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Article #46: Pulling Teeth

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Dentistry is the art and science of Oral and Maxillofacial Surgery(tooth
prevention, diagnosis, and treatment of removal and surgery of the oral and
conditions, diseases, and disorders of related structures), and Dental Public
the oral cavity, the maxillofacial Health. There is no specialty in esthetic
region, and its associated structures as dentistry or implantology, and no
it relates to human beings. A dentist is additional training is required for a
a doctor qualified to practice dentistry. dentist to make the claim of being an
In most countries, several years of esthetic or cosmetic dentist. Dentists
training in a university (usually 4-8) are forbidden to claim that they are
and some practical experience working specialists in areas of practice in which
with actual patients' dentition are there is no recognized specialty. They
required to become a qualified dentist. may limit their practices to a single
The patron saint of dentists is Saint area of dentistry, and claim that their
Apollonia, martyred in Alexandria by practice is limited to that area.
having all her teeth violently extracted. Any general dentist may perform those
General Dental Practice includes most procedures designated within the
examination, diagnosis, treatment enumerated specialties if they deem
planning, treatment, and prevention of themselves competent. Many general
disease. The dentist frequently uses dentists train in certain aspects of the
X-rays and other equipment to ensure above specialties such as the placement
correct diagnosis and treatment planning. and restoration of dental implants,
Treatment may include filling cavities, advanced prosthodontics and endodontics,
removing the nerves of teeth, treating and have limited or heavily focused their
diseases of the gums, removing teeth, and practices to these areas. When a general
replacing lost teeth with Bridges and dentist performs any procedure that falls
Dentures (Dental Plates). Anesthesia is within the realm of a specialty, they are
often used in any treatment that might expected to perform with the same level
cause pain. Teeth may be filled with of expertise as a certified specialist
Gold, Silver, Amalgam, or Cements, and and are legally held to such standards
with fused Porcelain Inlays. Dentists with respect to any issues of
treat diseases of the mouth and gums such malpractice.
as trench mouth and Periodontitis. An There are nine dental specialties
important part of general dental practice recognized by the American Dental
is 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. (List of dental schools in the education programs: General Practice
United States) The degrees D.D.S. and Residency (advanced clinical and didactic
D.M.D. require equivalent education and training with intense hospital
are identical in every way. The experience) and Advanced Education in
difference relates to the history General Dentistry (advanced training in
involved in the division of medicine and clinical dentistry) recognized by the ADA
surgery in medical practice. There has do not lead to specialization.
been a recent movement to include a 5th Other dental education exists where no
year of education that focuses on purely post-graduate formal university training
practical training in the clinical is required: cosmetic dentistry, dental
setting. In at least one state, a state implant, temporo-mandibular joint
dental license can be received without therapy. These usually require the
taking the licensing exam (State Board attendance of one or more continuing
Exam) upon completing this additional education courses that typically last for
year of training. Dentists are licensed one to several days. There are
and regulated by the state in which they restrictions on allowing these dentists
practice. The license is only valid in to call themselves specialists in these
the issuing state and is fields. The specialist titles are
non-transferable. There are many registrable titles and controlled by the
cooperative agreements between states local dental licensing bodies.
that allow recognition of another state's Forensic odontology consists of the
license so as to procure a license either gathering and use of dental evidence in
via "licensure by credentials" or law. This may be performed by any dentist
"licensure by reciprocity." with experience or training in this
A dentist may go on for further training field. The function of the forensic
in a dental specialty which requires an dentist is primarily documentation and
additional 1 to 7 years of post-doctoral verification of identity.
training. There are 9 recognized dental Geriatric dentistry or geriodontics is
specialties. They are Endodontics(root the delivery of dental care to older
canal treatment), Oral and Maxillofacial adults involving the diagnosis,
Pathology, Oral and Maxillofacial prevention, and treatment of problems
Radiology, Pediatric Dentistry, associated with normal aging and
Periodontics(gums), age-related diseases as part of an
Prosthodontics(complicated dental interdisciplinary team with other health
reconstruction), Orthodontics(braces), care professionals.






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