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Article #218: A Career in Dentistry Pulling Teeth

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Dentistry is the art and science of Orthodontics(braces), Oral and
prevention, diagnosis, and treatment of Maxillofacial Surgery(tooth removal and
conditions, diseases, and disorders of surgery of the oral and related
the oral cavity, the maxillofacial structures), and Dental Public Health.
region, and its associated structures as There is no specialty in esthetic
it relates to human beings. A dentist is dentistry or implantology, and no
a doctor qualified to practice dentistry. additional training is required for a
In most countries, several years of dentist to make the claim of being an
training in a university (usually 4-8) esthetic or cosmetic dentist. Dentists
and some practical experience working are forbidden to claim that they are
with actual patients' dentition are specialists in areas of practice in which
required to become a qualified dentist. there is no recognized specialty. They
The patron saint of dentists is Saint may limit their practices to a single
Apollonia, martyred in Alexandria by area of dentistry, and claim that their
having all her teeth violently extracted. practice is limited to that area.
General Dental Practice includes most Any general dentist may perform those
examination, diagnosis, treatment procedures designated within the
planning, treatment, and prevention of enumerated specialties if they deem
disease. The dentist frequently uses themselves competent. Many general
X-rays and other equipment to ensure dentists train in certain aspects of the
correct diagnosis and treatment planning. above specialties such as the placement
Treatment may include filling cavities, and restoration of dental implants,
removing the nerves of teeth, treating advanced prosthodontics and endodontics,
diseases of the gums, removing teeth, and and have limited or heavily focused their
replacing lost teeth with Bridges and practices to these areas. When a general
Dentures (Dental Plates). Anesthesia is dentist performs any procedure that falls
often used in any treatment that might within the realm of a specialty, they are
cause pain. expected to perform with the same level
Teeth may be filled with Gold, Silver, of expertise as a certified specialist
Amalgam, or Cements, and with fused and are legally held to such standards
Porcelain Inlays. Dentists treat diseases with respect to any issues of
of the mouth and gums such as trench malpractice.
mouth and Periodontitis. An important There are nine dental specialties
part of general dental practice is recognized by the American Dental
preventive dentistry. If a dentist Association and require 2-6 years of
examines a patient's teeth at regular residency training after dental school.
intervals, a disease may be detected and The specialties are Dental Public Health
treated before it becomes serious. (study of dental epidemiology and social
Dentists also demonstrate proper methods health policies), Endodontics (root canal
of brushing and flossing the teeth. They therapy), Oral and Maxillofacial
may advise their patients about what food Pathology (study, diagnosis, and often
to eat or to avoid for good dental the treatment of oral and maxillofacial
health. Dentists may also treat teeth related diseases), Oral and Maxillofacial
with Fluorides or other substances to Radiology (study and radiologic
prevent decay. interpretation of oral and maxillofacial
In the United States, dentists earn diseases), Oral and Maxillofacial Surgery
either a D.D.S. (Doctor of Dental (extractions and facial surgery),
Surgery) or D.M.D.(Doctor of Dental Orthodontics and Dentofacial Orthopaedics
Medicine) degree. There is no difference (straightening of teeth), Pedodontics
in the training for either degree. The (pediatric dentistry; i.e. dentistry for
degrees are equivalent, and recognized children), Periodontics (treatment of gum
equally by all state boards of dentistry. disease), Prosthodontics (replacement of
There are 56 Accredited Dental schools in missing facial anatomy by prostheses such
the United States requiring 4 years of as dentures, bridges and implants).
post graduate study (except for one Specialists in these fields are
unique 3 year program at the University designated registrable (U.S. "Board
of the Pacific)[14]. Most applicants to Eligible") and warrant exclusive titles
dental school have attained at least a such as orthodontist, oral surgeon,
B.S. or B.A. degree, however, a small pedodontist, periodontist, or
percentage are admitted after only prosthodontist upon satisfying certain
fulfilling specific prerequisite courses. local (U.S. "Board Certified") registry
So unlike many other countries, it can requirements.
take more than 8 years to become a Two other post-graduate formal advanced
dentist. education programs: General Practice
(List of dental schools in the United Residency (advanced clinical and didactic
States) The degrees D.D.S. and D.M.D. training with intense hospital
require equivalent education and are experience) and Advanced Education in
identical in every way. The difference General Dentistry (advanced training in
relates to the history involved in the clinical dentistry) recognized by the ADA
division of medicine and surgery in do not lead to specialization.
medical practice. There has been a recent Other dental education exists where no
movement to include a 5th year of post-graduate formal university training
education that focuses on purely is required: cosmetic dentistry, dental
practical training in the clinical implant, temporo-mandibular joint
setting. In at least one state, a state therapy. These usually require the
dental license can be received without attendance of one or more continuing
taking the licensing exam (State Board education courses that typically last for
Exam) upon completing this additional one to several days. There are
year of training. restrictions on allowing these dentists
Dentists are licensed and regulated by to call themselves specialists in these
the state in which they practice. The fields. The specialist titles are
license is only valid in the issuing registrable titles and controlled by the
state and is non-transferable. There are local dental licensing bodies.
many cooperative agreements between Forensic odontology consists of the
states that allow recognition of another gathering and use of dental evidence in
state's license so as to procure a law. This may be performed by any dentist
license either via "licensure by with experience or training in this
credentials" or "licensure by field. The function of the forensic
reciprocity." dentist is primarily documentation and
A dentist may go on for further training verification of identity.
in a dental specialty which requires an Geriatric dentistry or geriodontics is
additional 1 to 7 years of post-doctoral the delivery of dental care to older
training. There are 9 recognized dental adults involving the diagnosis,
specialties. They are Endodontics(root prevention, and treatment of problems
canal treatment), Oral and Maxillofacial associated with normal aging and
Pathology, Oral and Maxillofacial age-related diseases as part of an
Radiology, Pediatric Dentistry, interdisciplinary team with other health
Periodontics(gums), Prosthodontics care professionals.
(complicated dental reconstruction),






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