de Kuijper M C F M, Tenge K, Gresnigt M M M
Ned Tijdschr Tandheelkd. 2023 Feb;130(2):63-72. doi: 10.5177/ntvt.2023.02.22104.
The use of rubber dam isolation during restorative procedures is often used. This survey study analyzed several aspects of the use of rubber dam isolation of fifth and sixth year's dental students at three Dutch universities using the COM-B model. This model explains behavior (B) from 3 factors: capacity (C), opportunity (O), and motivation (M). In the period of February-August 2022, a total of 81 students completed the survey (Academic Center for Dentistry Amsterdam, ACTA, n = 25; Radboud University, RU, n=28; Center for Dentistry and Oral Hygiene, CTM, n = 28). There were significant differences on all 3 factors between universities. RU students felt more confident than CTM students in applying the rubber dam in the anterior zone. At RU, teachers were significantly less likely to encourage the use of rubber dams. CTM students were more likely to assess the use of rubber dams as more important in the longevity of direct restorations (motivation). Students struggled the most with rubber dam use in subgingival cases and would like that their teachers were more adept in manipulation of soft tissues. Within the Netherlands, the education in rubber dam use should focus more on practical skills in these subgingival cases, including soft tissue handling.
在修复治疗过程中经常会使用橡皮障隔离。这项调查研究使用COM - B模型分析了荷兰三所大学五年级和六年级牙科学生使用橡皮障隔离的几个方面。该模型从三个因素解释行为（B）：能力（C）、机会（O）和动机（M）。在2022年2月至8月期间，共有81名学生完成了调查（阿姆斯特丹牙科学术中心，ACTA，n = 25；拉德堡德大学，RU，n = 28；牙科与口腔卫生中心，CTM，n = 28）。各大学在所有三个因素上均存在显著差异。RU的学生在在前牙区应用橡皮障时比CTM的学生更有信心。在RU，教师鼓励使用橡皮障的可能性明显更低。CTM的学生更有可能认为使用橡皮障对直接修复体的使用寿命更重要（动机）。学生们在龈下病例中使用橡皮障时遇到的困难最大，并且希望他们的教师在软组织操作方面更熟练。在荷兰国内，橡皮障使用的教育应更多地关注这些龈下病例中的实践技能，包括软组织处理。
