Abstract
Matsumoto Dental University Hospital has been implementing a clinical training program for dentists immediately after their graduation, involving training and guidance for the treatment of periodontal disease. In this paper, we introduce four systems that are used to perform periodontal treatment in clinical training. In addition, we report a comparison of the results of periodontal disease examination and skills.
Prior to the compulsory clinical training, the clinical training SYStem (SYSTEM 0) did not promote clinical training for each caries, and periodontal disease were required for periodontal tissue examination and scaling/root planning (SRP).
In the periodontal treatment training SYStem (SYSTEM 1) used for clinical training from 2001 to 2005, a medical dividend system per oral cavity was started.
In the periodontal treatment training SYStem (SYSTEM 2) adopted from 2006 to 2010, the number of dividend cases was increased and guidance from periodontal disease-certified doctors was enhanced. Furthermore, it was possible to secure a dedicated medical chair that could be used for periodontal treatment by clinical training dentists after SYSTEM 2 was adopted.
In the periodontal treatment training SYStem (SYSTEM 3) adopted from 2011 onwards, basic periodontal treatment is performed for over a month with the consent of the patient, during which oral hygienists provide oral cleaning guidance.
As for the training results obtained with the four training SYStems, the number of cases of basic periodontal therapy did not exceed up to SYSTEM 2. However, SYSTEM 3 increased the number of cases of basic periodontal therapy such as SRP and periodontal surgery. The number of cases undergoing surgery also increased. In addition, enhancement of the training content was shown by the increase in the number of case reports, including of maintenance after periodontal treatment, cases of transition to supportive periodontal therapy (SPT) after periodontal treatment.
Establishment of a training system for postgraduate dentists immediately after graduation to actively perform basic periodontal therapy increased the interest of dentists in clinical training in treating clinical cases. With the current guidance SYTEM 3, trainees can perform periodontal treatment at any clinical site after completing the training, which is the path to transition to a periodontal disease certified dentist/specialist.
