

academic year are

suggestive

TUKE / 8.1.2009

Optional Studies, 10 cr

Personal Study Plan, 2 cr

Thesis, 20 cr

Language studies, 10 cr

Progress test

Final Exams of Dental Disciplines

Fin

al E

xam

ination o

f th

e P

reclinic

al S

cie

nces

D1A D1S D2A D2S D3A D3S D4A D4S D5A D5S

Oral Public Health

Head and Neck

Anatomy

Normal craniofacial

dental and occlusal

development

Dental

Morphology

Elementary

Course in Oral

Radiology

Orthodontic

Diagnostics

Stomatognathic

Function I

Materials in

Prosthetic Dentistry

Theoretical and

Clinical Course

of Cariology

Pediatric and

Preventive

Dental

Treatment

The Phantom Head

Laboratory for Training

Clinical Dentistry

Anesthesia

Internal

Medicine I

First Aid and

Emergency Medicine

General and

Systematic

Pathology

Treatment of

Malocclusions

and Orthodontic

Appliances

Stomatognathic

Function II

Basic Prosthetic

Treatment

Planning Clinical and Theoretical

Course of Cariology and

Endodontology

Elementary

Course in Oral

and

Maxillofacial

Surgery Oral Public

Health II

Theory and

Practice in

Orthodontics

Stomatognathic

Function III

Inlays, Onlays and

Laminate Veneers

Prosthodontics

Oral Ecology

Phantom Head

Laboratory

Parodontal surgery

Cariology and

Endodontology

Salivary Gland

Diseases

Concious Sedation and

General Anesthesia

Ophthalmology

Dermatology and

Venereology

Pharmacy Practice

Oral Public

Health III

Theory and

Practice of

Orthodontics

Fixed

Prosthodontics

Removable

Prosthodontics

Fixed

Prosthodontics

Clinical and Theoretical

Course of Cariology and

Endodontology

Clinical

Periodontology

Pediatric and

Preventive Dental

Treatment

Paediatric Diseases and

Paediatric Dentistry

Oral Medicine I

Developmental

Dental Defects

Oral Pathology

II

Implantology and

Preprosthetic Surgery

Nutrition and Oral

Health Oral and Maxillofacial

Problems

Psychiatry

Cronic Pain and

Psychosomatics

Neurology

Oral Public Health

IV

Advanced Course

in Oral Radiology

Orthodontics

Today

Stomatognathic

Function IV Reconstruction up-

date

Infectious

Diseases

Hard Tissue and

Infectious Diseases

Refresher Course in

Oral and Maxillofacial

Surgery Medical

Genetics for

Dentists Special Cases in

Pharmacology

Oral Medicine II

First Aid and

Emergency Medicine

Clinical work

Clinical work

Clinical work

Clinical work

Clinical work

Clinical work Growing to be a

Dentist

Oto- Rhino-

Laryngology

The Phantom

Head

Laboratory

Medical

Microbiology

Clinical

periodontology

Advanced

Cource in Oral

and

Maxillofacial

Surgery

Introduction

Basics of

Biochemistry

and

Pharmacology

Cell Biology

and the Basic

Tissues

From Cell to an

Individual

Metabolism and

Its Regulation

Molecular

Biology

The

Musculosceletal

System

Neurobiology

Heart, Blood

Vessels and

Kidneys

Finnish Health

Care System

ICT Driving

Licence

Respiratory

Organs

Digestive

System and

Nourishment

Endocrinology

and Genitals

Environment,

Protection and

Defence

Organism

Basics in

Epidemiology and

Biostatistics Academic writing 1

Growing to be a

Dentist

Growing to be a

Dentist

Growing to be a

Dentist

Growing to be a

Dentist Growing to be a

Dentist

Growing to be a

Dentist

Growing to be a

Dentist

Growing to be a

Dentist

Growing to be a

Dentist

Institute of Dentistry Simulation Laboratory

City University Dental Clinic

• Only citizens of Helsinki are entitled to be treated at the City University Clinic

• The population base is >500.000 inhabitants

• All patient records are digitalized in the Health Department database

• The treatment principle is holistic oral health care with possibilities for specialist consultation when needed

• Clinical teachers employed by the City, University lecturers by University with extra City salary

• The City gets State subsidization for taking care of the facilites and proving patients for dental education

Helsinki City Health Department University Dental Clinic

60 dental units for student training.

Dental specialist

education at the

Surgical hospital

Operative treatment room

for oral surgery and for

dental treatment under

general anaesthesia

Curriculum Public Health Discipline

Epidemiology and biostatistics (2. year)

oBasics in Public Health

oIntroduction to EBM

oMedical and dental students

Scientific reading (3.-4. year)

o Medical and dental students

National Institutions and Associations working with Evidence-based Medicine and Dentistry

National Institute for Health and Welfare

Research and Development Institute

under the Ministry of Health and Social Welfare

Finnish Office for Health Technology

Assessment (Finohta)

Finohta: Health technology assessment promotes

the use of good, evidence-based technologies in

health care

Finnish Office for Health Technology Assessment

Criteria for Finohta's support for assessment

projects:

the importance of the technology in terms of

public health and the national economy

the technology's researchability

the credibility of the study arrangement

the quality of study design

the adaptability of the results to clinical practice

how rapidly the results can be utilised

Finnish Office for Health Technology Assessment

In assessment, the best knowledge available of

the safety, effectiveness, costs and outcomes of a

health technology is gathered and combined

In order to influence health technology decisions,

we aim to pass the information on to decision-

makers - to doctors, nurses, patients and

politicians - in a form easily accessed

Current Care -guidelines

Current Care is a Finnish unit producing

evidence-based treatment guidelines for

the Finnish Medical Society Duodecim

These guidelines (n=110) are drawn up in support

of health care professionals and for the benefit of

patients

http://www.duodecim.fi/kotisivut/sivut.nayta?p_navi=13&p_sivu=3019

http://www.duodecim.fi/kotisivut/sivut.nayta?p_navi=13&p_sivu=3019

Current Care –guidelines for Dentistry

Odontogenic acute infections and antibiotics

Controlling dental caries

Periodontitis

Temporo-mandibular parafuntions

Oral cancer

Third molar

Tobacco dependency and tobacco weaning

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