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牙髓治疗中器械分离和穿孔的伦理问题:一项横断面研究。

Ethical Aspects concerning Instrument Separation and Perforations during Endodontic Treatment: A Cross-Sectional Study.

作者信息

Ba-Hattab Raidan, Rahman Ishrat, Elsayed Lubna K, Alasmari Wejdan F, Abidia Randa, Abdelgaffar Somayah, Bahattab Awsan

机构信息

College of Dental Medicine, Qatar University, Doha, Qatar.

Department of Basic Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.

出版信息

Int J Dent. 2020 Sep 15;2020:8849105. doi: 10.1155/2020/8849105. eCollection 2020.

Abstract

AIM

During endodontic treatment, dentists may face various unwanted procedural accidents, at any stage of the treatment that might compromise endodontic treatment outcome and bring obstacles to dentists as well. This study aimed to address and analyze several ethical concerns relating to the behavioural conduct of dentists towards endodontic instrument separation as well as perforation of the crown and/or root during root canal treatment in Riyadh, Saudi Arabia.

METHOD

Hundred and eleven questionnaires were distributed among dentists working in Riyadh in university clinics and government and private sectors. Data were collected, reviewed, and statistically analyzed by Fisher's exact and chi-square tests at a 5% significance level, using SPSS software.

RESULTS

54.5% of the respondents have encountered instrument separation. 53.2% stated that they would inform the patient about the instrument separation. 43.6% of the respondents had experienced perforation during root canal treatment, and 54.9% reported that they would inform the patient of the accident.

CONCLUSION

Within the limitation of this survey, we concluded that most of the dental professionals did not hesitate to adhere to the correct ethical conduct, and they would inform the patient if an incident occurred.

摘要

目的

在根管治疗过程中,牙医可能会在治疗的任何阶段面临各种不良的操作事故,这些事故可能会影响根管治疗的结果,也会给牙医带来阻碍。本研究旨在探讨和分析沙特阿拉伯利雅得地区根管治疗期间,牙医在根管器械分离以及冠部和/或根部穿孔方面的行为所涉及的一些伦理问题。

方法

向利雅得地区大学诊所、政府部门和私营部门工作的牙医发放了111份问卷。使用SPSS软件,以5%的显著性水平通过Fisher精确检验和卡方检验对收集到的数据进行审查和统计分析。

结果

54.5%的受访者遇到过器械分离情况。53.2%的受访者表示会告知患者器械分离的情况。43.6%的受访者在根管治疗过程中经历过穿孔,54.9%的受访者报告称会将该事故告知患者。

结论

在本次调查的局限性范围内,我们得出结论,大多数牙科专业人员会毫不犹豫地坚持正确的道德行为,如果发生事故,他们会告知患者。

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本文引用的文献

1
Aspects of Clinical Malpractice in Endodontics.牙髓病学中的临床医疗事故问题
Eur J Dent. 2019 Jul;13(3):450-458. doi: 10.1055/s-0039-1700767. Epub 2019 Dec 3.
2
A Review of Medicolegal Considerations of Endodontic Practice for General Dental Practitioners.普通牙科医生牙髓病治疗实践的法医学考量综述
J Int Soc Prev Community Dent. 2018 Jul-Aug;8(4):283-288. doi: 10.4103/jispcd.JISPCD_206_18. Epub 2018 Jul 18.
4
A 15 years survey for dental malpractice claims in Rome, Italy.意大利罗马为期15年的牙科医疗事故索赔调查。
J Forensic Leg Med. 2018 Aug;58:74-77. doi: 10.1016/j.jflm.2018.05.005. Epub 2018 May 8.

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