Puryer James, Amin Salisha, Turner Maxwell
School of Oral and Dental Sciences, Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK.
Dent J (Basel). 2016 Dec 26;5(1):1. doi: 10.3390/dj5010001.
The General Dental Council expects graduating dentists to be competent at treating pulpal disease. Previous studies have found dental undergraduates to have low levels of confidence with respect to endodontic treatments. The aim of this study was to investigate the confidence of undergraduate dental students at the University of Bristol when performing root canal treatment, and to investigate their perception of the quality of their endodontic education. An anonymous questionnaire, based upon one used in a 2015 study at Cardiff University, was distributed to all ( = 204) undergraduate students in Years 3-5 at the University of Bristol. The results were analysed using the Statistical Package for the Social Sciences software (SPSS). There was a 59% ( = 120) response rate and a significant ( < 0.01) difference in confidence levels for root canal treatments (RCTs) completed between these students. All (100%) Year-5 students felt confident in completing anterior RCTs, and 91% felt confident in completing posterior RCTs. The majority (93%) of Year-4 students felt confident in completing anterior RCTs, and 77% felt confident in completing posterior RCTs. Over one-half (56%) of Year-3 students felt confident in anterior RCTs and 17% in posterior RCTs. With respect to the individual stages of RCT (access cavity, cleaning and shaping of root canal system, and obturation/filling), results showed that there was a significant difference ( < 0.01) in confidence levels between year groups. Many students thought the amount of time spent on endodontic teaching and the quality of teaching to be satisfactory. Improvements suggested for future endodontic teaching included higher numbers of staff supervision and additional endodontic practice on extracted teeth before seeing patients. There was a strong association between students' clinical experience and their levels of confidence when completing RCT. Increasing the amount of clinical experience of RCTs could enhance students' confidence further.
英国普通牙科委员会期望即将毕业的牙医能够胜任牙髓病治疗工作。先前的研究发现牙科本科生对牙髓病治疗的信心水平较低。本研究的目的是调查布里斯托大学牙科本科生在进行根管治疗时的信心，并调查他们对牙髓病教育质量的看法。基于2015年卡迪夫大学一项研究所使用的问卷，向布里斯托大学所有三年级至五年级的204名本科生发放了一份匿名问卷。使用社会科学统计软件包（SPSS）对结果进行分析。回复率为59%（n = 120），这些学生完成根管治疗（RCT）的信心水平存在显著差异（P < 0.01）。所有（100%）五年级学生对完成前牙根管治疗有信心，91%的学生对完成后牙根管治疗有信心。大多数（93%）四年级学生对完成前牙根管治疗有信心，77%的学生对完成后牙根管治疗有信心。超过一半（56%）的三年级学生对前牙根管治疗有信心，对后牙根管治疗有信心的为17%。关于根管治疗的各个阶段（开髓腔、根管系统的清理和成形以及充填），结果显示不同年级组之间的信心水平存在显著差异（P < 0.01）。许多学生认为牙髓病教学的时长和教学质量令人满意。对未来牙髓病教学提出的改进建议包括增加教师监督次数以及在接诊患者之前增加对拔除牙齿进行的额外牙髓病实践。学生的临床经验与完成根管治疗时的信心水平之间存在很强的关联。增加根管治疗的临床经验量可以进一步提高学生的信心。
