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OSCEs for dentistry

Article in British dental journal January 2007


DOI: 10.1038/bdj.2006.127

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Grant T McIntyre
University of Dundee
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REVIEWS

Books, videos, CD-ROMs, DVDs and any


other relavent items submitted for a review
in the BDJ should be addressed to: Kate
Maynard, Assistant Editor, British Dental
Journal, NPG, 4-6 Crinan Street, London,
N1 9XW

Clinical success in looks at occlusal trauma, loss of posterior and also a section on law and ethics
support, furcations, mobility, and high risk towards the back of the book. However,
management of patients. The seventh chapter examines it is unfortunate that orthodontics and
advanced periodontitis prognosis and long term outcome
which includes the goals of periodontal
child dental health are lumped together,
limiting the range of scenarios that could
R. Detienville management, limits to treatment, and be included. Specifically, there is no
UK: Quintessence maintenance. mention of questions about orthodontic
price 46.00, pp 120 Although aimed at GDPs, specialist appliance treatment, adult orthodontics
ISBN 2912550416 referral would be appropriate for some of or the multidisciplinary aspects of
The aim of this book, published by the cases illustrated. It is to some extent malocclusion. Nonetheless, the book
Quintessence, is to advise and guide a hybrid an atlas of periodontology is not intended to be a syllabus for all
the GDP through the management of and periodontics, but not a technical types of OSCE examinations, and those
advanced periodontitis. This soft bound manual, with more supporting text than taking OSCE examinations will be able
book has 120 pages with seven chapters, a usual for an atlas and a sprinkling of to compensate for these drawbacks to
glossary, a bibliography, and an index. It is references to the scientific literature. It is what is in general a good text. The book
well illustrated and attractively presented. didactic in style, with little discussion of is illustrated with a number of colour
The author is an Assistant Professor alternative treatment approaches. Those pictures, but there is a significant bias
at Ren Descartes University, Paris. GDPs with a reluctance to treat advanced to OMFS related illustrations, which is
Though the translation is adequate periodontitis, or whose knowledge is presumably a function of the authors
overall, several errors can be found in outdated, will probably find this text a specialty interests.
the text. For the most part these errors pleasant read. Those dentists looking for a The book is designed for undergraduate
are merely irritating, though they could comprehensive reference book may wish students and those taking the MFDS
cause confusion for students starting to investigate other titles. examination and is pitched at the right
their studies. My confidence in the text A. Pye level. It will therefore be spotted on an
was left shaken on reading on page 9 that increasingly frequent basis in dental
Advanced periodontitis is most often OSCEs for dentistry schools. The book is not intended to
observed in younger patients. K. F. M. Fan, J. Jones be used for cover-to-cover reading or
A certain level of knowledge is assumed. UK: PasTest alternatively for rote learning. Moreover,
The author focuses on what he presumably price 18.95, pp 284 the book would be best for dipping into
believes is relevant to GDPs, excluding ISBN 190462751X during spare clinical time or whilst
some underlying theory. This is likely to be travelling for example as I found I did
of some relief to GDPs not wishing to relive Objective Structured Clinical Examinations whilst getting a feel for the book. Despite
their student days, but obviously limits its (OSCEs) are rapidly becoming the en vogue the minor criticisms detailed above,
usefulness for exam study. examination format in dentistry for testing OSCEs for dentistry is a welcome addition
It is clearly stated that the book only both factual knowledge and clinical skills to the growing stable of books covering
considers chronic and aggressive forms of including ethics, communication and the various examination formats and
periodontitis. The first chapter discusses information delivery, as well as practical examination techniques in dentistry. I
the criteria for, and prevalence of, dental skills. would recommend it as a must have text
advanced disease. Chapter two looks at The preliminary pages of this book for undergraduate students and those
pathogenesis including microbiological contain the preface, a useful introduction, sitting the surgical royal colleges MFDS
considerations. The third chapter a section on the duties of a dentist and a examinations.
reviews diagnosis. Included are the list of abbreviations. Although the latter G. T. McIntyre
new classification system, signs and is a useful inclusion, I for one would like
symptoms, microbiological analysis, and to have seen a statement to the effect Netters head and neck
complexity factors. The fourth chapter that abbreviations should not be used in anatomy for dentistry
discusses criteria for therapeutic success; routine clinical practice because these
effects of bacterial plaque control, can be ambiguous. The main section of N. S. Norton
scaling, root planing, surgical therapy; the book is populated with series of OSCE UK: Elsevier
and the use of antibiotics and antiseptics. scenarios ordered into the main dental price 26.99, pp 610
The fifth chapter discusses treatments: discipline groups. It is refreshing to see a ISBN 1929007884
hygiene phase therapy, surgery, splinting, specific set of scenarios on history taking This book consists of 21 chapters over
orthodontics, and implants. Chapter six and examination near the beginning 610 pages and is packed with information

