Rozov R A, Trezubov V N, Urakov A L, Azarin G S, Reshetnikov A P, Kopylov M V
I.P. Pavlov First St. Petersburg State Medical University, Saint-Petersburg, Russia.
I.P. Pavlov First St. Petersburg State Medical University, Saint-Petersburg, Russia; Novgorod State University, Velikiy Novgorod, Russia.
Stomatologiia (Mosk). 2019;98(3):4-11. doi: 10.17116/stomat2019980314.
The aim of the study was to develop criterion assessment system of the actual level of expertise of dental professionals practicing Implant dentistry. The study comprised fifteen dental experts aged from 35 to 47 years with the average 15 years clinical experience. For evaluation of the clinical portfolio of the dentists we developed 10 reference points and to ensure unification of the assessment approach we organised consensus methodical conference for our expert group. Scores were applied by parity of reasoning with point-rating system applied in continuing education programs of Medical University. Assessment of 43 clinical portfolios with short term and long term results of implant supported restorations was performed. Treatment was provided with the use of Nobel Biocare implants and prosthodontic rehabilitation was achieved with the use of CAD/CAM 'Procera' technology. The study showed that dentists who practice implant dentistry from 1 to 7 years have good manual skills and clinical expertise sufficient for achieving positive treatment outcome. At the same time in general their actual diagnostic skills are not sufficient, they misapply additional diagnostic methods, do not perform risk analysis of potential clinical complications that leads to shifting responsibilities on the patients in case of complications emergence. Methods of Computer Assisted Design are widely popular during all stages of rehabilitation (diagnostic, surgical stent, final prosthesis framework). Actual level of expertise of dental professionals doesn't depend on sex distribution. Males and females who practice implant dentistry have similar levels of clinical expertise.
本研究的目的是建立一个评估从事种植牙科的牙科专业人员实际专业水平的标准评估系统。该研究包括15名年龄在35至47岁之间、平均有15年临床经验的牙科专家。为了评估牙医的临床资料，我们制定了10个参考点，并为我们的专家组组织了共识方法会议，以确保评估方法的统一。评分采用与医科大学继续教育项目中应用的评分系统相同的推理方式。对43份种植支持修复的短期和长期结果的临床资料进行了评估。治疗使用了诺贝尔生物公司的种植体，并采用CAD/CAM“Procera”技术进行了修复。研究表明，从事种植牙科1至7年的牙医具有良好的手工技能和临床专业知识，足以取得积极的治疗效果。同时，总体而言，他们实际的诊断技能不足，错误应用额外的诊断方法，不进行潜在临床并发症的风险分析，这导致在出现并发症时将责任转嫁给患者。计算机辅助设计方法在修复的所有阶段（诊断、手术导板、最终修复体框架）都广泛流行。牙科专业人员的实际专业水平不取决于性别分布。从事种植牙科的男性和女性具有相似的临床专业水平。
