[Predicting success in dental school: the dental admission test and the chalk carving test].
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In 1975 data were collected on the extent to which children and teenages elible for free dental care in the School Dental Service and the Public Dental Services particpated in programmes consisting of self- or professionally administered topical applications of fluoride solutions. Results apply to the school year 1973/74 for the School Dental Service and the calendar year 1974 for the Public Dental Services. Of the reported number of persons 6--17 years of age who were eligible for free systematic dental care under School Dental Service and Public Dental Services 70 and 67 per cent respectively, rinsed, brushed or had fluoride solutions professionally applied to their teeth. Participation was greatest among children 7--13 years of age, namely 87--89 per cent. 61 to 80 per cent of those participating in a programme brushed their teeth with fluoride solutions under supervision at school while 14--38 per cent received fluoride rinses. Professionally administered topical applications were reported for 8--12 per cent of participants in these preventive programmes. Comparisons with results of a similar survey 2 years earlier suggest increasing systematic use of topical fluoride applications in mass prophylactic programmes. Information about preventive activities is not included in the routine reports on the work carried out in the School Dental Service and the Public Dental Service. On the basis of the experience gained from this survey, it is proposed that data on preventive activities should be collected routinely as an integral part of a public dental services monitoring system.
The problems of continuing dental care once eligibility for school care ceases have been discussed. A questionnaire of 18,976 high school students at 29 South Australian schools indicated that, compared with students with no history of school care, fewer students treated by the School Dental Service reported visiting a dentist since leaving primary school. Several programmes designed to encourage continuing dental care have been described.
A survey of American dental schools was conducted to determine the extent to which genetics is currently taught. Results indicate that there is a stronger emphasis at the postdoctoral level than at the predoctoral level and that the approach to teaching genetics tends to multidisciplinary. Some dental schools have already given organizational status to genetics and have instituted clinical activities in orofacial or craniofacial genetics. Considerable interest was shown in audiovisual materials and autotutorial programs in genetics. A greater emphasis on the teaching of genetics at the predoctoral, postdoctoral, and continuing education level is recommended. More trained orofacial geneticists are needed to support didactic and clinical activities within the dental schools.
The cost of school dental care provided by the South Australian School Dental Service is compared with the cost of funding similar care through an hypothetical alternative based on fee-for-service. The results of both cost-benefit and cost-effective analysis suggest that the school dental programme is an economically acceptable method of delivering school dental care.
Approximately 25--30 per cent of operational time in the School Dental Programme is assigned to dental health education, representing a sizeable investment of public resources. If the full potential of dental health education is to be realized, the respective effectiveness of various dental health education activities need to be identified so that the more effective activities can be emphasized and developed further. As an essential prerequisite there is a need to refine the evaluation process by introducing: (1) improved dental indices; (2) improved methods of classifying and maintaining records of the dental health education activities undertaken; (3) better methods of quantifying dental care items and other social and environmental covariables; and (4) more sophisticated forms of multivariate analysis.
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The variety of evaluation methods used in American dental schools illustrates that little uniformity exists. Only through a continuing program of evaluation can the strengths and weaknesses of any course be identified. Few generalizations can be made that are valid for all dental schools; this suggests that each school and its faculty members utilize methods of evaluation that are developed on a local level. The lack of uniformity in the evaluation process of the schools surveyed may also serve as an indicator for the lack of uniformaty of cirriculum. Development of clearly defined objectives would be beneficial in establishing reliable methods of evaluation. When such evaluations are analyzed, the need for changes in the curriculum becomes apparent. It should be noted that with every change, whether it be in the students, the faculty, or the cirriculum, a new evaluation becomes necessary.
The provision of an efficient and acceptable library system for the dental literature is examined. It is suggested that an index to the dental literature is best provided by a combination of Index Medicus and Medical Subject Headings. The Library of Congress scheme would be best for an autonomous dental school and, where a dental school library is provided by a large medical library, the National Library of Medicine Classification would be suitable for dental student use.
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Because of increased costs, school dental programmes should maintain the dental health of the maximum number of children possible. Suggestions are made on the priorities required in prevention and treatment provided for primary school children.
This is a statistical study of the 1976 location, by region and state, of the active civilian dentists of the United States in relation to the dental schools from which they graduated. The focus of the study is a master matrix table which shows state-by-state distribution of the graduates of each dental school and, conversely, where each state obtained its dentists, by individual dental school of graduation. Comparisons are made with similar data from several studies since the early 1950s, certain relationships and trends are identified, and a few projections are made to 1990. The study provides detailed information useful to organizations and individuals studying dental manpower and who are planning dental educational facilities and programs. A most important aid in such planning is information not only on the location but also on the sources of present dentist manpower.
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