Peer Reviewed Papers 

Papers, Articles and Dissertations


2020 01 04 The impact of practical courses on Dental Practitioners Hand skills - Ali Nankali

Aim: Cavity preparation is one of a daily dental practitioners’ involvements, hence clinicians should be confident for their preparations and achieve an appropriate designed cavity for planed restorations. This research was done to assess the strength of cavity preparations and prevention of iatrogenic damages.

Conclusion: Hands on manikin courses are one of the suitable places to help practitioners understand their weakness and improvements, furthermore it may help educational systems to recognise clinicians needed.

 Keywords: cavity preparation, opening contact point, direct vision, indirect vision, iatrogenic damages.

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Background: Dentistry is based upon clinical work and without actual work and practicality attached to it, a student may not be able to master even the slightest of techniques that they absolutely must. This conversion of academics into practical work is proven to be somewhat difficult, but if mastered in the early stages is proven to be impactful for students and teachers alike. Despite an excellent provision of dental education in dental schools, there is always a difference among dental graduates in terms of clinical skills. Objective: The primary aim of this audit is to ascertain whether there is any existence of relationship between handwriting, drawing and having extracurricular activity with clinical and practical skills of dental student. Material & Methods: The audit was approved by and conducted at Barts and the London School of Medicine and Dentistry Clinical Skills Lab during the months of March and April 2019. The sample size was estimated using online sample size calculator based on total number of undergraduate students as 343, margin of error 12% and 95% confidence level. The sample size came out as 56 undergraduate students. The data was collected in form of an audit assessment form. Results: The total number of students who participated in the study was 58. Out of 58 dental students this audit included 54% of females and 46% males. Dental students who have achieved 81 to 85% grades in their clinical lab session had smoothness and continuity in their handwriting, they wrote on the line provided, they took care of the size, consistency and similarity between the letters and maintained punctuation marks. Students who got 76-80% had drawn wheels with details, drew seat and chain and maintained symmetry whereas who drew paddles and basket had achieved 81 - 85%. Lastly, 86-90% achievers took care of using shading and other drawing skills to enhance their diagram. Student engaged in hand involved sport had a 90-95% pass percentage out of all followed by students into sewing, musical instrument, non-hand involved sport and finally painting, drawing or art who all achieved 81-85%.Those students who did not get involved in any extracurricular activity had the least grade of that of 3.8 which made their pass percentage to be 71-75%. Conclusion: It is important to emphasize over practical skills in order to perform better clinically. The better are the dental skills, the higher the performance in practical. Training and considering practical skills during dental schooling is traditionally of great importance in dental education. Hence, dexterity, spatial and motor abilities have some impact on success of dental schools.

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2020 08 03 “Evaluation of clinical parameters considered to be important in the success rate of 
dental implants by clinicians - Seyedalireza Faramarzifar (MSc - Dissertation)

It seems that implant therapy is a predictable and successful treatment for oral rehabilitation, thus, allowing it to gain tremendous popularity for prosthetic reconstruction in selected patients. To assess the implant therapy performance, among different measures, survival, failure and success of implants are the most common controls implemented by clinicians and researchers. There are different proposed criteria of success, which are used as guideline to evaluate outcomes of implant dentistry. The main goal of this project conducted as an audit is to assess the compatibility of practitioners’ (practising implant dentistry) criteria of implant treatment success with agreed guideline This project was approved and conducted at “Bart’s and the London school of dentistry Implant Review Clinic” in June and July 2019. Based on population number of 20, a sample size of 15 practitioners was selected to achieve confidence level of 95% and marginal error of 12%. Data was collected with a designed questionnaire and checked for accuracy. The proportion of participants in terms of gender was 60% for male 40% for female practitioners. The ratio of staff/student reported at ½ with average work experience of, respectively. 20% of practitioners did not mentioned any parameter of guideline. 20% of sample population noted the guideline parameters completely. 93% of participants mentioned at least one of the frequently used parameters of success rather than guideline. Aesthetic and appearance had the highest level of notation by clinicians. Small proportion of (20%) practitioners noted the same criteria of success with guideline. The number of guideline parameters mentioned by clinicians was higher among staff and female practitioners.  Appearance and aesthetic, a frequently used factor in literature, showed the highest level of popularity among the clinicians. In conclusion, there was a poor level of compatibility between practitioners’ criteria of success about an implant treatment and established guideline criteria of success.  it seems that there is a need of updating the current guideline based on patient-centred approach as well as informing the practitioners with updated guideline. 

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