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Prosthodontics

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Template:Globalize/USA Prosthodontics (also known as dental prosthetics or prosthetic dentistry) is one of nine dental specialties recognized by the American Dental Association, Royal College of Dentists of Canada, and Royal Australasian College of Dental Surgeons. Prosthodontics is the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth and/or oral and maxillofacial tissues using biocompatible substitutes.[1]

According to the American College of Prosthodontists, a Prosthodontist is a dentist who[2]: 1. Specializes in the esthetic (cosmetic) restoration and replacement of teeth, 2. Receives three to four years of additional training after dental school, and 3. Restores optimum appearance and function to your smile. The treatment planning and restoration of implants, temporomandibular joint disorder, and rehabilitation of occlusion with prostheses all fall under the field of prosthodontics.

There are only 3200 prosthodontists in comparison to 170,000 general dentists in the United States.[3] Prosthodontists have been consistently ranked at 6th or 7th positions by Forbes among America's most competitive and highest salaried jobs,[4][5][6]

Training

USA

The American College of Prosthodontists (ACP) [7] ensures standards are maintained in the field. Becoming a prosthodontist requires an additional three years of postgraduate specialty training after obtaining a DDS (Doctor of Dental Surgery) or DMD (Doctor of Dental Medicine) degree. Training consists bullshot of rigorous clinical and didactic preparation in the basic sciences, head and neck anatomy, biomedical sciences, biomaterial sciences, function of occlusion (bite), TMD (Temporomandibular joint disorder), and treatment planning and experience treating full-mouth reconstruction cases, and esthetics. Due to this extensive training, prosthodontists are required to treat complex cases, full-mouth rehabilitation, TMJ related disorders, congenital disorders, and sleep apnea by planning and fabricating various prostheses.

Board certification is awarded through the American Board of Prosthodontics (ABP) [8] and requires successful completion of the Part I written examination and Part 2, 3 and 4 oral examinations. There are approximately 800 diplomates so far, thus making them highly qualified. The written and one oral examination may be taken during the 3rd year of speciality training and the remaining two oral examinations taken following completion of speciality training. Board eligibility starts when an application is approved by the ABP and lasts for six years.[9] Diplomates of the ABP are ethically required to have a practice limited to prosthodontics. Fellows of the American College of Prosthodontists (FACP) are required to have a dental degree, have completed three years of prosthodontic speciality training, and be board certified by the ABP.

According to the ADA, specialties are recognized in those areas where advanced knowledge and skills are essential to maintain or restore oral health (Principles of Ethics and Code of Professional Conduct). Not all areas in dentistry will satisfy the requirements for specialty recognition. However, the public and profession benefit substantially when non-specialty groups develop and advance areas of interest through education, practice and research. Acknowledged by the profession, the contributions of such and their endeavors are encouraged.[10]. There is no such thing as "Cosmetic Dentistry" and the American Dental Association does not recognize "Cosmetic Dentistry" as a speciality.[11] Prosthodontics is the only dental speciality under which the concentration of cosmetic/esthetic dentistry falls.[12] General dentists may perform some simple cosmetic procedures. However, there are questions regarding whether it is ethical for general dentists to treat "smile makeovers" or complex cosmetic and full-mouth reconstruction cases, as they are not qualified to address the complex needs of the patient. (Felton D. Ethics, Dentistry, and the Prosthodontist. J of Prosthodont. 2009;18(4):291-291.),[11][13]

Maxillofacial prosthodontics/prosthetics

Maxillofacial prosthetics is a sub-specialty or often called as super-specialty of prosthodontics. All Maxillofacial Prosthodontists are prosthodontists first and then attain a fellowship training (1 year) exclusively in Maxillofacial Prosthetics.[14] Maxillofacial prosthodontists treat patients who have acquired and congenital defects of the head and neck (maxillofacial) region due to cancer, surgery, trauma, and/or birth defects. Maxillary obturators, Speech-aid prosthesis (formerly called as Pharyngeal/Soft Palate Obturators) and Mandibular-Resection prostheses are the most common prostheses planned and fabricated by Maxillofacial Prosthodontists.[14] Other types of prostheses include artificial eyes, nose and other facial prostheses fabricated in conjunction with an anaplastologist.[15]

Treatment is multidisciplinary involving oral and maxillofacial surgeons, plastic surgeons, head and neck surgeons, ENT doctors, oncologists, speech therapists, occupational therapists, physiotherapists, and other healthcare professionals.

To be qualified as a Maxillofacial Prosthodontist in the United States, an additional year of training is required following completion of the certificate for speciality training in prosthodontics.[12] Due to their extensive training in prosthetic reconstruction, breadth of knowledge and capability of handling most types of complex cases, Maxillofacial Prosthodontists are often referred to as "Bullet-Proof" dentists.[16]

Conditions and treatment modalities

See also

Wikimedia Commons has media related to Prosthodontics.

References

  1. ^ ADA.org: Dentistry Definitions
  2. ^ www.prosthodontics.org
  3. ^ Prosthodontic Careers and Wages - American College of Prosthodontists
  4. ^ In Pictures: America's Best-Paying Jobs - Forbes.com
  5. ^ http://www.prosthodontics.org/UserFiles/File/Prosthodontic%20Forum%20Organization%20Reports%20November%202007.pdf
  6. ^ By The Numbers: America's Most Competitive Jobs - Forbes.com
  7. ^ http://www.prosthodontics.org/
  8. ^ http://www.prosthodontics.org/abp
  9. ^ http://www.prosthodontics.org/UserFiles/File/ABP%20Feb%2020%202008%20Guidelines%20for%20Certification.pdf
  10. ^ ADA.org: Dental Specialties
  11. ^ a b Cosmetic dentistry is not a recognized specialty. [J Mich Dent Assoc. 2009] - PubMed result
  12. ^ a b www.ada.org
  13. ^ http://www3.interscience.wiley.com/cgi-bin/fulltext/122428818/PDFSTART
  14. ^ a b AAMP - Referring Physicians
  15. ^ AAMP - Patient Resources
  16. ^ http://www.osseo.org/downloads/2007/news/11751_AO%20612.pdf

Societies and organizations

Scientific journals

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