Pitt Ford Thomas, Mannocci Francesco, Woolford Mark
King's College London Dental Institute, London, UK.
Eur J Dent Educ. 2007 Aug;11(3):155-9. doi: 10.1111/j.1600-0579.2007.00440.x.
The aim was to find out whether undergraduate students in UK dental schools were taught about and used clinically Mineral Trioxide Aggregate (MTA). The census point was the end of October 2005 when a total of 220 papers were cited on PubMed. A questionnaire was sent to 13 schools, all of which responded. Three schools had dedicated units, or departments, of endodontology. The endodontic staff in every school used MTA in clinical practice. In all 13 schools undergraduate students were taught about the clinical use of MTA in endodontics, but in only nine schools were they taught about its use in paediatric dentistry. In none of the 13 schools did students have the opportunity to use MTA in preclinical exercises. The opportunity for some students to observe the use of MTA in specific procedures varied according to the procedure. Students in seven schools had the opportunity to observe pulp capping with MTA, as well as its use in immature roots, in nine schools to observe use of MTA in surgical endodontics, and in 12 schools to observe perforation repair. The opportunity for students to use MTA in specific procedures varied according to the procedure, and was less than that for observation. The material routinely used by students varied according to the procedure; in five schools the routine material for root-end surgery was MTA, otherwise students largely used traditional materials. Despite there being 220 papers on MTA over a 10-year period the introduction of its clinical use in the undergraduate curriculum was limited.
目的是了解英国牙科学院的本科生是否接受过关于临床使用三氧化矿物凝聚体(MTA)的教学以及是否在临床中使用该材料。普查时间点为2005年10月底,当时PubMed上共引用了220篇相关论文。向13所学校发放了问卷,所有学校均给予了回复。其中三所学校设有专门的牙髓病学科室。每所学校的牙髓病学工作人员均在临床实践中使用MTA。在所有13所学校中,本科生都接受了关于MTA在牙髓病学临床应用的教学,但只有9所学校教授了其在儿童牙科中的应用。在这13所学校中,没有学生有机会在临床前练习中使用MTA。部分学生观察MTA在特定操作中使用的机会因操作不同而有所差异。七所学校的学生有机会观察用MTA进行牙髓盖髓术及其在未成熟牙根中的应用,九所学校的学生有机会观察MTA在牙髓外科手术中的应用,12所学校的学生有机会观察穿孔修复。学生在特定操作中使用MTA的机会因操作不同而有所差异,且少于观察机会。学生常规使用的材料因操作而异;在五所学校中,根尖手术的常规材料是MTA,否则学生大多使用传统材料。尽管在10年期间有220篇关于MTA的论文,但在本科课程中引入其临床应用的情况仍然有限。