Submitted in full compliance with the requirements for a Master’s degree in Technology: Dental Technology at the Durban University of Technology, 2009. / The Dental Technology profession in South Africa is currently undergoing a possible role transformation. In the past, Dental Technicians were restricted to laboratory work only and were not permitted to have direct contact with patients. Due to a demand for oral care, and a gap that is perceived to exist in service delivery, Clinical Dental Technology has emerged as a possible new profession in South Africa. The 1997 amendment to the Dental Technicians Act allows Dental Technicians to broaden their scope of practice through further education into the clinical aspects of the profession. South Africa is one of few countries that have an enabling legislation in terms of the recognition of Clinical Dental Technology. However, there is to date no training programme or curriculum for people who would like to practise as Clinical Dental Technicians. The three institutions in South Africa that provide training for Dental Technicians do not provide training to those technicians who would like to pursue a clinical career path. Internationally, Dentists have argued that Dental Technicians have insufficient clinical capabilities. They feel that technicians do not have sufficient knowledge and experience in dealing directly with patients, and consequently have identified a need for further training of Dental Technicians before they are recognised as Clinical Dental Technicians. The aim of this study was to evaluate educational institutions’ readiness in terms of the role transformation of Dental Technicians and to establish perceptions about the introduction of this new profession by Dentists, Dental Technicians and Dental Technology lecturers. The views of these three stakeholders have implications not only in terms of the development of a new curriculum, but were also found to raise serious concerns about the implementation of this profession in South Africa. Data was collected by means of questionnaires and personal interviews with Dentists, Dental Technicians and Dental Technology lecturers in South Africa. The responses were transcribed and then coded according to pertinent themes for interpretation purposes. The data revealed major differences in the perceptions of the proposed profession by the three sectors. This has important implications for the likely success of Clinical Dental Technology, given the need for these sectors to work together as members of the dental team. The data also reveals concerns about the type of training that would need to be incorporated into the curriculum and who would be able to provide such training. By using an overview of curriculum theory, this study also raises concerns that clinical aspects might be infused into the curriculum as simply the acquisition of additional technical skills, rather than as a significant shift in professional identity to incorporate patient care.

Submitted in full compliance with the requirements for a Master’s degree in Technology: Dental Technology at the Durban University of Technology, 2009. / The Dental Technology profession in South Africa is currently undergoing a possible role transformation. In the past, Dental Technicians were restricted to laboratory work only and were not permitted to have direct contact with patients. Due to a demand for oral care, and a gap that is perceived to exist in service delivery, Clinical Dental Technology has emerged as a possible new profession in South Africa. The 1997 amendment to the Dental Technicians Act allows Dental Technicians to broaden their scope of practice through further education into the clinical aspects of the profession. South Africa is one of few countries that have an enabling legislation in terms of the recognition of Clinical Dental Technology. However, there is to date no training programme or curriculum for people who would like to practise as Clinical Dental Technicians. The three institutions in South Africa that provide training for Dental Technicians do not provide training to those technicians who would like to pursue a clinical career path. Internationally, Dentists have argued that Dental Technicians have insufficient clinical capabilities. They feel that technicians do not have sufficient knowledge and experience in dealing directly with patients, and consequently have identified a need for further training of Dental Technicians before they are recognised as Clinical Dental Technicians. The aim of this study was to evaluate educational institutions’ readiness in terms of the role transformation of Dental Technicians and to establish perceptions about the introduction of this new profession by Dentists, Dental Technicians and Dental Technology lecturers. The views of these three stakeholders have implications not only in terms of the development of a new curriculum, but were also found to raise serious concerns about the implementation of this profession in South Africa. Data was collected by means of questionnaires and personal interviews with Dentists, Dental Technicians and Dental Technology lecturers in South Africa. The responses were transcribed and then coded according to pertinent themes for interpretation purposes. The data revealed major differences in the perceptions of the proposed profession by the three sectors. This has important implications for the likely success of Clinical Dental Technology, given the need for these sectors to work together as members of the dental team. The data also reveals concerns about the type of training that would need to be incorporated into the curriculum and who would be able to provide such training. By using an overview of curriculum theory, this study also raises concerns that clinical aspects might be infused into the curriculum as simply the acquisition of additional technical skills, rather than as a significant shift in professional identity to incorporate patient care.

