The Advanced Education in General Dentistry (AEGD) program at the University of Pittsburgh School of Dental Medicine provides training to the recent graduate in clinical dentistry and applied basic science beyond the pre-doctoral level, and it refines and enhances those skills necessary for the generalist to provide comprehensive patient care for all population groups. It is also designed to instill confidence in the new dentist to allow him/her to become a leader in the general dental community.
The over all goals of the program are:
- Enhance the resident’s competence and confidence in the various clinical disciplines, which are integral components of general dentistry.
- Enhance the resident’s clinical judgment and develop general dentists with a broad knowledge of dental medicine and related interdisciplinary subjects.
- Enhance the resident’s ability to interact with all health practitioners involved in comprehensive patient treatment - both medical consultations and appropriate consultations and referrals to dental specialists.
- Enhance the resident’s understanding of and provide experience in practice administration, including communication skills, practice management, psychological aspects of patient management, risk management and quality assurance activities
- Prepare the residents to become general dentists to practice, teach, and be involved in academic presentations in general dentistry.
- Develop general dentists who will have a thorough knowledge of the basic and clinical aspects of general dentistry and who will also have the skills and abilities to treat patients who present complex and unusual treatment needs.
- Understand the oral health needs of communities and engage in community service through the provision of treatment to patients with special needs and underserved populations.
- Develop General Dentists that demonstrate principles of ethical reasoning, ethical decision-making, and professional responsibility as they pertain to the academic environment, research, patient care, and practice management.
The overall goals are accomplished through the following learning objectives:
Patient assessment and diagnosis
- Obtain and interpret the patient’s chief complaint, medical, dental, and social history, and review of systems.
- The resident will be able to apply scientific principles of learning and oral health care using critical thinking, evidence-based or outcomes-based clinical decision -making.
- Select and use assessment techniques to arrive at a differential, provisional, and definitive diagnosis for patients with complex needs.
- Analyze the outcomes of patient treatment to improve that treatment.
Emergency and multidisciplinary comprehensive oral health care
- Function as a patient’s primary and comprehensive oral health care provider who can integrate multiple disciplines into an individualized, comprehensive, sequenced treatment plan using diagnostic and prognostic information for patients with complex needs and be able to modify the treatment plan as indicated.
- Use and implement accepted sterilization, disinfecting, universal precautions, and occupational hazard prevention procedures in the practice of dentistry.
Obtaining informed consent
- Explain and discuss with patients, or parents/guardians of patients, findings, diagnoses, treatment options, realistic treatment expectations, patient responsibilities, time requirements, sequence of treatment, estimated fees and payment responsibilities in order to establish a therapeutic alliance between the patient and care provider.
Directing health promotion and disease prevention activities
- Use accepted prevention strategies such as oral hygiene instruction, nutritional education, and pharmacologic intervention to help patients maintain and improve their oral and systemic health.
- Provide instruction to undergraduate dental students in general dental topics.
Pain and anxiety control utilizing behavioral and pharmacological techniques
- Provide control of pain and anxiety in the conscious patient through the use of psychological interventions, behavior management techniques and local anesthesia, and other pharmacologic agents using at least one of the following delivery methods – inhalation (nitrous oxide) or oral sedation and be exposed to General anesthesia and IV sedation.
- Prevent, recognize, and manage complications related to use and interactions of drugs, local anesthesia, and conscious sedation.
- Restore single teeth with a wide range of materials and methods.
- Restore endodontically treated teeth.
Restoration of the edentulous space using fixed and removable appliances
- Treat patients with missing teeth requiring tissue supported removable restorations and be exposed to implant supported removable restorations.
- Treat patients with missing teeth requiring uncomplicated tooth supported fixed restorations and be exposed to implant supported fixed restorations.
- Be exposed to intra and extra-coronal attachments.
- Diagnose and/or treat early and moderate periodontal disease using appropriate therapies and procedures.
- Diagnose advanced periodontal disease, make appropriate referral for treatment and then be able to evaluate the results of periodontal treatment.
- Diagnose and treat pain of pulpal origin by performing appropriate uncomplicated non-surgical endodontic therapy.
- Treat uncomplicated endodontic complications and diagnose complex endodontic complications, and make appropriate referral for treatment.
- Perform non-surgical and uncomplicated surgical extraction of teeth.
- Be exposed to uncomplicated intraoral surgical procedures.
- Be exposed to surgical placement of dental implants and exposure to bone regeneration techniques.
Evaluation and treatment of dental emergencies
- Treat patients with intra-oral dental emergencies and infections.
- Anticipate, diagnose and provide initial treatment and follow-up management for medical emergencies that may occur during dental treatment.
Medical risk assessment
- Diagnose and manage oral manifestations of systemic disease and common oral pathological abnormalities (oral mucosal diseases).
- Perform dental consultations and request medical consultations for patients.
- Manage temporomandibular disorders, occlusal disorders and orofacial pain syndromes.
- Treat patients with a broad variety of acute and chronic systemic disorders and social difficulties including patient with special needs.
- Treat patients efficiently in a dental practice setting.
- Provide patient care by working effectively with allied dental personnel, including performing sit down, four handed dentistry.
- Practice and promote ethical principles in the practice of dentistry and in relationship with patients, personnel, and colleagues.
- Be exposed to business principles as applied to the dental office.
- Utilize informational technology (EHR, digital radiography) as applied to dentistry.