Department of Preventive and Pediatric Dentistry, Dental Faculty/University of Greifswald, Greifswald, Germany.
Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.
Caries Res. 2024;58(3):153-161. doi: 10.1159/000536637. Epub 2024 Feb 20.
The Core Curriculum in Cariology (CCC) was developed by ORCA and ADEE in 2010. This article summarizes challenges for the implementation of the CCC at university/country level identified at the "Education Platform" of the ORCA 2022 conference in Cagliari, Sardinia.
Participants from universities from 3 European (Italy, Poland, and UK), 2 Asian (India and Russia), and 3 American countries (Brazil, Colombia, and USA) led the presentations, discussion, and generation of statements. Presentations were transcribed and summarized through qualitative content analysis. Key themes were identified, transformed into key topics, and sent to the panel for agreement.
Regardless of the wide variety of dental schools per country, from few (Poland n = 10) to many (India n = 318, Brazil n = 563) or from country/continent itself, frequent challenges to CCC implementation were highlighted. These included lack of agreement on a basic CCC as standard (96%), insufficient support or reimbursement for caries prevention and management (90%), separation between cariology and restorative dentistry (68%), focus on restorative/surgical management with prevention and nonoperative management being disconnected (73%). The group agreed that the integration of cariology and restorative dentistry remains essential to enhancing evidence-based decision-making, resulting in a shift of emphasis from cure to care.
There is variation in the level of implementation of the CCC. A frequent challenge is the disconnect between cariology and restorative dentistry. The CCC should be disseminated and promoted as a uniform blueprint/framework to facilitate the implementation of a common cariology curriculum among universities within each country, as well as internationally.
龋病核心课程（CCC）由 ORCA 和 ADEE 于 2010 年开发。本文总结了在撒丁岛卡利亚里举行的 ORCA 2022 会议“教育平台”上，各国大学层面在实施 CCC 时发现的挑战。
来自三个欧洲国家（意大利、波兰和英国）、两个亚洲国家（印度和俄罗斯）和三个美洲国家（巴西、哥伦比亚和美国）的大学代表主导了陈述、讨论和制定报告。陈述被转录并通过定性内容分析进行总结。确定了主要主题，将其转化为关键主题，并发送给专家组以达成一致。
尽管每个国家的牙科学校数量差异很大，从少数（波兰 10 所）到多数（印度 318 所，巴西 563 所），或者从国家/大陆本身来看，实施 CCC 时经常面临挑战。这些挑战包括缺乏对基本 CCC 的共识（96%）、预防和管理龋齿的支持或报销不足（90%）、龋病学与修复牙科分离（68%）、关注修复/手术管理，而预防和非手术管理脱节（73%）。专家组一致认为，龋病学和修复牙科的整合仍然是增强循证决策的关键，这导致从治疗转向关注护理。
CCC 的实施水平存在差异。一个常见的挑战是龋病学和修复牙科之间的脱节。应该传播和推广 CCC，作为一个统一的蓝图/框架，以促进每个国家内各大学之间以及国际上共同龋病课程的实施。
