title: Development of a Core Curriculum Framework in Cariology for U.S. Dental Schools.
abstract: Maintenance of health and preservation of tooth structure through risk-based prevention and patient-centered, evidence-based disease management, reassessed at regular intervals over time, are the cornerstones of present-day caries management. Yet management of caries based on risk assessment that goes beyond restorative care has not had a strong place in curriculum development and competency assessment in U.S. dental schools. The aim of this study was to develop a competency-based core cariology curriculum framework for use in U.S. dental schools. The Section on Cariology of the American Dental Education Association (ADEA) organized a one-day consensus workshop, followed by a meeting program, to adapt the European Core Cariology Curriculum to the needs of U.S. dental education. Participants in the workshop were 73 faculty members from 35 U.S., three Canadian, and four international dental schools. Representatives from all 65 U.S. dental schools were then invited to review and provide feedback on a draft document. A recommended competency statement on caries management was also developed: "Upon graduation, a dentist must be competent in evidence-based detection, diagnosis, risk assessment, prevention, and nonsurgical and surgical management of dental caries, both at the individual and community levels, and be able to reassess the outcomes of interventions over time." This competency statement supports a curriculum framework built around five domains: 1) knowledge base; 2) risk assessment, diagnosis, and synthesis; 3) treatment decision making: preventive strategies and nonsurgical management; 4) treatment decision making: surgical therapy; and 5) evidence-based cariology in clinical and public health practice. Each domain includes objectives and learning outcomes.
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University. mfontan@umich.edu.
authors.forename: Margherita
authors.initials: M
authors.lastname: Fontana
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Sandra
authors.initials: S
authors.lastname: Guzmán-Armstrong
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Andrew B
authors.initials: AB
authors.lastname: Schenkel
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Kennneth L
authors.initials: KL
authors.lastname: Allen
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: John
authors.initials: J
authors.lastname: Featherstone
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Susie
authors.initials: S
authors.lastname: Goolsby
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Preetha
authors.initials: P
authors.lastname: Kanjirath
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Justine
authors.initials: J
authors.lastname: Kolker
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Stefania
authors.initials: S
authors.lastname: Martignon
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Nigel
authors.initials: N
authors.lastname: Pitts
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Andreas
authors.initials: A
authors.lastname: Schulte
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Slayton
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Douglas
authors.initials: D
authors.lastname: Young
authors.affiliation: Dr. Fontana is Professor, School of Dentistry, University of Michigan; Dr. Guzmán-Armstrong is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Schenkel is Clinical Associate Professor, College of Dentistry, New York University; Dr. Allen is Clinical Associate Professor, College of Dentistry, New York University; Dr. Featherstone is Professor and Dean, School of Dentistry, University of California, San Francisco; Dr. Goolsby is Assistant Professor, School of Dentistry, Virginia Commonwealth University; Dr. Kanjirath is Assistant Dean, College of Dentistry, Midwestern University-Illinois; Dr. Kolker is Clinical Associate Professor, College of Dentistry and Dental Clinics, University of Iowa; Dr. Martignon is Professor, Universidad El Bosque, Bogotá, Colombia and Senior Lecturer, King's College, London; Dr. Pitts is Professor, King's College, London; Dr. Schulte is Professor, Department for Special Care Dentistry, Dental School, University of Witten/Herdecke, Witten, Germany; Dr. Slayton is Professor and Chair, Center for Pediatric Dentistry, University of Washington; Dr. Young is Professor, Arthur A. Dugoni School of Dentistry, University of the Pacific; and Dr. Wolff is Professor, College of Dentistry, New York University.
authors.forename: Mark
authors.initials: M
authors.lastname: Wolff
mesh_terms: D000066491:Clinical Decision-Making; D003162:Competency-Based Education / Q000458:organization & administration*; D003479:Curriculum; D003731:Dental Caries / Q000517:prevention & control / Q000628:therapy*; D004497:Education, Dental / Q000458:organization & administration; D006801:Humans; D018570:Risk Assessment; D012575:Schools, Dental / Q000458:organization & administration*; D014481:United States
keywords: caries management; cariology; competency; curriculum; dental caries; dental education