Maslamani Manal, Mitra Amal K
Department of Restorative, Kuwait University, Kuwait.
Department of Epidemiology and Biostatistics, Jackson State University, Jackson, Mississippi, USA.
Indian J Dent Res. 2018 Mar-Apr;29(2):144-149. doi: 10.4103/ijdr.IJDR_291_17.
The use of rubber dam (RD) has been recommended in dental procedures including root canal treatment. The aim of the study was to identify factors that were associated with patients' satisfaction and acceptance of RD.
: This was a cross-sectional study, conducted from January 2015 to December 2016 at Kuwait University School of Dentistry.
A pretested questionnaire was used by a face-to-face interview of patients after taking informed consent. The study was approved by the Institutional Ethics Review Board. The providers/operators who applied RD were grouped into three categories: undergraduate final year (7 year) dental students; general dentists and postgraduate students; and specialists.
Mean age of the patients (n = 175) was 31.6 ± 13.0 years. About 55% had past experience, and 52% expressed a better experience during the current procedure compared with the previous one. A positive experience during the current procedure correlated significantly with the future intention of RD use (r = 0.244, P = 0.001). Time needed for RD application was short (4 min), irrespective of the operators. The duration of RD use during the procedure was significantly shorter among dental specialists compared with the other groups. Time for RD application was the only significant predictor for patient satisfaction, after controlling for other independent variables.
Based on the positive influence of current RD use on the future intention, dentists should spend time needed to explain the importance, safety and effectiveness of RD use with their patients.
在包括根管治疗在内的牙科手术中，推荐使用橡皮障（RD）。本研究的目的是确定与患者对橡皮障的满意度和接受度相关的因素。
这是一项横断面研究，于2015年1月至2016年12月在科威特大学牙科学院进行。
在获得知情同意后，通过对患者进行面对面访谈使用预先测试的问卷。该研究获得了机构伦理审查委员会的批准。应用橡皮障的提供者/操作者分为三类：本科最后一年（7年制）牙科学生；普通牙医和研究生；以及专科医生。
患者（n = 175）的平均年龄为31.6±13.0岁。约55%有既往经历，52%表示与上一次相比，本次手术体验更好。本次手术中的积极体验与未来使用橡皮障的意愿显著相关（r = 0.244，P = 0.001）。无论操作者如何，应用橡皮障所需时间较短（4分钟）。与其他组相比，牙科专科医生在手术过程中使用橡皮障的持续时间显著更短。在控制其他自变量后，应用橡皮障的时间是患者满意度的唯一显著预测因素。
基于当前使用橡皮障对未来意愿的积极影响，牙医应花时间向患者解释使用橡皮障的重要性、安全性和有效性。
