Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Aust Dent J. 2010 Mar;55(1):28-36. doi: 10.1111/j.1834-7819.2009.01183.x.
An evidence-based, risk-specific, and non-invasive modality for caries management was implemented in the University of Sydney dentistry curriculum. This study reviews its impact on student learning outcomes and their perceptions of the efficacy of a risk-based caries management.
One hundred and nine Year 3 and Year 4 students were invited to complete a questionnaire to assess their understanding of the protocols and their perceptions of both the education process and value of the non-invasive treatment modality.
A response rate of 93% Year 3 and 46% Year 4 students was obtained. They correctly identified high and low risk cases but Year 3 students were inclined to misclassify medium risk cases. Most understood correctly that enamel lesions should be arrested and remineralized but were often more radical in dealing with dentine lesions. Students who believed the protocols were useful and who spent more time on preventive care were less likely to restore enamel and dentine lesions.
A modest level of knowledge concerning application of the non-invasive caries management system to paper-based clinical case studies was demonstrated. Protocol misinterpretation may reflect inconsistent instruction by some clinical tutors. It is hoped that the promulgation of evidence-based dentistry will overcome these barriers in future.
一种基于证据、针对特定风险且非侵入性的龋齿管理模式已被纳入悉尼大学牙科学课程。本研究旨在评估该模式对学生学习成果的影响，以及学生对基于风险的龋齿管理有效性的看法。
邀请 109 名三年级和 104 名四年级学生完成一份调查问卷，以评估他们对方案的理解程度，以及对教育过程和非侵入性治疗模式价值的看法。
我们获得了三年级学生 93%和四年级学生 46%的回复率。学生们正确识别了高风险和低风险病例，但三年级学生倾向于错误分类中风险病例。大多数学生正确理解了应阻止和再矿化釉质病变，但在处理牙本质病变时往往更激进。认为方案有用且花费更多时间进行预防保健的学生不太可能对釉质和牙本质病变进行修复。
学生在基于病例的纸本临床研究中应用非侵入性龋齿管理系统的知识水平适中。方案解读错误可能反映了一些临床导师指导不一致。希望在未来，基于证据的牙科实践将克服这些障碍。
