"Master Clinical Dentistry: 4 Expert Tips for Young Dentists"

I asked operative specialist Dr. Wade with over 18 years of clinical experience: "what practical advice you would give young dentists developing their clinical skills" and here's what we have to share:

Dr. Cage, Dr. Giao (myself), and Dr. Wade at the 2024 Navy Operative Short Course

1. "Dentistry is about understanding science and art, but clinical practice leans towards our ability to create a functional piece of art with our hands".

Don't get me wrong! Understanding diagnosis, treatment planning, and materials is essential. However, 17 years of clinical experience has shown Dr. Wade that hand skills and appreciation of dental anatomy and morphology is what distinguishes strong clinicians. Whether you are using ExoCad, CEREC, or even waxing up your own case, mastering upper anterior composites and lower molars (as these are among the most frequently restored teeth) is a crucial skillset to add to your toolbox early on.

2. "In dental school, establish good habits early on."

Simulation must mirror real patient scenarios.

• Use indirect vision consistently.

• Position mannequins realistically.

• Develop habits in the sim lab that will transfer to patient care.

3. "Protect Your Body Through Ergonomics."

Dentistry is physically demanding. Many clinicians experience musculoskeletal strain in their 30s and 40s. A physical therapist once told me "there's a cost to high performance". In dentistry, I find this to be particularly true. Because the profession is physically demanding on our bodies, it's crucial that we care for our bodies with exercise, rest, nutrition, and ergonomic practices.

We recommended:

• Modified pen grasp to reduce wrist strain

• Early adoption of ergonomic loupes

• Conscious ergonomic positioning from the beginning

4. "Balance Minimal Invasion with Material Science"

Are you comfortable explaining the pros and cons of composite vs amalgam vs ceramics to your patients? Understanding biomaterials is essential for making evidence-based decisions. For example, composite shrinks under polymerization and is susceptible to acidic attack. Amalgam, while older, may develop improved marginal seal through corrosion over time. If you only know how to use composite, the type of tooth and treatment you can offer to patients becomes increasingly limited. Knowing what materials we have to offer, how to follow the IFU for each material, and applying that knowledge to best suit your patient based on their oral cavity yields patient-centric care.

My advice to young dentists is a call to action. We as dentists have a responsibility to safeguard natural tooth structure and consider the long-term life cycle of a tooth. I encourage young learners to stay current with evidence-based research, attend study clubs and CE courses, and always seek mentorship.

Dentistry is a lifelong practice and that's part of the fun!