50 BRITISH DENTAL JOURNAL VOLUME 202 NO. 1 JAN 13 2007


essential for any student wishing to concise manner. The authors are
qualify in the basic undergraduate degree Nigel D. Robb, Senior Lecturer in Sedation
of dentistry. in Relation to Dentistry, and Jason Leitch,
It has clear details in each chapter with Clinical Lecturer in Oral Surgery, both
a section which begins the consideration from Glasgow Dental Hospital and School.
of clinical relevance at the end of each There are 10 chapters which include an
chapter. Each chapter is logically laid out introduction, risk assessment, basic,
and provides clear detail of all aspects immediate and advanced life support,
of head and neck anatomy. It is very circulatory, central nervous system,
gratifying that the autonomic nervous endocrine, respiratory, drug-related,
system has been detailed in its own and cardiovascular system-related
chapter. From a student who spent a emergencies. Each chapter begins with
ridiculous number of hours turning the a brief introduction explaining the
pages of traditional textbooks piecing relevance of the topic and gives bullet
together one of the major controlling points under the headings of diagnosis,
mechanisms in the human body, it is exclusions, immediate action, follow-up
pleasing to see the precise detail at last action, delayed management and risk
placed together for all to see. The final factors. Each point is then explained
chapter (prior to the appendix detailing in more detail. Headings are well
lymphatic drainage) provides a robust highlighted and simple and black and
description of anatomy with respect to white illustrations are used where practical
local anaesthesia. The labelling in all demonstrations are necessary to aid
chapters is clear and whilst there is an understanding.
absence of extensive turgid narrative, the This book is a useful source of
information is extensive and very well information and is extremely easy to
laid out. follow. Reporting of incidences allows
The diagrams are clear and precise; the reader to appreciate which
my only disappointment is that the book emergencies they are more likely to
is not supplied with a CD with all the encounter. Current protocols are described
images available for lectures and teaching. with references made to literature and
This book has to be recommended for guidelines to consolidate the material.
all those wishing to establish the General dental practitioners will find this
appropriate level of knowledge for the a very helpful book in highlighting their
contemporary practice of dentistry and role in medical emergencies whilst staying
for those wishing to refresh their within their capabilities. They may also
knowledge. find it a useful teaching tool within the
No dental library should be without this practice for the dental team. This book
book, let alone a dental practice. could also be used by undergraduates as
F. McDonald an initial source of information and its
small size allows it to be easily carried
Medical emergencies in for reference.
dentistry Medical emergencies can occur at any
time in a dental setting, therefore being
N. D. Robb, J. Leitch prepared for such an event is of utmost
UK: Oxford University Press importance. This book cannot be
price 19.95, pp 158 regarded as a replacement for training
ISBN 9780198529316 courses, which are essential to stay up
This slim, pocket sized book is yet another to date with changing protocols, but it is
valuable addition to the range of books a very useful adjunct in understanding
by Oxford University Press. It comprises and managing medical emergencies in
around 150 pages and details medical dentistry.
emergencies in dentistry in a well written, G. Kaur

BRITISH DENTAL JOURNAL VOLUME 202 NO. 1 JAN 13 2007

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