Teaching and placement of dental amalgam restorations at South African dental schools

Introduction

This paper set out to investigate the relationship between teaching and clinical practice of direct posterior restoration placement at tertiary dental institutions in South Africa.

Methods

A cross-sectional study using a mixed methods approach was conducted, and all the South African dental schools were invited to participate. The quantitative phase of the study analyzed the Conservative Dentistry department's records of direct restorations at a single dental school. The number of amalgam and tooth-colored restorations placed by students in the fourth and fifth year of the program from 2004 to 2019 were compared. During the qualitative phase, semi-structured interviews were held with staff from the four dental schools involved with the teaching of direct posterior restorations.

Results

The predominant direct posterior restoration placed in student clinics over a 15-year period at a South African dental school was tooth colored (75%). Teaching times do not correspond to a decrease in the placement of dental amalgam restorations for both one-surface and two-surface posterior restorations and a concomitant increase in the tooth-colored restorations.

Discussion

Academic staff involved in teaching identified that South Africa's ratification of the Minamata Convention has consequences for dental education and training. However, all schools reported that dental amalgam would continue to be taught in the absence of an appropriate alternative.

Forecasting coal power plant retirement ages and lock-in with random forest regression

Averting dangerous climate change requires expediting the retirement of coal-fired power plants (CFPPs). Given multiple barriers hampering this, here we forecast the future retirement ages of the world's CFPPs. We use supervised machine learning to first learn from the past, determining the factors that influenced historical retirements. We then apply our model to a dataset of 6,541 operating or under-construction units in 66 countries. Based on results, we also forecast associated carbon emissions and the degree to which countries are locked in to coal power. Contrasting with the historical average of roughly 40 years over 2010-2021, our model forecasts earlier retirement for 63% of current CFPP units. This results in 38% less emissions than if assuming historical retirement trends. However, the lock-in index forecasts considerable difficulties to retire CFPPs early in countries with high dependence on coal power, a large capacity or number of units, and young plant ages.