Knowledge Skill and Attitude among fresh dental graduates about orthodontics

Shan Zohra
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Abstract

Orthodontics is an important part of the 4 year BDS program. According to the American Association of Orthodontists, orthodontics and dentofacial orthopedics are defined as the area of dentistry that includes the diagnosis, prevention, interception, guidance, and correction of mal-relationships of the developing or mature orofacial structures. (“2012 AAO Glossary_0,” n.d.) This branch of dentistry deals with irregularities of teeth and improper jaw relationships.  Malocclusion is known as the improper positioning of teeth when the jaws are closed. The goals of orthodontic therapy are to improve the smile and facial appearance (resulting in improvement in an individual’s social well-being and quality of life), obtain optimal occlusion, and establish normal oral function (Ackerman 2012). Due to a growing esthetic awareness among the general population orthodontics is gaining popularity as a profession. Hence dentists need to be trained well in this field to cater to the growing needs of the general population. There are 2 types of training offered in the field of orthodontics, Postgraduate training, and undergraduate training.  A graduate must be competent enough to diagnose and treat minor orthodontic cases as well as know when is the right time for referral to a specialist. If a general dental practitioner is well trained in the field of orthodontics, specialists only have to deal with complex ones which decreases the workload of the specialist. The level of the graduate thus should be such that they must be able to deal with minor orthodontic cases as a general dental practitioner. There was a study conducted at the University of Missouri Kansas city about how well fresh graduates are prepared to deal with orthodontic cases. (“No Title,” 2016). There has been no such study done in Pakistan. However, there have been studies conducted on how confident graduates felt about practicing unsupervised. The researches revealed that orthodontics was the field where the students felt least confident. (“Preparedness for practice,” 2011). No such research has been done in Pakistan. The purpose of this research is to find out if the fresh dental graduates of Pakistan are competent enough to deal with orthodontic cases without supervision. The level of training of the undergraduates is accessed to check if it is according to the international standards and if Pakistani graduates meet the international competency need in the subject of orthodontics.  This research would help identify the voids in the training of graduates which would create a basis for further research on this topic and the revision of the dental curriculum.      
口腔应届毕业生正畸知识、技能及态度调查
正畸是4年BDS计划的重要组成部分。根据美国正畸医师协会,正畸学和牙面矫形学被定义为牙科的一个领域,包括诊断、预防、拦截、指导和纠正发育中或成熟的口腔面部结构的不良关系。(《2012 AAO Glossary_0》,未注明日期)牙科学的这一分支研究牙齿的不规则性和下颌的不适当关系。错牙合是指颌闭合时牙齿的位置不正确。正畸治疗的目标是改善微笑和面部外观(从而改善个人的社会福利和生活质量),获得最佳咬合,并建立正常的口腔功能(Ackerman 2012)。由于普通人群的审美意识日益增强,正畸学作为一种职业越来越受欢迎。因此,牙医需要在这一领域接受良好的培训,以满足公众日益增长的需求。在正畸领域有两种类型的培训,研究生培训和本科培训。毕业生必须有足够的能力诊断和治疗轻微的正畸病例,并知道什么时候转诊给专科医生是正确的。如果普通牙科医生在正畸学方面受过良好的培训,专科医生只需要处理复杂的问题,这减少了专科医生的工作量。因此,毕业生的水平应该是这样的,他们必须能够像普通牙科医生一样处理轻微的正畸病例。密苏里大学堪萨斯城分校进行了一项关于应届毕业生在处理正畸病例方面准备得如何的研究。(《No Title》,2016)。在巴基斯坦还没有这样的研究。然而,也有关于毕业生在无人监督的情况下实习的自信程度的研究。研究表明,正畸学是学生最缺乏自信的领域。(《准备实践》,2011年)。巴基斯坦还没有这样的研究。本研究的目的是了解巴基斯坦的牙科毕业生是否有足够的能力在没有监督的情况下处理正畸病例。对本科生的培训水平进行检查,以检查其是否符合国际标准,以及巴基斯坦毕业生是否符合正畸学科的国际能力需求。这项研究将有助于确定毕业生培训中的空白,为进一步研究这一主题和修订牙科课程奠定基础。
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