Amrita Das*
Senior Lecturer, Department of Periodontology, Maharana Pratap College of Dentistry and Research Centre, Gwalior, MP, India
*Corresponding Author: Amrita Das, Senior Lecturer, Department of
Periodontology, Maharana Pratap College of Dentistry and Research Centre, Gwalior,
MP, India.
Received: January 30, 2026; Published: February 01, 2026
Periodontology, once regarded as the cornerstone of preventive and surgical dental care, has evolved rapidly over the past few decades. Advances in biomaterials, regenerative procedures, lasers, digital diagnostics, and microsurgical techniques have undeniably elevated the specialty. However, amidst this technological progress, an uncomfortable yet necessary question arises: are we educating future periodontists to think like clinicians—or merely training them to perform procedures like technicians?
The shift from understanding to execution
Dental education today is heavily driven by clinical
requirements, checklists, and measurable outputs. Students are
often assessed by the number of scaling procedures completed,
flaps raised, or cases documented, rather than the depth of their
diagnostic reasoning or long-term treatment planning skills. While
technical competence is essential, an overemphasis on execution
risks reducing periodontology to a set of mechanical tasks,
detached from biological understanding and patient-centered
decision-making.
True clinical expertise lies not in how a procedure is performed,
but in why it is indicated, when it should be modified, and whether
it is needed at all.
The erosion of critical thinking
Modern curricula are dense, fast-paced, and outcome-oriented.
In this environment, students may learn protocols without fully
grasping disease pathogenesis, host response, or the multifactorial
nature of periodontal breakdown. Case discussions, differential
diagnosis, and reflective learning often take a back seat to
completing clinical quotas.
As a result, graduates may be proficient in handling instruments
but less confident in managing complex cases—such as patients
with systemic diseases, behavioral challenges, or unpredictable
responses to therapy.
Technology: A tool or a crutch?
There is no denying that technology has transformed
periodontology. However, reliance on advanced tools without solid
foundational knowledge can be misleading. Lasers, CBCTs, growth
factors, and digital workflows are only as effective as the clinician’s
understanding of periodontal biology and healing dynamics.
When education prioritizes “how to use” over “when to use,”
technology risks becoming a crutch rather than an aid—producing
operators rather than thoughtful clinicians.
Patient-centered care: The missing link
Periodontal disease is chronic, lifestyle-influenced, and
behavior-dependent. Yet communication skills, motivational
interviewing, and long-term maintenance strategies often receive
minimal structured training. A technician may treat pockets; a
clinician treats people. Without adequate emphasis on patient education, compliance,
and ethical decision-making, periodontal therapy risks short-term
success and long-term failure.
Reimagining periodontal education
To truly prepare clinicians, periodontal education must reclaim
its focus on:
• Strong biological foundations over rote protocols
• Case-based and problem-oriented learning
• Interdisciplinary integration with medicine and public
health
• Ethical reasoning and patient communication
• Maintenance-driven outcomes, not just surgical milestones
• Faculty mentorship plays a pivotal role in modeling clinical
judgment, adaptability, and reflective practice—qualities no
textbook or device can replace.
Conclusion
The future of periodontology depends not on how advanced
our instruments become, but on how deeply our clinicians think.
Technical skills can be taught, refined, and upgraded. Clinical
wisdom, however, must be cultivated.
If periodontal education continues to prioritize procedures over
principles, we risk producing excellent technicians—but not true
periodontists. The challenge before educators today is clear: to train
hands that are skilled, minds that are critical, and professionals
who see beyond the pocket depth to the person behind it.
Citation: Amrita Das. “Teaching Periodontology Today: Are We Preparing Clinicians or Technicians?". Acta Scientific Dental Sciences 10.3 (2026): 01-02.
Copyright: © 2026 Amrita Das. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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