Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden.
Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Acta Odontol Scand. 2020 Oct;78(7):547-552. doi: 10.1080/00016357.2020.1763455. Epub 2020 May 13.
To reduce the gap between what can be achieved in endodontic treatments and the observed treatment outcome among general dental practitioners, the present study set out to assess the status of the endodontic practices as regards to knowledge and self-assessed skills among general dental practitioners in Sweden and Norway. The questionnaire was sent to 1384 general dental practitioners. It contained questions regarding access to continuing education in endodontics, sources of knowledge for clinical management of patients, post-operative follow-ups, self-assessed success-rate, and the initial diagnosis impact on the outcome of endodontic treatments. The response rate was 61.4%. Almost half estimated their endodontic success-rate to be 90%. About two-thirds of the respondents did not know, or did not believe, that the initial diagnosis could affect the outcome of their endodontic treatments. Respondents who did not believe the diagnosis could impact the outcome were more likely to estimate their success rate as the highest (<.001). Less than half performed post-operative follow-ups a year after treatment. A third of the respondents had not attended any continuing endodontic education. Dentists who do not receive regular feedback on their treatments may lack insight into their own shortcomings. If this is combined with insufficient knowledge and understanding it may result in sub-par endodontic treatments being performed. It is important to have reliable ways to communicate current endodontic knowledge and to establish robust methods that may help dentists accurately assess their own performance in endodontics.
为了缩小牙髓病学治疗中可实现的目标与普通牙医实际治疗结果之间的差距，本研究旨在评估瑞典和挪威普通牙医在牙髓病学实践方面的知识和自我评估技能状况。问卷发给了 1384 名普通牙医。问卷包含了关于牙髓病学继续教育机会、临床管理患者知识来源、术后随访、自我评估成功率以及初始诊断对牙髓病学治疗结果的影响等问题。回应率为 61.4%。近一半的人估计他们的牙髓病学成功率为 90%。约三分之二的受访者不知道或不相信初始诊断可能会影响他们的牙髓病学治疗结果。不相信诊断会影响结果的受访者更有可能将自己的成功率评估为最高（<.001）。不到一半的人在治疗后一年进行术后随访。三分之一的受访者没有参加任何牙髓病学继续教育课程。如果牙医没有定期收到对其治疗的反馈，他们可能不了解自己的不足之处。如果再加上知识和理解的不足，可能会导致牙髓病学治疗效果不佳。重要的是要有可靠的方法来传达当前的牙髓病学知识，并建立强有力的方法，以帮助牙医准确评估自己在牙髓病学方面的表现。
