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Article #124: Pulling Teeth

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Pulling Teeth reconstruction), Orthodontics(braces),
16th November 2006 Oral and Maxillofacial Surgery(tooth
Author: Josh Stone removal and surgery of the oral and
Dentistry is the art and science of related structures), and Dental Public
prevention, diagnosis, and treatment of Health. There is no specialty in esthetic
conditions, diseases, and disorders of dentistry or implantology, and no
the oral cavity, the maxillofacial additional training is required for a
region, and its associated structures as dentist to make the claim of being an
it relates to human beings. A dentist is esthetic or cosmetic dentist. Dentists
a doctor qualified to practice dentistry. are forbidden to claim that they are
In most countries, several years of specialists in areas of practice in which
training in a university (usually 4-8) there is no recognized specialty. They
and some practical experience working may limit their practices to a single
with actual patients' dentition are area of dentistry, and claim that their
required to become a qualified dentist. practice is limited to that area.
The patron saint of dentists is Saint Any general dentist may perform those
Apollonia, martyred in Alexandria by procedures designated within the
having all her teeth violently extracted. enumerated specialties if they deem
General Dental Practice includes most themselves competent. Many general
examination, diagnosis, treatment dentists train in certain aspects of the
planning, treatment, and prevention of above specialties such as the placement
disease. The dentist frequently uses and restoration of dental implants,
X-rays and other equipment to ensure advanced prosthodontics and endodontics,
correct diagnosis and treatment planning. and have limited or heavily focused their
Treatment may include filling cavities, practices to these areas. When a general
removing the nerves of teeth, treating dentist performs any procedure that falls
diseases of the gums, removing teeth, and within the realm of a specialty, they are
replacing lost teeth with Bridges and expected to perform with the same level
Dentures (Dental Plates). Anesthesia is of expertise as a certified specialist
often used in any treatment that might and are legally held to such standards
cause pain. Teeth may be filled with with respect to any issues of
Gold, Silver, Amalgam, or Cements, and malpractice.
with fused Porcelain Inlays. Dentists There are nine dental specialties
treat diseases of the mouth and gums such recognized by the American Dental
as trench mouth and Periodontitis. An Association and require 2-6 years of
important part of general dental practice residency training after dental school.
is preventive dentistry. If a dentist The specialties are Dental Public Health
examines a patient's teeth at regular (study of dental epidemiology and social
intervals, a disease may be detected and health policies), Endodontics (root canal
treated before it becomes serious. therapy), Oral and Maxillofacial
Dentists also demonstrate proper methods Pathology (study, diagnosis, and often
of brushing and flossing the teeth. They the treatment of oral and maxillofacial
may advise their patients about what food related diseases), Oral and Maxillofacial
to eat or to avoid for good dental Radiology (study and radiologic
health. Dentists may also treat teeth interpretation of oral and maxillofacial
with Fluorides or other substances to diseases), Oral and Maxillofacial Surgery
prevent decay. (extractions and facial surgery),
In the United States, dentists earn Orthodontics and Dentofacial Orthopaedics
either a D.D.S. (Doctor of Dental (straightening of teeth), Pedodontics
Surgery) or D.M.D.(Doctor of Dental (pediatric dentistry; i.e. dentistry for
Medicine) degree. There is no difference children), Periodontics (treatment of gum
in the training for either degree. The disease), Prosthodontics (replacement of
degrees are equivalent, and recognized missing facial anatomy by prostheses such
equally by all state boards of dentistry. as dentures, bridges and implants).
There are 56 Accredited Dental schools in Specialists in these fields are
the United States requiring 4 years of designated registrable (U.S. "Board
post graduate study (except for one Eligible") and warrant exclusive titles
unique 3 year program at the University such as orthodontist, oral surgeon,
of the Pacific)[14]. Most applicants to pedodontist, periodontist, or
dental school have attained at least a prosthodontist upon satisfying certain
B.S. or B.A. degree, however, a small local (U.S. "Board Certified") registry
percentage are admitted after only requirements.
fulfilling specific prerequisite courses. Two other post-graduate formal advanced
So unlike many other countries, it can education programs: General Practice
take more than 8 years to become a Residency (advanced clinical and didactic
dentist. (List of dental schools in the training with intense hospital
United States) The degrees D.D.S. and experience) and Advanced Education in
D.M.D. require equivalent education and General Dentistry (advanced training in
are identical in every way. The clinical dentistry) recognized by the ADA
difference relates to the history do not lead to specialization.
involved in the division of medicine and Other dental education exists where no
surgery in medical practice. There has post-graduate formal university training
been a recent movement to include a 5th is required: cosmetic dentistry, dental
year of education that focuses on purely implant, temporo-mandibular joint
practical training in the clinical therapy. These usually require the
setting. In at least one state, a state attendance of one or more continuing
dental license can be received without education courses that typically last for
taking the licensing exam (State Board one to several days. There are
Exam) upon completing this additional restrictions on allowing these dentists
year of training. Dentists are licensed to call themselves specialists in these
and regulated by the state in which they fields. The specialist titles are
practice. The license is only valid in registrable titles and controlled by the
the issuing state and is local dental licensing bodies.
non-transferable. There are many Forensic odontology consists of the
cooperative agreements between states gathering and use of dental evidence in
that allow recognition of another state's law. This may be performed by any dentist
license so as to procure a license either with experience or training in this
via "licensure by credentials" or field. The function of the forensic
"licensure by 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), care professionals.
Prosthodontics(complicated dental Freelance writer for over eleven years.






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