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A dental auxiliary is any oral health practitioner other than a dentist & dental hygienist, including the supporting team assisting in dental treatment. [1] [2] They include dental assistants (known as dental nurses in the United Kingdom and Ireland), dental therapists and oral health therapists, dental technologists, and orthodontic auxiliaries. The role of dental auxiliaries is usually set out in regional dental regulations, defining the treatment that can be performed.
Dental assistant help make dental treatment more efficient by assisting the clinician. They hold and pass instruments, retract tissues and apply suction to assist better vision of the operating field. They also mix materials, help maintain dental records, and sterilize instruments and equipment. Some also engage in professional teeth whitening procedures, particularly in The Republic of Ireland where laser teeth whitening is classified as a cosmetic procedure and not dental treatment. This practice usually occurs in clinics solely devoted to laser teeth whitening and not routine dental treatment.
Dental therapists are licensed dental auxiliaries in some countries. Therapists were created in New Zealand in 1921, with the formation of the School Dental Service, and spread mainly to other Commonwealth countries. Local regulations determine the duties therapists are allowed to perform, including either working under the prescription of a dentist or independently, and either exclusively treating children, or patients of any age. Therapists may work in government or private clinics, and are typically licensed to examine teeth, take radiographs, administer local anesthesia, restore teeth, administer vital pulp treatments such as pulpotomies, extraction of deciduous (primary) teeth, provide sealants, scaling and polishing, and apply topical fluoride.
Training for dental hygienists and dental therapists was combined in Queensland, Australia in 1998 to create oral health therapists or OHTs. They are now also trained in New Zealand, Singapore, and Indonesia. Depending on local regulations, oral health therapists may work in consultation with dentists, or independently. And depending on regulations and training, may treat only children, or patients of any age. Duties usually include examining teeth and/or gingiva (gums), taking and interpreting intra and extra-oral radiographs, diagnosing dental caries (decay) and periodontal (gum) disease, restoring teeth (either deciduous (primary) or both deciduous and permanent), extracton of deciduous teeth, scaling or debridement to remove calculus, polishing to remove stain, applying fisssure sealants and topical fluoride, patient education, and oral hygiene instruction. Although dental hygienists and dental therapists can be jointly-trained in the UK, the oral health therapy scope does not exist there.
Dental technologists or dental technicians are dental professionals who fabricate dental appliances: removable protheses including dentures and orthodontic retainers, and fixed restorative work such as crown and bridges for the dental operator to insert. Denturists or clinical dental technologists or technicians are dental technicians with postgraduate training who see patients to fabric and fit dentures. [3]
Orthodontic auxiliaries are oral health professionals who work exclusively under the direction of an orthodontist or dentist providing orthodontic treatment. Under supervision they place and remove orthodontic brackets, wires, bands, and appliances on patients, as treatment-planned by the orthodontist or dentist, in order to improve efficiency.
Human teeth function to mechanically break down items of food by cutting and crushing them in preparation for swallowing and digesting. As such, they are considered part of the human digestive system. Humans have four types of teeth: incisors, canines, premolars, and molars, which each have a specific function. The incisors cut the food, the canines tear the food and the molars and premolars crush the food. The roots of teeth are embedded in the maxilla or the mandible and are covered by gums. Teeth are made of multiple tissues of varying density and hardness.
A dentist, also known as a dental surgeon, is a health care professional who specializes in dentistry, the branch of medicine focused on the teeth, gums, and mouth. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Orthodontics is a dentistry specialty that addresses the diagnosis, prevention, management, and correction of mal-positioned teeth and jaws, as well as misaligned bite patterns. It may also address the modification of facial growth, known as dentofacial orthopedics.
Dental braces are devices used in orthodontics that align and straighten teeth and help position them with regard to a person's bite, while also aiming to improve dental health. They are often used to correct underbites, as well as malocclusions, overbites, open bites, gaps, deep bites, cross bites, crooked teeth, and various other flaws of the teeth and jaw. Braces can be either cosmetic or structural. Dental braces are often used in conjunction with other orthodontic appliances to help widen the palate or jaws and to otherwise assist in shaping the teeth and jaws.
Cosmetic dentistry is generally used to refer to any dental work that improves the appearance of teeth, gums and/or bite. It primarily focuses on improvement in dental aesthetics in color, position, shape, size, alignment and overall smile appearance. Many dentists refer to themselves as "cosmetic dentists" regardless of their specific education, specialty, training, and experience in this field. This has been considered unethical with a predominant objective of marketing to patients. The American Dental Association does not recognize cosmetic dentistry as a formal specialty area of dentistry. However, there are still dentists that promote themselves as cosmetic dentists.
A dental technician is a member of the dental team who, upon prescription from a dental clinician, constructs custom-made restorative and dental appliances.
