University of Cardiff, Applied Clinical Research and Public Health, School of Dentistry, Heath Park, Cardiff CF14 4XY, United Kingdom.
Oper Dent. 2011 Mar-Apr;36(2):143-52. doi: 10.2341/10-202-C. Epub 2011 Jun 24.
To investigate how a simple restoration evaluation training program affected restoration replacement decision making by a group of 16 dentists.
The clinical examination of 66 dental restorations in nine female patients was carried out by two groups of dentists: one having previously received training in restoration assessment. The results of these assessments were compared to a gold standard for restoration integrity determined by two experienced clinicians applying US Public Health Service criteria. All evaluations were completed under controlled clinical conditions with standard equipment and lighting. The results of the clinical examinations between the trained (test) group and the untrained (control) group were compared to each other and the gold standard.
The trained group scheduled fewer restorations for replacement (6.00±3.01 and 9.71±3.15; p=0.034), in a shorter time (27.86±3.45 mins and 36.71±3.74 mins; p=0.003) and showed greater agreement with the study's gold standard for restoration replacement (0.85±0.27 and 0.79±0.06; p=0.002).
Within the limits of this study, examiner training can significantly improve the reliability of restoration replacement decision making by dentists.
调查一项简单的修复体评估培训计划如何影响一组 16 名牙医的修复体更换决策。
对 9 名女性患者的 66 个牙修复体进行了两组牙医的临床检查：一组接受过修复体评估培训，另一组未接受过培训。评估结果与由两名经验丰富的临床医生根据美国公共卫生服务标准确定的修复体完整性金标准进行了比较。所有评估均在控制临床条件下，使用标准设备和照明进行。比较了受过培训（测试）组和未受过培训（对照）组之间的临床检查结果与金标准。
受过培训的组预约更换的修复体数量较少（6.00±3.01 和 9.71±3.15；p=0.034），时间更短（27.86±3.45 分钟和 36.71±3.74 分钟；p=0.003），并且与研究的修复体更换金标准的一致性更高（0.85±0.27 和 0.79±0.06；p=0.002）。
在本研究的限制范围内，检查者培训可以显著提高牙医修复体更换决策的可靠性。
