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高年级牙科学生对粘结系统的选择与实践

Bonding System Choice and Practices among Senior Dental Students.

作者信息

Nassar Hani, El-Shamy Hassan

机构信息

Department of Operative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

Department of Conservative Dentistry, Faculty of Dentistry, Nahda University, Beni Suef, Egypt.

出版信息

J Int Soc Prev Community Dent. 2017 Nov;7(Suppl 3):S143-S148. doi: 10.4103/jispcd.JISPCD_285_17. Epub 2017 Nov 30.

Abstract

AIM AND OBJECTIVE

This survey investigated bonding system type and composite application rationale by senior dental students at a dental school in Saudi Arabia.

MATERIALS AND METHODS

Eighty-three questionnaires with 15 open and closed questions were randomly distributed to final year dental students about the use of etch and rinse versus self-etch adhesives and application techniques for posterior resin composite. Data were collected, and statistical analysis was done using Chi-square test (0.05) with two factors "question answer" and "gender."

RESULTS

For all questions, the impact of gender was statistically nonsignificant ( > 0.05). Etch and rinse adhesive was significantly ( > 0.05) favored by students with majority do not perform selective etching, use intermittent air for drying tooth structure, apply a single layer bonding agent and thin it by air, cure it for 20 s with the curing tip at close proximity to the cavity, use incremental application technique for composite restorations, cure it for 40 s, and neglect to do extra curing.

CONCLUSION

Students showed good knowledge regarding the bonding and composite application steps but with some clear mispractices such as low frequency of selective etching, less etchant washing, and the preference of vertical layering. Moreover, results from the current investigation should direct curricular updates in the future.

摘要

目的

本调查研究了沙特阿拉伯一所牙科学院的高年级牙科学生使用的粘结系统类型及复合树脂应用原理。

材料与方法

向牙科专业最后一年的学生随机发放83份问卷,问卷包含15个开放式和封闭式问题,内容涉及酸蚀冲洗粘结剂与自酸蚀粘结剂的使用情况以及后牙树脂复合体的应用技术。收集数据,并使用卡方检验(0.05)对“问题答案”和“性别”这两个因素进行统计分析。

结果

对于所有问题,性别的影响在统计学上无显著意义(>0.05)。酸蚀冲洗粘结剂受到学生的显著青睐(>0.05),大多数学生不进行选择性酸蚀,使用间歇性空气干燥牙体组织,涂抹单层粘结剂并用空气稀释,将固化头靠近窝洞固化20秒,复合树脂修复采用分层堆塑技术,固化40秒,且忽略额外固化。

结论

学生对粘结和复合树脂应用步骤有较好的了解,但存在一些明显的错误操作,如选择性酸蚀频率低、酸蚀剂冲洗不足以及偏好垂直分层。此外,本次调查结果应指导未来课程的更新。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac12/5730976/8a737b700fe3/JISPCD-7-143-g001.jpg

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