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Dentistry

Dentistry is the art and science of prevention, diagnosis, and treatment of conditions, diseases, and disorders of the oral cavity, the maxillofacial region, and its associated structures as it relates to human beings. A dentist is qualified to practice dentistry. In most countries, several years of training in a university (usually 4-8) and some practical experience working with actual patients’ dentition are required to become a qualified dentist. The patron saint of dentists is Saint Apollonia, martyred in Alexandria by having all her teeth violently extracted.

The first dental school, the Baltimore College of Dental Surgery, opened in Baltimore, Maryland in 1840. Harvard Dental School was the first dental school to affiliate with a university in 1867 (renamed Harvard School of Dental Medicine in 1940.)

General dentistry
General Dental Practice includes most examination, diagnosis, treatment planning, treatment, and prevention of disease. The dentist and with the aide of other dental auxiliaries frequently uses X-rays and other equipment to ensure correct diagnosis and treatment planning. Treatment may include filling dental cavities, removing the nerves of teeth (R.C.T or Root Canal Treatment), treating diseases of the gums, removing teeth (Extraction), and replacing lost teeth with bridges and dentures (Dental Plates). Anesthesia is often used in any treatment that might cause pain. Teeth may be filled with gold, silver, amalgam, or cements, and with fused porcelain inlays. Dentists treat diseases of the mouth and gums such as trench mouth and Periodontitis. An important part of general dental practice is preventive dentistry. If a dentist examines a patient’s teeth at regular intervals, a disease may be detected and treated before it becomes serious. Dentists also demonstrate proper methods of brushing and flossing the teeth. They may advise their patients about what food to eat or to avoid for good dental health. Dentists may also treat teeth with Fluorides or other substances to prevent decay.

Specialties
In addition to general dentistry, there are nine dental specialties recognized by the American Dental Association and require 2-6 years of residency training after dental school. The specialties are:

  • Dental Public Health (study of dental epidemiology and social health policies),
  • Endodontics (root canal therapy),
  • Oral and Maxillofacial Pathology (study, diagnosis, and often the treatment of oral and maxillofacial related diseases),
  • Oral and Maxillofacial Radiology (study and radiologic interpretation of oral and maxillofacial diseases),
  • Oral and Maxillofacial Surgery (extractions and facial surgery),
  • Orthodontics and Dentofacial Orthopaedics (straightening of teeth),
  • Pedodontics (pediatric dentistry; i.e. dentistry for children),
  • Periodontics (treatment of gum disease),
  • Prosthodontics (replacement of missing facial anatomy by prostheses such as dentures, bridges and implants).

Specialists in these fields are designated registrable (U.S. “Board Eligible”) and warrant exclusive titles such as orthodontist, oral surgeon, endodontist, pedodontist, periodontist, or prosthodontist upon satisfying certain local (U.S. “Board Certified”) registry requirements.

Two other post-graduate formal advanced education programs: General Practice Residency (advanced clinical and didactic training with intense hospital experience) and Advanced Education in General Dentistry (advanced training in clinical dentistry) recognized by the ADA do not lead to specialization.

Other dental education exists where no post-graduate formal university training is required: cosmetic dentistry, dental implant, temporo-mandibular joint therapy. These usually require the attendance of one or more continuing education courses that typically last for one to several days. There are restrictions on allowing these dentists to call themselves specialists in these fields. The specialist titles are registrable titles and controlled by the local dental licensing bodies.

Forensic odontology consists of the gathering and use of dental evidence in law. This may be performed by any dentist with experience or training in this field. The function of the forensic dentist is primarily documentation and verification of identity.

Geriatric dentistry or geriodontics is the delivery of dental care to older adults involving the diagnosis, prevention, and treatment of problems associated with normal aging and age-related diseases as part of an interdisciplinary team with other health care professionals.

Veterinary dentistry, a specialty of veterinary medicine, is the field of dentistry applied to the care of animals.

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