Price Richard B, Strassler Howard E, Price Hannah L, Seth Sachin, Lee Chris J
Dr. Price is a professor and the head, Fixed Prosthodontics, Department of Dental Clinical Sciences, Faculty of Dentistry, Dalhousie University, Halifax, Nova Scotia, Canada. Address correspondence to Dr. Price at Department of Dental Clinical Sciences, Dalhousie University, Halifax, Nova Scotia, B3H 4R2, Canada,
J Am Dent Assoc. 2014 Jan;145(1):32-43. doi: 10.14219/jada.2013.17.
The authors evaluated the effectiveness of using a patient simulator (MARC Patient Simulator [MARC PS], BlueLight analytics, Halifax, Nova Scotia, Canada), to instruct dental students (DS) on how to deliver energy optimally to a restoration from a curing light. Five months later, the authors evaluated the retention of the instruction provided to the DS.
Toward the end of the DS' first year of dental education, the authors evaluated the light-curing techniques of one-half of the class of first-year DS (Group 1) before and after receiving instruction by means of the patient simulator. Five months later, they retested DS in Group 1 and tested the remaining first-year DS who were then second-year DS and who had received no instruction by means of the patient simulator (Group 2). They gave DS in Group 1 and Group 2 MARC PS instruction and retested them. The authors also the tested fourth-year DS (Group 3) and dentists (Group 4) by using the MARC PS before giving any instruction by means of the MARC PS.
The results of one-way analysis of variance (ANOVA) showed that there were no significant differences in the ability of dentists and DS to light cure a simulated restoration before they received instruction by means of the patient simulator (P = .26). The results of two-way ANOVA and Fisher protected least significant difference tests showed that after receiving instruction by means of the patient simulator, DS delivered significantly more energy to a simulated restoration, and this skill was retained. There were no significant differences between DS in Group 1 and Group 2 after they had received instruction by means of the patient simulator.
The abilities of dentists and DS to light cure a simulated restoration were not significantly different. Hands-on teaching using a patient simulator enhanced the ability of DS to use a curing light. This skill was retained for at least five months.
The education provided to dentists and DS is insufficient to teach them how to deliver the optimum amount of energy from a curing light. Better teaching and understanding of the importance of light curing is required.
作者评估了使用患者模拟器(MARC患者模拟器[MARC PS],BlueLight分析公司,加拿大新斯科舍省哈利法克斯)指导牙科学生(DS)如何从固化灯向修复体最佳传递能量的有效性。五个月后,作者评估了向DS提供的指导内容的留存情况。
在DS牙科教育的第一年接近尾声时,作者通过患者模拟器对一半的一年级DS班级(第1组)在接受指导前后的光固化技术进行了评估。五个月后,他们对第1组的DS进行了重新测试,并对其余当时已成为二年级DS且未通过患者模拟器接受指导的一年级DS进行了测试(第2组)。他们对第1组和第2组的DS进行了MARC PS指导并重新测试。作者还在通过MARC PS进行任何指导之前,使用MARC PS对四年级DS(第3组)和牙医(第4组)进行了测试。
单因素方差分析(ANOVA)结果显示,在通过患者模拟器接受指导之前,牙医和DS对模拟修复体进行光固化的能力没有显著差异(P = 0.26)。双向ANOVA和Fisher保护最小显著差异检验结果显示,通过患者模拟器接受指导后,DS向模拟修复体传递的能量显著更多,并且这种技能得以保留。在通过患者模拟器接受指导后,第1组和第2组的DS之间没有显著差异。
牙医和DS对模拟修复体进行光固化的能力没有显著差异。使用患者模拟器进行实践教学提高了DS使用固化灯的能力。这种技能至少保留了五个月。
向牙医和DS提供的教育不足以教会他们如何从固化灯中传递最佳能量。需要更好地进行教学并让他们理解光固化的重要性。