Tooth whitening or tooth bleaching is the process of lightening the color of human teeth. Whitening is often desirable when teeth become yellowed over time for a number of reasons, and can be achieved by changing the intrinsic or extrinsic color of the tooth enamel. The chemical degradation of the chromogens within or on the tooth is termed as bleaching.
A dental hygienist or oral hygienist is a licensed dental professional, registered with a dental association or regulatory body within their country of practice. Prior to completing clinical and written board examinations, registered dental hygienists must have either an associate's or bachelor's degree in dental hygiene from an accredited college or university. Once registered, hygienists are primary healthcare professionals who work independently of or alongside dentists and other dental professionals to provide full oral health care. They have the training and education that focus on and specialize in the prevention and treatment of many oral diseases.
A dental emergency is an issue involving the teeth and supporting tissues that are of high importance to be treated by the relevant professional. Dental emergencies do not always involve pain, although this is a common signal that something needs to be looked at. Pain can originate from the tooth, surrounding tissues or can have the sensation of originating in the teeth but be caused by an independent source. Depending on the type of pain experienced an experienced clinician can determine the likely cause and can treat the issue as each tissue type gives different messages in a dental emergency.
Dental assistants are members of the dental team. They support a dental operator in providing more efficient dental treatment. Dental assistants are distinguished from other groups of dental auxiliaries by differing training, roles and patient scopes.
A denturist in the United States and Canada, clinical dental technologist in the United Kingdom and Ireland, dental prosthetist in Australia, or a clinical dental technician in New Zealand is a member of the oral health care team and role as primary oral health care provider who provides an oral health examination, planning treatment, takes impressions of the surrounding oral tissues, constructs and delivers removable oral prosthesis treatment directly to the patient.
A dental therapist is a member of the dental team who provides preventive and restorative dental care for children and adults. The precise role varies and is dependent on the therapist's education and the various dental regulations and guidelines of each country.
Overjet is the extent of horizontal (anterior-posterior) overlap of the maxillary central incisors over the mandibular central incisors. In class II malocclusion the overjet is increased as the maxillary central incisors are protruded.
Dental Public Health (DPH) is a para-clinical specialty of dentistry that deals with the prevention of oral disease and promotion of oral health. Dental public health is involved in the assessment of key dental health needs and coming up with effective solutions to improve the dental health of populations rather than individuals.
A dental school is a tertiary educational institution—or part of such an institution—that teaches dental medicine to prospective dentists and potentially other dental auxiliaries. Dental school graduates receive a degree in Dentistry, Dental Surgery, or Dental Medicine, which, depending upon the jurisdiction, might be a bachelor's degree, master's degree, a professional degree, or a doctorate. Schools can also offer postgraduate training in general dentistry, and/or training in endodontics, oral and maxillofacial surgery, oral pathology, oral and maxillofacial radiology, orthodontics, pedodontics, periodontics, prosthodontics, dental public health, restorative dentistry, as well as postgraduate training for dental hygienists and dental technicians.
Oral hygiene is the practice of keeping one's oral cavity clean and free of disease and other problems by regular brushing of the teeth and adopting good hygiene habits. It is important that oral hygiene be carried out on a regular basis to enable prevention of dental disease and bad breath. The most common types of dental disease are tooth decay and gum diseases, including gingivitis, and periodontitis.
Dental pertains to the teeth, including dentistry. Topics related to the dentistry, the human mouth and teeth include:
Fluoride varnish is a highly concentrated form of fluoride which is applied to the tooth's surface, by a dentist, dental hygienist or other health care professional, as a type of topical fluoride therapy. It is not a permanent varnish but due to its adherent nature it is able to stay in contact with the tooth surface for several hours. It may be applied to the enamel, dentine or cementum of the tooth and can be used to help prevent decay, remineralise the tooth surface and to treat dentine hypersensitivity. There are more than 30 fluoride-containing varnish products on the market today, and they have varying compositions and delivery systems. These compositional differences lead to widely variable pharmacokinetics, the effects of which remain largely untested clinically.
Pre-eruption guidance is an orthodontic treatment method that allows for expansion of existing erupting teeth long before they appear in the mouth. The use off pre-eruption guidance appliances and the timing of extractions of certain deciduous teeth aligns the teeth naturally as opposed to orthodontic mechanical movement of permanent teeth into alignment after they have erupted. Research shows that pre-eruption guidance produces far more stable tooth alignment than alternative treatments.
Tooth pathology is any condition of the teeth that can be congenital or acquired. Sometimes a congenital tooth disease is called a tooth abnormality. These are among the most common diseases in humans The prevention, diagnosis, treatment and rehabilitation of these diseases are the base to the dentistry profession, in which are dentists and dental hygienists, and its sub-specialties, such as oral medicine, oral and maxillofacial surgery, and endodontics. Tooth pathology is usually separated from other types of dental issues, including enamel hypoplasia and tooth wear.