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关于在塑料和生物材料模型上对牙医下颌麻醉(下牙槽神经阻滞)手动技能塑造进行比较评估的横断面研究

Cross-Sectional Study on the Comparative Assessment of Mandibular Anesthesia (Inferior Alveolar Nerve Blockage) Manual Skills Shaping among Dentists on Plastic and Biomaterial Models.

作者信息

Vasil'ev Yuriy, Diachkova Ekaterina, Darawsheh Hadi, Kashtanov Artem, Molotok Ekaterina, Volel Beatrice, Batov Artem, Kytko Olesya, Saleev Rinat, Saleeva Gulshat, Saleeva Laysan, Smilyk Irina, Tiunova Natalya

机构信息

N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), 8-2 Trubetskaya St., 119991 Moscow, Russia.

E.V. Borovsky Institute of Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 11 Mozhaiskiy Val St., 121059 Moscow, Russia.

出版信息

Dent J (Basel). 2022 Jul 4;10(7):124. doi: 10.3390/dj10070124.

Abstract

BACKGROUND

Providing regional anesthesia skills shaping remains relevant nowadays. A number of studies show that dentists have difficulties with these working independently. The study aim is the comparative analysis of the results of mandibular anesthesia (IANB) manual-skills shaping among dentists on plastic models and cadavers.

METHODS

In total, 999 participants were training in the skills of mandibular anesthesia from 2017 to 2021. The participants were divided in a random way into two groups: 700 participants were trained on plastic models, and 299 were trained on the cadaver material. After a lecture on the clinical and anatomical guidelines for IANB, a demonstration of the technique was provided, with subsequent testing of the injection technique. Satisfaction with the aspects of the training was assessed using the Likert scale.

RESULTS

the analysis of average values showed that participants from the group in which the manual skills were practiced on cadavers were more satisfied with the main aspects of the training, according to the sum of the main criteria of the modified scale.

CONCLUSIONS

The important advantages of cadaver educational technology are that the sensations of tissue resistance are identical to natural ones, the individuality of each object, and the possibility of the visual study of the anesthesia technique, by dissection of the needle course and the location of the anesthetic depot.

摘要

背景

如今,提供区域麻醉技能培训仍然具有重要意义。多项研究表明,牙医在独立进行这些操作时存在困难。本研究旨在对牙医在塑料模型和尸体上进行下颌麻醉(IANB)手动技能培训的结果进行比较分析。

方法

2017年至2021年,共有999名参与者接受下颌麻醉技能培训。参与者被随机分为两组:700名参与者在塑料模型上进行培训,299名参与者在尸体材料上进行培训。在讲解IANB的临床和解剖学指南后,进行了技术演示,随后对注射技术进行了测试。使用李克特量表评估对培训各方面的满意度。

结果

平均值分析表明,根据改良量表主要标准的总和,在尸体上练习手动技能的组中的参与者对培训的主要方面更满意。

结论

尸体教育技术的重要优势在于,组织阻力的感觉与自然感觉相同,每个对象的个体性,以及通过解剖针道和麻醉剂注射部位进行麻醉技术视觉研究的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea5/9318609/05cb9dec40c3/dentistry-10-00124-g001.jpg

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