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Patient-Specific, Risk-Based Prevention, Maintenance, and Supportive Care: A Need for Action and Innovation in

Fatemeh S Afshari1, Stephen D Campbell1, Donald A Curtis2

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Journal of Prosthodontics : Official Journal of the American College of Prosthodontists
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PubMed
Summary
This summary is machine-generated.

A new competency statement and curriculum framework were developed for dental education, focusing on oral health promotion, prevention, and maintenance. This initiative addresses gaps in current standards for patient-specific recall and home care programs.

Keywords:
Maintenancepreventionrecall systemssupportive care

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Area of Science:

  • Dental Education
  • Prosthodontics
  • Oral Health

Background:

  • Current dental and prosthodontic programs in the U.S. have varying approaches to preventive and maintenance care.
  • Educational needs and gaps exist in the current curriculum regarding comprehensive oral health maintenance.
  • The Commission on Dental Accreditation (CODA) standards lack specific guidance on patient-customized recall and home maintenance programs.

Purpose of the Study:

  • To establish a competency-based curriculum framework for prevention, supportive care, and maintenance in dental education.
  • To achieve consensus on an overarching competency statement encompassing critical learning and patient care concepts in oral health maintenance.
  • To enhance educational and patient care programs through a standardized framework.

Main Methods:

  • A preliminary survey of U.S. dental and prosthodontic programs assessed current preventive and maintenance practices.
  • A consensus workshop involving 14 participants from diverse U.S. dental schools was organized by the American College of Prosthodontists.
  • An iterative, online consensus process of debate and feedback was employed to develop a joint competency statement and curriculum framework.

Main Results:

  • A preliminary survey identified educational needs and gaps in preventive and maintenance care.
  • Consensus was reached on a competency statement: Graduates must be competent in promoting oral health through risk assessment, diagnosis, prevention, and management of hard tissue, soft tissue, and prostheses, including professional recall and home maintenance.
  • A curriculum framework was proposed, centered around three domains: caries prevention, periodontal supportive care, and prosthesis supportive care, with associated learning objectives.

Conclusions:

  • Existing CODA learning standards do not adequately address patient-customized, evidence-based recall and home maintenance programs.
  • The developed competency-based curricular framework is an initial step toward improving student learning and patient care within recall and home maintenance systems.
  • The proposed framework offers flexibility for implementation within dental school curricula, addressing a critical need in oral health education and patient management.