Are More Endodontic Consultations Needed in Dental School Clinic Settings? A Study of Treatment Decisions at One School

With no previous studies of the occurrence of interdisciplinary consultations for tooth extraction in a dental school clinic setting, the aim of this cross‐sectional descriptive investigation was to measure and compare the consultation process that occurred among departments at one U.S. dental schoo...

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Bibliographic Details
Published in:	Journal of dental education Vol. 79; no. 4; pp. 394 - 398
Main Authors:	Aminoshariae, Anita, Tulunoglu, Ibrahim, Demko, Catherine, Galsterer, Mark, Montagnese, Thomas A., Mickel, Andre
Format:	Journal Article
Language:	English
Published:	United States American Dental Education Association 01-04-2015
Subjects:	Adult Aged Aged, 80 and over clinical education Cross-Sectional Studies Decision Making Dental Clinics dental education dental school clinics Dentistry Dentistry, Operative - education Education, Dental endodontics Endodontics - education Female Humans Male Middle Aged patient care Patient Care Planning Patient Care Team Patient Preference Periapical Diseases - therapy Periodontics - education Referral and Consultation Retrospective Studies Schools, Dental - organization & administration Tooth Extraction Tooth Fractures - therapy Tooth Mobility - therapy Tooth, Nonvital - therapy treatment consultation Young Adult endodontics dental education treatment consultation dental school clinics clinical education patient care tooth extraction
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Summary:	With no previous studies of the occurrence of interdisciplinary consultations for tooth extraction in a dental school clinic setting, the aim of this cross‐sectional descriptive investigation was to measure and compare the consultation process that occurred among departments at one U.S. dental school for making treatment decisions on tooth extraction. A comprehensive computerized retrieval (Crystal Reports) was used to identify and gather data from patient records from July 1, 2007, to July 1, 2011. Treatment plans and progress notes were analyzed to determine why each tooth had been extracted and which department had recommended the extraction. Results showed that the clinical departments involved in treatment planning decisions were the DMD dental student clinic, Department of Periodontics, and Department of Endodontics. The narrative records of 227 patients who had 516 teeth extracted were examined. About three‐fourths (73.26%) of the extracted teeth were extracted based on the recommendation of only one department. Of these extracted teeth, 22.0% (n=114) were previously endodontically treated, and only four were recommended for endodontic consultation prior to extraction. The study found that most extractions were performed without specialty consultations and that the Department of Endodontics was consulted the least of all departments. To foster interdisciplinary collaboration in dental school clinics and help students develop expertise in such collaborations, more specialty consultations are needed for teeth that are treatment planned for extraction in order to preclude needless extraction of potentially salvageable teeth. Doing so will provide benefits for both patient care and students’ education.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0022-0337 1930-7837
DOI:	10.1002/j.0022-0337.2015.79.4.tb05896.x