The number of women entering the dental profession has increased over the past few years and the percentage of females enrolling in pediatric postdoctoral studies surpassed 50 percent in 1990. The impact of the shift in the gender of practicing pediatric dentists was examined in this study. A survey was designed to evaluate the relationship between the age and gender of the pediatric dentist, location of principle practice site, and the number of hours dedicated to direct patient care. Twenty-seven hundred and sixty surveys were mailed to pediatric dentists in the United States and 1246 were returned (46 percent). Significantly more males were in private practice than females, although the difference in percentages was small (85 percent versus 80 percent). Women identified universities, hospitals, and institutions as their principle site of practice significantly more often than males (20 percent versus 15 percent). On average, females in private practice work only slightly fewer hours per week providing patient care than do males (32 versus 35 hours/week). In university, hospital, and institution, settings the reverse is true: women spend more time in direct patient care than men (27 versus 23 hours/week).

Adult↗

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The clinical section site visit guidelines: a convenient aid in updating a practice.

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Education, Dental↗

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Career preferences of pediatric dentistry advanced education students.

A questionnaire addressing career preferences of pediatric dentistry advanced education students was mailed to 52 training programs. Two hundred and thirty-two completed surveys from 45 responding programs were returned. Men were in combined specialty programs significantly more than women (P < 0.05, chi-square) and U.S. citizen students were significantly older than non-citizens (P < 0.05, t-test). The collected data reflected differences in career preferences between men and women, and citizens and noncitizens. Women reported a significant preference for private practice, part-time associate and public health practice than did men. Although not significant, men declared equal preference for full-time private practice either solo or as an associate. Noncitizens were found to have a significant preference when compared to citizens for academic full- and part-time, hospital/institutional full- and part-time, research, full- and part-time positions, and for additional training.

Adult↗

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Factors that affect career choices of pediatric dentistry advanced education students.

A questionnaire addressing factors that affect career choices by pediatric dentistry advanced education students was mailed to 52 training programs. Two hundred and thirty-two completed surveys from 45 responding programs were returned. The responses were analyzed for women and men and citizens and noncitizens. Concern for spouse career opportunities affected women's personal career decisions significantly more (P < 0.05) than it did for men. Women rated previous federal/military experience significantly less (P < 0.05) influential on their career choice than did men. Geographic preference when making career decisions was significantly more (P < 0.001) important to citizens than it was for noncitizens. Noncitizens assigned significantly higher (P < 0.001) ratings to an interest in teaching and research than did citizens. A preference for practicing with a parent or relative and previous federal/military experience affected career choices by noncitizens significantly more (P < 0.05) than they did citizens. This study suggests that numerous career-influencing factors in pediatric dentistry are perceived differently by women and men, and citizens and noncitizens.

Adult↗

PubMedDate not supplied

A child has died in your office.

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Anger↗

PubMedDate not supplied

Oral self-injurious behavior in the developmentally disabled: review and a case.

Self-injurious behavior occurs in conjunction with a variety of psychiatric disorders as well as various developmental disabilities and some syndromes. The behavioral and biochemical aspects of self-injurious behavior are poorly understood and several etiologies have been suggested. Treatments for self-injurious behavior in developmentally disabled individuals fall into three main categories: pharmacological, behavior modification and physical restraints. The dental management of self-injurious behavior is often difficult. Numerous appliances of various design have been reported in the literature. Osteotomies or extraction of the offending teeth may have to be considered if less invasive methods are unsuccessful. A case is reported where a child engaged in tonic lip biting secondary to a neurological and seizure disorder is treated using a removable lip-protruding device. No impression or lab construction is required. The appliance presents minimal interference with oral hygiene procedures and it can be removed and reinserted as needed. We conclude that a removable lip-bumper may be a viable option in treating transient and acute episodes of self-injurious behavior involving the lower lip and buccal mucosa.

Adolescent↗

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Case review section of the American Board of Pediatric Dentistry: stumbling blocks and pitfalls.

The Directors of the American Board of Pediatric Dentistry are eager for eligible candidates to become Diplomates. It is important to the profession as well as to the individual that more of our colleagues become Board certified. Failure on a Section of the examination is distressing to us as well as to the candidate. Requirements for the Case Review Section are very specific and are intended to assist the candidate in preparing the cases. Carefully following the guidelines will minimize potential disappointment.

Certification↗

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Pattern of permanent teeth present in individuals with ectodermal dysplasia and severe hypodontia suggests treatment with dental implants.

PURPOSE: The objective of this study was to assess the pattern of permanent teeth present in a self-selected sample of 17 female and 35 male patients with ectodermal dysplasia presenting for treatment with dental implants. METHODS: Mean age of sample: 18.7 years, age range: 5.9 to 60.9 years. Panoramic radiographs were examined independently by two investigators to determine the permanent teeth present. None of the sample reported extractions of permanent teeth prior to presenting for implants. RESULTS: Permanent teeth most likely to be present, reported as a percentage of the patient sample with that tooth, were: maxillary central incisors (42%), maxillary first molars (41%), mandibular first molars (39%), maxillary canines (22%), mandibular second molars (17%), maxillary second premolars (15%), and mandibular premolars (12%). Comparing dentition by quadrants, mandibular anterior teeth (canines and incisors) were least likely to be present. CONCLUSIONS: Results support previous findings that the maxillary central incisors, maxillary first molars, mandibular first molars, and maxillary canines are the most conserved teeth in hypodontia. Successful use of osseointegrated implants in the anterior mandibles of most of these patients suggests that habilitation of the mandible with dental implant-supported prostheses is a reasonable option.

Adolescent↗

PubMedDate not supplied

Factors affecting the mobility of pediatric dentistry faculty.

PURPOSE: A questionnaire was used to develop a profile of current pediatric dentistry faculty to determine whether current faculty would consider relocating to accept another position in academia, and to identify what factors are most important to current full-time faculty when considering another faculty position. RESULTS: Responding males had a significantly higher mean age (49.3 years) than the females (39.3 years). A significantly greater proportion of women (87%) than men (66%) reported that they were prepared to move if offered an improved career opportunity. Both women and men ranked an improved opportunity for professional growth followed by salary increase as the highest rated factors in considering relocation. There was no statistical difference between women and men at the assistant professor level relative to the importance of academic promotion opportunity. However, women at the associate professor level ranked an opportunity for academic promotion statistically higher than did men.

Adult↗