Mahmood Izatul Arifah, Morshidi Dayang Nurhidayah Abg, Hamzah Siti Hajar, Baharuddin Izyan Hazwani, Ahmad Mas Suryalis
Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh, Malaysia.
Eur J Dent Educ. 2021 Aug;25(3):550-555. doi: 10.1111/eje.12632. Epub 2020 Dec 4.
This study sought to assess dental students' training and experiences in addressing traumatic dental injury (TDI), and, more specifically, their knowledge of TDI management in children.
All Year 1 to Year 5 dental students (n = 413; response rate = 72.9%) were invited to participate in an online, self-administered survey, which was based on a validated questionnaire. Quantitative data were analysed via chi-squared test (p < .05) using the Statistical Package for the Social Sciences software program.
Only a few students were found to have undergone first-aid training in TDI (19.3%) and to have encountered TDI incidents (10.6%) before. Almost all preclinical and clinical students agreed that TDI constitutes an emergency (97.8% vs. 99.4%, respectively) and that tooth avulsion requires immediate care (97.1% vs. 99.0%, respectively). However, almost half of the students (48.8%) did not know the management protocols for a fractured tooth. Compared with clinical students, a significantly lower percentage of those in preclinical study knew the following: (1) the main cause of TDI, (2) the teeth that most commonly experience avulsion, (3) the management protocols for an avulsed tooth (e.g., handling, transportation and urgency of professional intervention) and (4) the management protocols for a fractured tooth (e.g., appropriate storage medium and need for immediate treatment). Amongst the clinical students, a significantly lower percentage of those in Year 3 knew how to transport and store avulsed and fractured teeth, and which teeth are most likely to experience avulsion.
This study identified areas of TDI education in need of further refinement. Revision of the dental curriculum in terms of design, content, teaching method and delivery time may thus be warranted.
本研究旨在评估牙科学生在处理牙外伤(TDI)方面的培训和经验,更具体地说,是他们对儿童TDI管理的知识。
邀请所有一年级至五年级的牙科学生(n = 413;回复率 = 72.9%)参与一项基于有效问卷的在线自填式调查。使用社会科学统计软件包通过卡方检验(p <.05)分析定量数据。
发现只有少数学生接受过TDI急救培训(19.3%),并且之前遇到过TDI事件(10.6%)。几乎所有临床前和临床学生都认为TDI构成紧急情况(分别为97.8%和99.4%),并且牙齿脱臼需要立即处理(分别为97.1%和99.0%)。然而,几乎一半的学生(48.8%)不知道牙齿折断的管理方案。与临床学生相比,临床前研究的学生中知道以下内容的比例明显较低:(1)TDI的主要原因,(2)最常发生脱臼的牙齿,(3)脱臼牙齿的管理方案(例如,处理、运输和专业干预的紧迫性)以及(4)牙齿折断的管理方案(例如,合适的储存介质和立即治疗的必要性)。在临床学生中,三年级学生中知道如何运输和储存脱臼和折断牙齿以及哪些牙齿最容易发生脱臼的比例明显较低。
本研究确定了TDI教育需要进一步完善的领域。因此,可能有必要在设计、内容、教学方法和授课时间方面对牙科课程进行修订。