Objectives:
Educators are interested in understanding motivations for choosing a career in the dental field, especially in the current era when there are several career paths to choose from. This study aimed to investigate the motivating factors given by dental students for selecting dentistry as a career in Tanzania.
Material and Methods:
A questionnaire was sent to 256 dental students to capture their sociodemographic characteristics and possible motives for choosing dentistry as a career. The motive/reasons were then grouped into four domains. ANOVA test was done to establish an association between sociodemographic characteristics and reasons for choosing dentistry and the P-value was set at <0.05.
Results:
Out of 256 registered students, 239 returned the filled questionnaires. Opportunities to work anywhere in the world, job and financial security, the opportunity to work with hands, and getting enough time for the family were the commonly agreed motives for choosing dentistry. The age, sex, and upbringing environment of the students had no significant association with the mean score of various domains of motives for choosing dentistry (P >0.05). The odds of selecting dentistry due to professional motives were 2 times higher among those who were in-service (OR = 0.444, 95% CI 0.267, 0.739) and were 3 times higher in those who were in clinical years (OR = 0.292, 95% CI 0.128, 0.666). The odds of selecting dentistry due to vocational motives among those who were in-service were 3 times higher (OR = 0.347, 95% CI 0.153, 0.786).
Conclusion:
The main motives for choosing dentistry as a carrier included the opportunity to work anywhere in the world, job and financial security, and getting enough time for the family.
Background
Ameloblastomas are low-grade neoplasms of odontogenic epithelium that account for about 1% of all oral tumours and about 10% of odontogenic tumours. Rarely, these tumours have a potential of distance metastasis, and once they do metastasize, they are termed as metastatic ameloblastoma.
Case presentation
A 24-year-old African man presented with a massive swelling on the right side of the face for 2 years in 2018. He was previously operated for a swelling in the right side of the maxilla in 2012, which was histologically diagnosed as ameloblastoma. Clinical and radiological evaluation revealed a massive maxillary tumour that had a local extension to the brain. X-ray and CT scan of chest pointed out to metastatic mass in the lungs. Histology of the recurrent tumour mass revealed it to be follicular ameloblastoma and CT-guided fine-needle aspiration cytology of the lung mass showed microscopic features of ameloblastoma similar to primary jaw tumour.
Conclusion
A Close and long-term follow-up is mandatory in patients diagnosed with ameloblastoma even years after primary resection.
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