title: Training needs for general dentistry residents to place and restore two-implant-retained mandibular overdentures.
abstract: Implant therapy is rapidly becoming a standard of care for replacing missing dentition. Predoctoral dental curricula include some training in the implant restorative phase but offer limited exposure to the surgical phase, so it is important for postdoctoral general dentistry residency programs to provide competency training in all phases of implant therapy. The aim of this study was to determine the training needed for general dentistry residents to achieve competence in this area, specifically by defining the number of clinical experiences necessary in both the surgical and prosthetic phases of implant-retained mandibular overdenture construction (IRMOD). Fifteen Advanced Education in General Dentistry (AEGD) residents at one academic dental institution placed two implants in a total of 50 patients with edentulous mandibles and subsequently restored them with IRMOD. The supervising faculty member and the residents evaluated the competency level on a five-point scale after each implant placement and prosthetic case completion. According to the faculty evaluations, the residents achieved surgical competence after placing two implants in four to six cases and prosthetic management competence after restoring two to four cases of IRMOD. All 50 patients were satisfied with the treatment outcomes of IRMOD. This study concluded that general dentistry residents could potentially achieve competence in both the surgical and prosthetic phases of implant therapy while enrolled in an AEGD program.
authors.affiliation: Dr. Malmstrom is Director, Division of General Dentistry, Eastman Institute for Oral Health, University of Rochester; Dr. Xiao is Assistant Professor, Eastman Institute for Oral Health, University of Rochester; Dr. Romanos is Professor, School of Dental Medicine, Stony Brook University; and Dr. Ren is Professor, Eastman Institute for Oral Health, University of Rochester. hans_malmstrom@urmc.rochester.edu.
authors.forename: Hans
authors.initials: H
authors.lastname: Malmstrom
authors.affiliation: Dr. Malmstrom is Director, Division of General Dentistry, Eastman Institute for Oral Health, University of Rochester; Dr. Xiao is Assistant Professor, Eastman Institute for Oral Health, University of Rochester; Dr. Romanos is Professor, School of Dental Medicine, Stony Brook University; and Dr. Ren is Professor, Eastman Institute for Oral Health, University of Rochester.
authors.forename: Jin
authors.initials: J
authors.lastname: Xiao
authors.affiliation: Dr. Malmstrom is Director, Division of General Dentistry, Eastman Institute for Oral Health, University of Rochester; Dr. Xiao is Assistant Professor, Eastman Institute for Oral Health, University of Rochester; Dr. Romanos is Professor, School of Dental Medicine, Stony Brook University; and Dr. Ren is Professor, Eastman Institute for Oral Health, University of Rochester.
authors.forename: Georgios E
authors.initials: GE
authors.lastname: Romanos
authors.affiliation: Dr. Malmstrom is Director, Division of General Dentistry, Eastman Institute for Oral Health, University of Rochester; Dr. Xiao is Assistant Professor, Eastman Institute for Oral Health, University of Rochester; Dr. Romanos is Professor, School of Dental Medicine, Stony Brook University; and Dr. Ren is Professor, Eastman Institute for Oral Health, University of Rochester.
authors.forename: Yan-Fang
authors.initials: YF
authors.lastname: Ren
mesh_terms: D000328:Adult; D016301:Alveolar Bone Loss / Q000145:classification; D002983:Clinical Competence; D003162:Competency-Based Education; D003757:Dental Implantation / Q000193:education*; D015921:Dental Implants; D003774:Dental Plaque Index; D019094:Dental Prosthesis, Implant-Supported; D003823:Denture Rebasing; D003781:Denture Retention; D003826:Denture, Complete, Lower; D003828:Denture, Overlay; D004521:Educational Measurement; D005240:Feasibility Studies; D005792:General Practice, Dental / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D007575:Jaw, Edentulous / Q000534:rehabilitation / Q000601:surgery; D008409:Mastication / Q000502:physiology; D017060:Patient Satisfaction; D010512:Periodontal Index; D010514:Periodontal Pocket / Q000145:classification; D011788:Quality of Life; D020377:Self Efficacy; D013060:Speech / Q000502:physiology; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants
keywords: advanced dental education; clinical research; dental implants; general dentistry residents; implantology; mandibular overdenture; postdoctoral general dentistry