Feng X H, Zhang Y L, Liu K N, Zhao Y B, Hu W J
Department of Periodontology, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2017 Oct 9;52(10):641-644. doi: 10.3760/cma.j.issn.1002-0098.2017.10.012.
To explore the training pattern of periodontal probing practice so as to improve the accuracy of probing depth measurements of undergraduate students. Sixty-two undergraduate dental students in their pre-clinical training course were divided into two groups (31 students in each group): the reform group and the control group. The students in reform group learned and practiced periodontal probing by using transparent gingiva models for 30 minutes, and using conventional periodontal probing models for further 90 minutes in two sessions. The total practicing time was 2 hours. The students in control group learned and practiced periodontal probing using conventional periodontal probing models only for 1 hour of practicing time. After the training, new conventional periodontal probing models were used to evaluate the accuracy of probing depth measurements of the students in the two groups. The probing depths of Ramfjord index teeth were recorded by the students and were compared with the results of an experienced teachers measurements. The percentage of absolutely consistent sites in the reform group (63.4% [708/1 116]) was significantly higher than that of the control group (60.0% [670/1 116]) (0.012). In both reform group and control group, the percentages of absolutely consistent sites of the incisors (reform group: 69.1% [257/372], control group: 65.9% [245/372]) were significantly higher than those of the molars (reform group 58.9% [219/372], control group 54.3% [202/372])( 0.01), meanwhile, the percentages of absolutely consistent sites of the buccal-lingual sites (reform group: 88.7% [330/372], control group: 80.4% [299/372]) were significantly higher than those of the interproximal sites (reform group: 50.8% [378/744], control group: 49.9% [371/744])(0.01). The comprehensive reform of periodontal probing training could improve the accuracy of probing depth measurement of the undergraduate students. During the pre-clinical practice, probing training in the molar areas and the interproximal sites should be reinforced.
探索牙周探诊练习的培训模式,以提高本科学生探诊深度测量的准确性。62名处于临床前培训课程阶段的牙科本科学生被分为两组(每组31名学生):改革组和对照组。改革组的学生使用透明牙龈模型学习和练习牙周探诊30分钟,分两个阶段再使用传统牙周探诊模型练习90分钟。总练习时间为2小时。对照组的学生仅使用传统牙周探诊模型学习和练习1小时。培训后,使用新的传统牙周探诊模型评估两组学生探诊深度测量的准确性。学生记录Ramfjord指数牙的探诊深度,并与一位经验丰富的教师的测量结果进行比较。改革组绝对一致部位的百分比(63.4%[708/1116])显著高于对照组(60.0%[670/1116])(P = 0.012)。在改革组和对照组中,切牙绝对一致部位的百分比(改革组:69.1%[257/372],对照组:65.9%[245/372])均显著高于磨牙(改革组58.9%[219/372],对照组54.3%[202/372])(P = 0.01),同时,颊舌侧部位绝对一致部位的百分比(改革组:88.7%[330/372],对照组:80.4%[299/372])显著高于邻面部位(改革组:50.8%[378/744],对照组:49.9%[371/744])(P = 0.01)。牙周探诊培训的综合改革可提高本科学生探诊深度测量的准确性。在临床前实践中,应加强磨牙区域和邻面部位的探诊训练。