Dental education in the various European countries, including aspects related to medically compromised patients, has followed the curricula of the approximately 200 dental schools in the EU. Since dental health needs differ greatly between the EU countries, there is no unity in the contents, structures and methods of this teaching; however, under the lead of the Association for Dental Education in Europe (ADEE), great efforts have been made to converge towards higher global standards of dental education. Therefore, firstly, some examples of dental undergraduate education related to patients with associated systemic diseases are presented, followed by some agreed guidelines for further harmonization of the dental school curricula in EU.
In the Johannes Gutenberg University located in Mainz, Germany-which is one of the 6 founding members of the EU-dental management of patients with associated systemic diseases is mainly taught during the Oral Surgery curriculum, but knowledge on this subject is also given during the study of Internal Medicine, Otorhinolaryngology, Dermatology, and Pharmacology. The main topics taught are: bleeding disorders, cardio-vascular disorders, immuno-compromised patient, autoimmune disorders, diabetes, hepatic cirrhosis, infectious diseases, patients after irradiation, etc.
In the Faculty of Dental Medicine at the “Carol Davila” University of Medicine and Pharmacy located in Bucharest, Romania, which is one of the 2 newest member states that joined the EU in 2007, the undergraduate students learn about patients with systemic diseases mainly in the Oral Surgery discipline, when anesthesia is taught, but related knowledge is also gained during the study of Internal Medicine, Endocrinology, Pediatry, Otorhinolaryngology, Dermatology, Infectious Diseases, and Pharmacology.
Since1990, the School of Dentistry in Malmö (Sweden, EU member since 1995) has implemented an origimal curriculum, in which biomedical science is integrated with clinical dentistry based on problem-based learning (PBL). Education about patients with associateds ystemic diseases is carried out mainly in the integrateda rea Medicine, in the Oral Surgery and Oral Medicine studies.
Although there are differences between universities and countries of the EU, there seem to be a general agreement for a need to strengthen the education on integrated medical sciences in the undergraduate dental curriculum. The AADE, recommends, as a minimum, to have knowledge of disease processes, including infection, inflammation, disorders of the immune system, degeneration, neoplasia, metabolic disturbances and genetic disorders. Besides, it recommends study on the pathological features and dental relevance of common disorders of the major organ systems, and the oral manifestation of systemic diseases.
Since the process of further harmonization of dental education in EU is still ongoing, important changes of the dental education in the EU might evolve in the near future.
抄録全体を表示