Thesis submitted in full compliance with the requirements for a Master's Degree in Technology: Dental Technology, Durban University of Technology, 2010. / This study is an evaluation of the perceptions of Zambian dental technicians and dentists of the dental technological services offered in Zambia. Zambia is a small nation (land size of 752,614km²) with a population of approximately 11,000,000. Patients needing oral restorative treatment have two options available to them; they seek treatment in state hospitals or through private practices. Access to prosthetic treatment is difficult due to the difficulties associated with obtaining treatment from the state as well as there being very few privately owned dental laboratories. Dental technology in Zambia dates back to 1964 and since its inception there has been no evaluation as to whether the services offered are adequate and satisfactory. The aim of this study was to;  Provide insights into the understanding of dentists and technicians regarding dental technical services.  Provide insights into available dental technical services with the aim of assisting in developing future guidelines for provision of such services in Zambia.  Identify national oral health objectives and make suggestions for the improvement and development of the services in Zambia. This aims of the research are relevant as the research was conducted at a time when the nation is undergoing a general introspection of service delivery. Data was collected through the medium of semi-structured personal interviews with registered and practicing dentists and technicians in the main cities of Zambia that include Lusaka, Ndola and Kitwe. Their views were transcribed and coded according to significant themes that emerged for data analysis. ii The results indicate that there is reason to be concerned about the general quality of service delivery. In addition, the study showed that the working relationships between technicians and dentists require improvement. Moreover, the study established that Zambia has a critical shortage of skilled technicians and particularly ceramic technicians and ceramic dental laboratories. The data also revealed concerns that little attention by government policymakers is being afforded to dental technical services whilst attention is paid rather to clinical dental services. As a result, state owned laboratories suffer from a lack of adequate and functioning equipment as well as a lack of quality dental materials. Finally, the study showed that Zambia has no clear direct oral health policies that govern the dental technical services.

Submitted in fulfilment of the requirements of the Degree of Master of Technology: Dental Technology, Durban University of Technology, 2010. / This study investigates the perceptions of dentists, dental technicians and dental patients with regard to the professionalization of dental technology as it is currently constituted in South Africa. The origin of dental technology worldwide lies in a trade and has historically been performed by craftsmen under the instruction of dentists. In South Africa during the early 1900s dental technology was practised in much the same way but the need for formalization of this field had been recognised. By 1945 dental technology was regulated by the Dental Mechanicians Board, which enabled only registered technicians to practise dental technology within South Africa. This field continues to be practised similarly at present. In order to establish the professional development of dental technology it is necessary to consider this field within a framework of desired professional attributes. This framework is provided by Greenwood (1957), who defines a profession by the following five attributes: systematic theory, professional authority, community sanction, ethical codes and a professional culture. Owing to the varied implementation and regulation of dental technology worldwide, little research into the professionalization of this field has been conducted to date. For the purpose of this study, dentists, dental technicians and dental patients in KwaZulu-Natal were interviewed in semi-structured interviews. The main themes emerging from this study were identified and considered with reference to the framework within which this study has been positioned. This study concludes that dental technology, as it is currently constituted in South Africa is perceived to be a profession by dentists, dental technicians and dental patients. .The term profession, however, is poorly understood by all three sample groups. Despite being considered a profession, dental technology is not considered to encompass all the attributes of a profession. Dental technology is therefore identified as a developing profession that positions this field somewhere along the professionalization continuum between a profession and a business. / Post Graduate Dept., Durban University of Technology.

