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The Introduction of Clinical Technologies Into the Dental Clinical Curriculum Robert A. Cederberg, MA, DDS Professor, Director of Clinical Education & Quality Improvement
University of Texas at Houston School of Dentistry
Cone Beam Computed Tomography
CBCT or volumetric imaging technology allows large or small fields of view at short scan times. Excellent modality for evaluation of oral-facial trauma, anomalies, and pathology. Useful for almost all dental disciplines. Few dental schools teach CBCT scan acquisition and implant planning for pre-doc students.
Cancer Screening Tool – Oral ID
Emitting 460 nm visible light. Fluorescence causes normal tissue to appear bright, but abnormal tissue is dark. Small, portable, no patient consumables, easy to use and affordable.
Laser Dentistry
A wide variety of lasers are available for use in dentistry: Erbium, Nd:YAG, Diode, CO2. Applications are many and varied. Advantages: may not require anesthesia, minimal postoperative pain, precise. Disadvantages: cost, training.
Impact on Curriculum & Facilities
Summer elective course was introduced in the 2009 – 20 students. In 2013 laser curriculum was revamped and incorporated into the curriculum. Facilities modified to provide laser treatment rooms.
Photo Courtesy of Dr. Juliana Barros and Dr. Shalizeh Patel
Financial Impact and Future Directions
CBCT equipment acquisition is expensive, but most schools are already embracing the technology. Fluorescent technology is relatively inexpensive and safe for use. Laser technology is becoming more cost effective and facility modification can be simple. Students should get experience with implant restoration and they should get CBCT planning. 63% of oral cancers are found in Stage II and IV. Early detection is a must. One of the most useful soft tissue management tools, as well as small hard tissue lesions.