Sukotjo Cortino, Arbree Nancy S
Department of Restorative Dentistry and Biomaterial Sciences, Harvard School of Dental Medicine, 188 Longwood Avenue, Boston, MA 02115, USA.
J Prosthodont. 2008 Dec;17(8):662-8. doi: 10.1111/j.1532-849X.2008.00350.x. Epub 2008 Aug 26.
In 2004, a survey regarding implant placement by prosthodontic residents was conducted by the Educational Policy Subcommittee of the American College of Prosthodontists (ACP). The aim of the survey was to assess the current trends in implant curricula at advanced graduate prosthodontics programs in the United States and Canada and determine the issues surrounding surgical implant training for prosthodontic residents.
The survey was mailed to the prosthodontic/maxillofacial prosthetic program directors of the 59 prosthodontic graduate programs in the United States and Canada in 2004. Of these, 27 program directors replied, yielding a response rate of 46%.
Of the replying programs, 43% either required residents to place or offered the option to have residents place implants. Forty-four percent reported that residents participate by functioning as first assistants for some of their implant patients, 40% have a specific curriculum to train residents in implant placement, 50% reported not having any institutional barriers that prevent program directors from training prosthodontic residents in implant placement, 51% provide implant training using plastic jaws, and 66% of the programs required residents to observe implant surgery in the clinic before they are permitted to place implants. Of prosthodontic residents who treated implant-related patients, the majority treated 11 to 20 patients during their residency. In 2004, 40% of program directors were not trained in the placement of dental implants, and if they did have the implant training, the majority (82%) stated that the nature of their training was 1- to 3-day course(s).
This survey showed that implant dentistry has become an integral part of the postgraduate prosthodontic curriculum. The trends to incorporate implant placement into the postgraduate prosthodontic curriculum were already evident prior to 2004. To address the demand for implant treatment in patient care and enhance surgical implant knowledge, the ACP in 2005 added placement of implants to its Accreditation Standards for Advanced Specialty Education Programs in Prosthodontics.
2004年,美国口腔修复医师学会(ACP)教育政策小组委员会开展了一项关于口腔修复住院医师种植体植入情况的调查。该调查的目的是评估美国和加拿大高级口腔修复研究生项目中种植课程的当前趋势,并确定口腔修复住院医师外科种植培训所涉及的问题。
2004年,该调查问卷被邮寄给美国和加拿大59个口腔修复研究生项目的口腔修复/颌面修复项目主任。其中,27位项目主任回复,回复率为46%。
在回复的项目中,43%要求住院医师植入种植体或提供让住院医师植入种植体的选择。44%报告称住院医师通过担任部分种植患者的第一助手参与其中,40%有特定课程培训住院医师进行种植体植入,50%报告没有任何制度障碍阻止项目主任培训口腔修复住院医师进行种植体植入,51%使用塑料牙颌模型提供种植培训,66%的项目要求住院医师在被允许植入种植体之前在诊所观摩种植手术。在治疗种植相关患者的口腔修复住院医师中,大多数在住院期间治疗了11至20名患者。2004年,40%的项目主任未接受过牙种植体植入培训,而如果他们接受过种植培训,大多数(82%)表示其培训性质为1至3天的课程。
这项调查表明,种植牙科已成为研究生口腔修复课程的一个组成部分。在2004年之前,将种植体植入纳入研究生口腔修复课程的趋势就已经很明显。为了满足患者护理中对种植治疗的需求并增强外科种植知识,ACP在2005年将种植体植入纳入其口腔修复高级专科教育项目认证标准中。