Submitted in fulfillment of the requirements for the Degree of Master of Health Sciences in Nursing, Durban University of Technology. Durban. South Africa, 2017. / Introduction Musculoskeletal disorders (MSDs) are classified as occupational disease. They are described as disorders that affect the musculoskeletal system, and affect the health, productivity and careers of the working population. Dental technicians are at risk of MSDs as much as other members of the dental professionals as a result of their daily activities which involves manual work or they could be labour intensive. The risk factors for MSDs among dental professionals are multifactorial. Problem Statement There are currently no established statistics on the prevalence and risk of musculoskeletal disorders among dental technicians in South Africa. Purpose The purpose of the study was to determine the prevalence and risk of MSDs among dental technicians in South Africa. Research Method A quantitative research approach using a cross sectional correlational survey design was adopted for this study. Using a purposive sampling, the data base of all the dental technicians was obtained from the South African Dental Technician Council (SADTC) and those with valid e-mail addresses and telephone numbers were invited to participate in the study. A modified Nordic musculoskeletal questionnaire was used to collect data, 79 technicians responded with only 72 valid questionnaires available for analysis. Results The twelve month prevalence rate of MSDs among dental technicians in South Africa is 90%. MSDs was reported in all body parts and across all ages and genders. The prevalence for neck, hand/wrist, upper back and low back pain were the highest, having the same prevalence rate of 68.1%. The risk factors for MSDs in at least one body part that were identified in this study are age, prolonged standing and vibration. There was no significant relationship between gender, alcohol intake, smoking, having children and MSDs in any body part. However, a relationship exists between age and MSDs in the wrist/hand, standing and elbow pain, vibration and lower back symptoms. Conclusion The study showed that the prevalence of musculoskeletal disorder is high (90%) among dental technicians in South Africa. The prevalence of MSD is not age or gender related. However, some affected body parts were directly linked to age, standing and vibration. More research needs to be done on the ergonomics and workplace in order to address the high incidence of MSDs. / M

Syfte Föreliggande studie syftade till att undersöka hur ett förbättrat informationsflöde bland tandtekniker kan åstadkommas och att undersöka om den eventuella förekomsten av oenigheter skiljer sig mellan större och mindre tandtekniska laboratorier.   Material och metod En digital enkät skickades ut till 118 tandtekniska laboratorier i Sverige där totalt 54 personer svarade. Länken och QR-koden till denna enkät publicerades även på tre sociala nätverkssidor. Enkäten bestod av 10 frågor som fanns tillgängliga i 14 dagar. Data sammanställdes och chi-två-test genomfördes med en signifikansnivå som sattes till α = 0,05.   Resultat Ett gott informationsflöde skapas, enligt deltagarna i enkäten, genom större inblick i andra avdelningars arbetssätt och möjligheten att kontinuerligt samarbeta med en och samma tandtekniker. Studien visade att konflikter var mer vanligt förekommande på större laboratorier och att det finns brist i informationsutbytet samt att en signifikant skillnad finns mellan små och stora laboratorier gällande hur pass vanligt förekommande konflikter är.   Slutsats Utifrån föreliggande studies begränsningar kan följande slutsatser dras:   Tandteknikeryrket har ett högt arbetstempo vilket bekräftas av deltagarnas svarsresultat, då tidsbrist är en av de största anledningarna till uppkomst av oenighet.  Risken för att oenigheter ska uppstå på tandtekniska laboratorier är större på stora laboratorier med 21 eller fler anställda, än på mindre laboratorier med 1-5 anställda. Ökad insikt i andras avdelningar kan gynna den arbetsrelaterade kommunikationen på tandtekniska laboratorier. / Purpose The aim of this study was to investigate ways of how to improve information among dental technicians, and explore the relationship between workplace size and effectiveness in communication between coworkers.   Materials and Methods A digital survey was handed out to 118 dental laboratories in Sweden where 54 people responded. Link and QR-code to the survey were also posted on three social networking pages. The survey consisted of 10 questions that were available to answer for 14 days. The data were compiled, and chi-square tests were conducted with a significance level at α = 0.05.   Results According to the participants, good information exchange is created through greater insight of the workflow of other departments and the opportunity to collaborate repeatedly with the same dental technician at the workplace. The study showed a significant difference between smaller and larger laboratories in terms of how common conflicts are and that a lack of information flow exists at dental laboratories.    Conclusion Based on the limitations of the present study, the following conclusions can be drawn: The dental technician profession work pace is high, as confirmed by the participants' responses, indicating that lack of time is one of the major reasons for disagreements. The risk of disagreements arising in dental laboratories is higher in larger laboratories with 21 or more employees compared to smaller laboratories with 1-5 employees. Increased insight into other departments could, according to the study participants, benefit work-related communication in dental laboratories.

