James B. Edwards College of Dental Medicine
Pediatric Dentistry Residency Patient Pool
Department of Pediatric Dentistry and Orthodontics:
Postgraduate Program in Pediatric Dentistry
About the Program:
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The patient pool available to the residency program is extensive with respect to numbers of patients and distribution of treatment needs. Patients are screened for the predoctoral pediatric dentistry clinic and the postgraduate residency program on a continual basis throughout the year.
The patients eligible for dental care by Pediatric Dentistry residents at the Pediatric Dentistry Resident Clinic present advanced treatment needs due to:
- medical or physical compromising conditions (e.g. hemophilia, oncology, cerebral palsy, mental retardation, etc.).
- extensive, complex dental treatment needs complicated by behavioral management demands.
The children must meet the above criteria and be referred to the clinic by their primary physician, clinical nurse, community dentists, special medical teams (e.g., Sickle Cell Team, Craniofacial Anomalies Team) or other health care providers. Exceptions to the above policies are orthodontic related patients who, after screening by the orthodontic faculty, are accepted to the orthodontics component of the postgraduate residency program. The listed avenues of patient screening and referral serve as a steady resource of patients with all levels of treatment need experienced over the course of the two-year program.
The Pediatric Dentistry residents provided dental care for over 6,000 registered visits during the past fiscal year. The registered visit total does not include follow-up visual assessments, orthodontic adjustments, consultations to other services, in-patient evaluations, after-hours emergency visits and other miscellaneous patient contacts which may not require registration and generation of charges through the clinic. The total patient contact including non-registered observations is estimated at approximately 7,000 visits during the last academic year. Additionally, 180 pediatric patients received comprehensive dental care in the MUSC Hospital Operating Room under general anesthesia in the last academic year.
Once complete with hospital rotations, residents are scheduled for clinical care nine (9) half-days per week (seven half-day pediatric dental care, two half-day orthodontic care). OR cases on a rotating basis are scheduled two days per week, and emergency call one-week per month. Upon completion of the program, each graduating resident over the last five years has typically accomplished the following:
- Participated as clinical dental provider on 80 to 100 general anesthesia cases provided in the Operating Room setting. This is in addition to the Operating Room experiences of the two month anesthesia rotation.
- Provided dental care using conscious sedation procedures involving a broad range of pharmacological agents for 100 to 150 cases. These sedation cases are accomplished with full monitoring protocols.