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Direct Composite Resin Fillings as  Alternative 

to Amalgams 

– A Case Report

Ed de la Vega, DDS ,Canoga Park, California

 

 

On Dentistry and Dental Education Edward V. Cruz, D.M.D., PhD.

 

   

Schedules, Topics, Presentor, Venue of the 93rd Annual PDA Convention

 

 

Two canals in a single root: clinical and practical considerations

Arnaldo Castellucci considers the clinical and practical implications of having two canals in a single root

 

 

Nasal Spray for a Toothache?
ROOT OF SOME TOOTH PAIN IS NOT IN THE TOOTH

 

Dismantling crown and bridgework

Removing existing or provisional fixed prostheses can be done in many different ways.

 

The Last Appointment of the Day

How does your house look at 5:00 p.m.? Does your workday end up in a peaceful retreat or in a seething cauldron?

 

 

 

 

An Abridged Chronicle of  A Filipino Dentist

By Johnah C. Galicia, DMD

 

             Everything came like a fleeting shadow. Before I knew it, my nine-month stint in the land of wine and cheese was over. It wasn't facile at all living in a foreign land especially in a country like France where very few people actually communicate in English. This posed the biggest problem to me. I had a six-month intensive French language classes before I left, but it was a 360 degree turn the moment I set my feet at the Roissy-Charles de Gaulle Airport in Paris. It was an enormous struggle for me to understand what the Immigration Officer was asking and in the end, I felt like a melting low-heat wax having realized that I gave the officer a really bizarre answer. It must have been the long and tiring trip from Manila to Paris that took a toll on my logic, much more on my physical strength that was rapidly dwindling due to fatigue and jet lag. I also had to endure the morning chill that was like a thousand pins piercing through my stomach. I also knew that my 50 kilograms baggage was a horror but I had to bring everything that would cut my future expenses there. Life is expensive in France.

 

            I stayed in an International Residence Hall that was around 10 kilometers from the Faculty Of Dentistry so I had to take the bus going to school. My room was big enough to sustain a restless individual like me but the void of living away from family and friends still lingered. Good thing, my window was overlooking a vast colorful scenery that would ease my cares away.  It was autumn so the trees displayed an array of lovely colors that seemed to be an artist's mix of wonderful masterpieces. The first week was a period of adjustments to the climate, the people and the place. I had so many funny experiences that were typical of a new-kid-in-town kind of thing like getting lost or going inside the wrong room. I was so thankful that my neighbors were nice to me, in fact I made some really good friends who maintain correspondence with me up to now. It was indeed difficult to have an abrupt shift from your own culture to another especially in a small city like Rennes where Filipino culture is limited only to five foreign dental students: Gay, Kristine, Mabel, Celina and I. The five of us would cook and eat together to relish the Filipino taste of life that is totally a novelty item there.

 

            After a few days, it was time to fulfill the task that we were supposed to finish. The College of Dentistry occupied a former shelter that was built on the late 1800’s for the homeless people. It was an old building with a modern technology and a future group of French dentists within its artistic walls. Today, it is nestled in its new home in a more inspiring set-up. Student selectivity for dental faculties in France is among the highest in Europe if not in the world. To qualify as a dental student or to any courses of similar caliber, a candidate must belong to the top 10 percent of the regional examinees and must pass a series of crucibles. The number of slots is also limited to around 30 dental students per dental faculty per year. Now, that is really tough.

 

The first year of the successful dental students is spent in General Science subjects with the students from the Colleges of Pharmacy and Medicine. On the second year, the students formally enter the Faculty of Dentistry where they start learning Basic Medical and Dental courses for two years. On the next year, clinical observation and apprentice works start and finally on the fifth and sixth years, clinical dentistry becomes the bulk of the curriculum. Their clinical requirements are evaluated on the basis of the nature of the case and not on the type of procedure to be performed (as in the case here). They are not required to perform ten Class II amalgam restorations or four complete denture cases. Every procedure counts but of course, the more complicated the case, the higher the points earned. Like for example, an apicoectomy case gets seven points while a simple extraction work gets one point. A certain number of cumulated points per department (like 30 or 40) is required per semester. The same evaluative methods applies to each and every department. I consider this as a highly innovative approach in teaching students the holistic approach in patient treatment. Here in the Philippines, we do not give credit to replacement of old, worn-out restorations or in rebasing or relining old dentures that is why students do not include them in treatment planning. In other words, they only do what the requirement calls for at the expense of the patient’s welfare. We tend to overlook the patient as a whole.

 

The students do not have to purchase their own expensive dental armamentaria and medicaments because they are provided by the faculty. Every department has impressive supplies and equipment and the all they have to do is to ask for what they need from the personnel of their respective department and voila! they have them in a jiffy.  They are also spared from the hassle of sterilizing their own instruments so that they concentrate fully on their noble role of treating patients. Most of all, the faculty has stable ties with the hospital so patients are coming in continuously. They do not have to fish around for different cases like we do here. What a luck, hein! 

 

The clinical departments that really left an impression on me are the departments of Periodontology, Conservative Dentistry ( resto-endo integration) and Orthodontics. Students assigned on these departments are already working hands-on on cases that are only done by a postgraduate student here. Like in Perio, periodontal surgery is just another thing to do there. What is special case to us in the undergraduate clinical dentistry is just a  regular requirement for them. On the average, a dental student in France finishes schooling at the age of 24 years.

 

 I worked in the Departments of Prosthodontics, Conservative Dentistry, Pediatric Dentistry and in the university hospital where the children and the disabled are treated under general anesthesia. I also finished a research in Perio-Implant and a course in Periodontics and in Pedodontics. I also attended many seminar-workshops that were very useful and confidence-boosting.

 

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I was 25 when I studied there and it was three years since I finished dentistry. Three of my compatriots there: Celina, Kristine and Mabel were younger than I was and Gay was few years my senior. All of us were the first Filipino dentists to take a postgraduate diploma in France and I think we held our banners up. It is true that the we lack technology here but it is just the icing on the cake. What matters most is the fullness and the completeness of the inside.

 

Before we left France, our generous professors took us for a wonderful voyage on the French countryside and for a breathtaking trip to the great castles of France. I was totally awed by the splendid culture of the country and I was hoping of bringing my family there in the future. France is a small country but the diversity of its culture and its landscape is totally magnificent. But if there is one thing that I must never forget about my sojourn there, that would be the people. I was treated there with respect and amity and that meant a lot to me.

 

I had a wonderful learning experience there. I profited both personally and professionally and I hope that another group of Filipino dentists will share the same experience as I had. Ciao!

Last Updated September 11, 2004

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