Creasy Joseph E, Mines Pete, Sweet Mark
US Army Endodontic Residency Program, Fort Bragg, North Carolina, USA.
J Endod. 2009 Jan;35(1):30-4. doi: 10.1016/j.joen.2008.10.008.
The purpose of this survey was to investigate the frequency and characteristics of surgery among active endodontists in the United States. The survey also inquired about residency and postresidency training in endodontic surgery. A Web-based questionnaire regarding endodontic surgery was distributed via e-mail to 2,532 active members of the American Association of Endodontists in the United States. Data from 1,045 surveys, a 41% response rate, indicate that 91.2% of respondents are performing some form of root-end surgery with 89.6% using the operating microscope and ultrasonic instrumentation. Of those surveyed, 33.3% felt as though their endodontic residency training in surgery was inadequate, and 47.9% went on to acquire additional training in surgery postresidency. The anterior maxilla is the most common site of endodontic surgery as indicated by the respondents. Our results show that the most difficult process for surgery is access and visualization followed by root-end filling. Additionally, 53.9% of respondents answered that they are not referring any of their surgical cases, whereas 34.3% of responding endodontists are referring at least some endodontic surgery to oral surgeons; 6.6% of respondents also indicated that they are placing implants.
本次调查的目的是研究美国在职牙髓病医生进行手术的频率及特点。该调查还询问了牙髓外科手术方面的住院医师培训及毕业后培训情况。一份关于牙髓外科手术的网络调查问卷通过电子邮件分发给了美国牙髓病医生协会在美国的2532名在职会员。1045份调查问卷的数据（回复率为41%）显示，91.2%的受访者正在进行某种形式的根尖手术，其中89.6%使用手术显微镜和超声器械。在接受调查的人中，33.3%觉得他们在牙髓外科手术方面的住院医师培训不足，47.9%在毕业后继续接受了外科手术方面的额外培训。受访者表示，上颌前部是牙髓外科手术最常见的部位。我们的结果表明，手术中最困难的步骤是进入手术区域和视野暴露，其次是根尖充填。此外，53.9%的受访者回答他们没有转诊任何外科病例，而34.3%的受访牙髓病医生至少会将一些牙髓外科手术转诊给口腔外科医生；6.6%的受访者还表示他们在植入种植体。