Thesis (PhD)--Stellenbosch University, 1998. / Some digitised pages may appear illegible due to the condition of the original microfiche copy / ENGLISH ABSTRACT: see item for full text. / AFRIKAANSE OPSOMMING: sien item vir volteks.

Submitted in fulfilment of requirements of the Degree of Doctor of Technology: Operations and Quality Management, Durban University of Technology, 2014. / The need for alternative teaching practices in the face of poor retention and student throughput rates has changed the context of higher education in South Africa. This study interrogates one alternative teaching practice: the use of a board game and a multimedia game. Arguments for the potential benefits of games in higher education have generated a growing body of literature, but the general focus of these studies has been empirical with little theorisation about the associated pedagogy. Using a mixed methods sequential explanatory research design, this thesis aimed to determine the quality of pedagogy through games in providing epistemological access to the subjects Tooth Morphology and Oral Anatomy in a Dental Technology Diploma at a selected University of Technology. The thesis also developed a framework for the design of games to enable quality teaching and learning of vocational subjects. Preliminary and pilot studies were conducted. The preliminary study was conducted over a five-year period from 2003 to 2006. The total sample size for the Tooth Morphology board game was n=128 and for Oral Anatomy multimedia game was n=30. Academic experts validated the study by reviewing the contents of the game. The findings suggested that games assisted students to actively learn. The pilot study was conducted in 2007 and 2008. The total sample size for the Tooth Morphology board game was n=62 and for the Oral Anatomy multimedia game was n=22. Dental technology experts validated the contents of the game. Cronbach’s alpha index was used to assess the reliability of the study and was α=0.45 and α=0.757 for the Tooth Morphology board game and the Oral Anatomy multimedia game, respectively. The low alpha score obtained for the Tooth Morphology board game prompted improvements to be made to the survey for the main study. The main study was conducted in 2009, 2010 and 2011. The total population size for the Tooth Morphology board game was n=83 and for the Oral Anatomy multimedia game was n=82. Surveys and pre- and post-tests were analysed using descriptive statistics, t-tests, factor analysis and cross tabulations. Content validity ensured that the survey focused on concepts and constructs that emerged from the review of literature on games. Cronbach’s alpha index was used to assess the reliability of the surveys and was α=0.794 and α=0.868 for the Tooth Morphology board game and Oral Anatomy multimedia game, respectively. Qualitative analyses entailed focus groups with students who used the games. The data generated was analysed using the conceptual frameworks of Bernstein’s knowledge codes and Maton’s Legitimation Code Theory of Specialisation. Trustworthiness of the data was achieved using methodological triangulation, data triangulation and peer debriefing. Quantitative results revealed that an integrated game design with an appropriate mix of instructional content and applicable game features and mechanisms facilitates the provision of epistemological access to Tooth Morphology and Oral Anatomy. By placing a sociological lens on knowledge in the games, a major finding in the qualitative analyses was that epistemological access using games provided access to particular knowledge-knower structures of the target subjects or disciplines. An LCT (Specialisation) analysis revealed that the games in this study represented a knowledge code as specialist knowledge and skills were valued over the possession of personal attributes and dispositions. This knowledge code was in turn aligned to the knowledge code of the target programme. In synthesising the results there were three recurring issues that emerged from the data as being key, namely: (1) access to knowledge; (2) instructional design of the games; and (3) technical design of the games. The thesis concluded by proposing the KITE framework, a guideline for lecturers to consider when designing games for higher education. / DAAD, NRF In-Country Scholarship