Blacher Jonathan D, Safavi Kamran E, Aseltine Robert H, Kaufman Blythe M
Jonathan D. Blacher, DMD, MSD, was an Endodontic Resident, University of Connecticut School of Dental Medicine, when this study was conducted; Kamran E. Safavi, DMD, MEd, is Chair and Program Director, Division of Endodontology, University of Connecticut School of Dental Medicine; Robert H. Aseltine, PhD, is Professor, Oral Health and Diagnostic Sciences Department, University of Connecticut School of Dental Medicine; and Blythe M. Kaufman, DMD, MS, is Associate Professor, Division of Endodontology, University of Connecticut School of Dental Medicine.
J Dent Educ. 2019 May;83(5):504-509. doi: 10.21815/JDE.019.057. Epub 2019 Feb 25.
Endodontic residency programs across the U.S. vary in the exposure they provide to residents in procedures, protocols, and equipment. Having information on the range of clinical experiences provided in programs would be useful for program directors and for applicants who are seeking the best fit for their residency. The aim of this study was to collect information from residents in U.S. endodontic residency programs about the procedures and equipment they experienced in their programs. In January 2018, a 14-question survey was emailed to all 437 endodontic residents with an email address in the 2016-17 American Association of Endodontists Membership Directory. Survey items asked about the number of endodontic procedures, techniques employed, and products used in residents' programs. A total of 133 endodontic residents responded to all or part of the survey, for a 30% response rate. The majority reported completing 151-250 nonsurgical root canals, 26-50 nonsurgical retreatments, 0-10 surgical retreatments, and 0-10 regenerative endodontic procedures during their residencies. All respondents said they used a surgical operating microscope (SOM), and 82% reported using a multi-file rotary system for nonsurgical procedures. Respondents reported that the main instruments they used were Dentsply Sirona file systems, and the most commonly used obturation technique was warm vertical compaction/condensation, reported by 92% of respondents. These endodontic residents reported being exposed to a variety of procedures, products, and protocols during their residency. Based on information they provided, prospective endodontic residency applicants can expect to use the SOM for treatment, to gain extensive experience in primary nonsurgical endodontic treatment, and to not perform endodontic surgery during their first year of postgraduate training.
美国各地的牙髓病专科住院医师培训项目在为住院医师提供的手术操作、治疗方案和设备接触方面存在差异。了解各项目所提供的临床经验范围，对项目主任和寻求最适合自己住院医师培训项目的申请者都很有用。本研究的目的是从美国牙髓病专科住院医师培训项目的住院医师那里收集有关他们在项目中所经历的手术操作和设备的信息。2018年1月，一份包含14个问题的调查问卷通过电子邮件发送给了2016 - 17年美国牙髓病学家协会会员名录中有电子邮件地址的所有437名牙髓病专科住院医师。调查项目询问了住院医师项目中的牙髓病手术操作数量、采用的技术以及使用的产品。共有133名牙髓病专科住院医师对全部或部分调查做出了回应，回复率为30%。大多数人报告在住院期间完成了151 - 250例非手术根管治疗、26 - 50例非手术再治疗、0 - 10例手术再治疗以及0 - 10例牙髓再生治疗。所有受访者表示他们使用了手术显微镜（SOM），82%的人报告在非手术操作中使用了多锉旋转系统。受访者报告说他们使用的主要器械是登士柏西诺德锉系统，最常用的根管充填技术是热垂直加压/致密化，92%的受访者报告采用了该技术。这些牙髓病专科住院医师报告说他们在住院期间接触到了各种各样的手术操作、产品和治疗方案。根据他们提供的信息，未来的牙髓病专科住院医师申请者可以预期在治疗中使用手术显微镜，在初级非手术牙髓病治疗方面获得丰富经验，并且在研究生培训的第一年不进行牙髓手术。
