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本科生进行口腔种植体植入与修复:临床结果及学生认知

Oral implant placement and restoration by undergraduate students: clinical outcomes and student perceptions.

作者信息

Temmerman A, Meeus M, Dhondt R, Wierinck E, Teughels W, Naert I, Quirynen M

机构信息

Department of Periodontology, KU Leuven, Leuven, Belgium.

Pre-Clinical Training Centre, KU Leuven, Leuven, Belgium.

出版信息

Eur J Dent Educ. 2016 May;20(2):73-83. doi: 10.1111/eje.12144. Epub 2015 Apr 10.

Abstract

INTRODUCTION

Universities are developing and implementing implant dentistry training to prepare dental professionals for the growing treatment needs. This study describes how implant dentistry is taught at the KU Leuven and focuses on implant-related clinical outcomes. Perspectives of participating undergraduate students are analysed with a view to improve oral implant dentistry training.

MATERIALS AND METHODS

Implant dentistry training at the KU Leuven consists of theoretical lectures, pre-clinical hands-on workshops and clinical (surgical/prosthetic) experience. Questionnaires were used to investigate the perceptions of students on the educational programme. Radiographs were taken at implant insertion, at healing abutment connection, at restoration/prosthesis insertion and after 1 and 2 years of functional loading. The marginal bone level was measured from the implant-abutment connection to the first visible bone-to-implant contact.

RESULTS

One hundred and twelve implants were placed by 56 undergraduate students (61.5% of the total students) in 56 patients. After a follow-up time of 3 years, the cumulative implant survival rate, at implant level, was 97.1%. The mean marginal bone loss after 1 and 2 years in function was 0.35 mm and 0.39 mm, respectively. Eighty percentage of students were satisfied with the training, and they considered this sufficient preparation to perform implant placement under close supervision.

CONCLUSIONS

The clinical outcome of implant treatment performed by undergraduate students under close supervision is similar to that reported by experienced clinicians/research teams. Clinical, surgical as well as restorative experience in addition to theoretical and pre-clinical training seems beneficial when implementing implant dentistry in the undergraduate programmes.

摘要

引言

大学正在开发和实施种植义齿学培训,以使牙科专业人员能够满足不断增长的治疗需求。本研究描述了鲁汶大学如何教授种植义齿学,并重点关注与种植相关的临床结果。分析了参与的本科生的观点,以期改进口腔种植义齿学培训。

材料与方法

鲁汶大学的种植义齿学培训包括理论讲座、临床前实践工作坊和临床(手术/修复)经验。使用问卷来调查学生对教育计划的看法。在种植体植入时、愈合基台连接时、修复体/假体植入时以及功能加载1年和2年后拍摄X光片。从种植体-基台连接处到首次可见的骨-种植体接触处测量边缘骨水平。

结果

56名本科生(占学生总数的61.5%)在56名患者中植入了112颗种植体。经过3年的随访,在种植体水平上,种植体的累积生存率为97.1%。功能加载1年和2年后的平均边缘骨丢失分别为0.35毫米和0.39毫米。80%的学生对培训感到满意,他们认为这足以让他们在密切监督下进行种植体植入。

结论

在密切监督下,本科生进行的种植治疗的临床结果与经验丰富的临床医生/研究团队报告的结果相似。在本科课程中实施种植义齿学时,除了理论和临床前培训外,临床、手术以及修复经验似乎都有益处。

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