Department of Restorative Dentistry, Faculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Department of Restorative Dentistry, University of Ibadan, Ibadan, Nigeria.
Pan Afr Med J. 2021 Jul 28;39:218. doi: 10.11604/pamj.2021.39.218.23205. eCollection 2021.
this study aimed at finding out current practice of endodontics amongst Nigerian dentists undergoing postgraduate training (also referred to as dental resident doctors) in different institutions across the nation.
a questionnaire-based, cross sectional study was conducted amongst dentists undergoing postgraduate training. Questions were asked on demographics, protocol for root canal treatment (RCT), materials employed in different stages. Opinions were also sought on satisfaction with their practice and training needs in endodontics. Data were analyzed with SPSS version 20.0 and presented as tables and charts. Significance level was set at p≤0.05.
ninety dentists undergoing postgraduate training (57 males and 33 females) with mean age of 34.81 ± 5.9 years participated in the study. Root canal treatment was mostly done in multiple visits in both single and multi-rooted teeth (p=0.01), only about 15% performed the procedure on multi rooted teeth. Sixty-five (72.2%) never used Rubber dam, stainless steel files were being used by 69%, step down technique of preparation by 53.9% and Sodium hypochlorite was the major irrigant (80%) used. Obturation was majorly with Cold lateral compaction technique (94%), 57.2% delayed definitive restoration for maximum of 1 week and amalgam was still the major material used for posterior teeth as reported by 62.9% of the participants. The majority (55.6%) were not satisfied with their current knowledge and practice and most were those that did not have good undergraduate training (p = 0.05).
the practice of endodontics needs standardization across the nation as it is being advocated in other countries. There is need for hands on-training on endodontics to encourage adoption of new advances in technology, as well as improve the training of postgraduate dentists in endodontics. Also, emphasis should be placed on use of rubber dam in order to minimize the spread of infection and protect the patients from aspiration of small instruments involved in endodontic procedure.
本研究旨在了解尼日利亚不同机构接受研究生培训的牙医（也称为牙科住院医师）在牙髓学方面的当前实践情况。
在接受研究生培训的牙医中进行了一项基于问卷调查的横断面研究。问题涉及人口统计学、根管治疗（RCT）方案、不同阶段使用的材料。还征求了他们对实践的满意度和牙髓学培训需求的意见。使用 SPSS 版本 20.0 分析数据，并以表格和图表形式呈现。显著性水平设置为 p≤0.05。
90 名接受研究生培训的牙医（57 名男性和 33 名女性），平均年龄为 34.81±5.9 岁，参与了这项研究。在单根和多根牙中，根管治疗大多分多次进行（p=0.01），只有约 15%的人对多根牙进行该程序。65（72.2%）人从未使用过橡皮障，69%的人使用不锈钢锉，53.9%的人采用逐步后退预备技术，80%的人使用次氯酸钠作为主要冲洗剂。大多数人（94%）使用冷侧压技术进行根管充填，57.2%的人最多延迟 1 周进行最终修复，62.9%的参与者报告说仍然使用银汞合金作为后牙的主要材料。大多数（55.6%）人对他们目前的知识和实践不满意，大多数人是那些没有良好本科培训的人（p=0.05）。
正如在其他国家所倡导的那样，需要在全国范围内规范牙髓学的实践。需要进行牙髓学的实践培训，以鼓励采用新技术的进步，并改善牙髓学研究生的培训。此外，应强调使用橡皮障，以最大限度地减少感染的传播，并保护患者免受涉及牙髓学程序的小器械的吸入。
