Mather H, Thomason M, Ellis J
School of Dental Sciences, Newcastle University, Framlington Place, Newcastle Upon Tyne, NE2 4BW.
Br Dent J. 2018 Jul 13;225(1):15-18. doi: 10.1038/sj.bdj.2018.524. Epub 2018 Jul 6.
As the UK witnesses a decline in the number of edentulous adults, there is a simultaneous reduction in the number of cases available to undergraduate dental students for the teaching of complete dentures. When edentulous adults are unable to function with conventional complete dentures, particularly pertaining to the mandibular denture, an implant-supported mandibular overdenture has been evidenced as the gold standard for edentulous patients. The evidence in favour of mandibular implant-supported overdentures is one of the most robust evidence bases for any clinical treatment and similarly it has been shown that undergraduate students are equally as capable in the provision of implant-supported overdentures as experienced prosthodontists. Yet there appears to be a disparity in the General Dental Council's undergraduate learning outcomes pertaining to care for edentulous adults. Furthermore, the UK seems to be falling behind in this respect in comparison to our European, American and Australian colleagues. This review looks at the evidence for the provision of implant-supported overdentures in the setting of the undergraduate dental curriculum, the potential barriers within this teaching forum and how well prepared UK undergraduates are for the clinical management of edentulous patients in the future.
随着英国无牙颌成年人数量的减少，可供牙科本科学生用于全口义齿教学的病例数量也在同步减少。当无牙颌成年人无法佩戴传统全口义齿正常行使功能时，尤其是下颌义齿，种植体支持的下颌覆盖义齿已被证明是无牙颌患者的金标准。支持下颌种植体支持覆盖义齿的证据是任何临床治疗中最有力的证据基础之一，同样也表明，牙科本科学生在提供种植体支持覆盖义齿方面与经验丰富的口腔修复医生能力相当。然而，在英国牙科总会关于照顾无牙颌成年人的本科学习成果方面似乎存在差异。此外，与我们的欧洲、美国和澳大利亚同行相比，英国在这方面似乎正在落后。本综述探讨了在牙科本科课程中提供种植体支持覆盖义齿的证据、该教学领域内的潜在障碍以及英国本科学生未来在无牙颌患者临床管理方面的准备情况。
