《本科口腔医学生根管治疗术失误及其相关因素的横断面研究》
Endodontic Procedural Errors and Associated Factors among Undergraduate Dental Students: A Cross-sectional Study.
机构信息
Department of Endodontics, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates; Department of Endodontics, Faculty of Dentistry, Assiut University, Assiut, Egypt, Phone: +97172222593, e-mail:
Department of Operative Dentistry, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates, Orcid: https://orcid.org/0000-0003-0604-9553.
出版信息
J Contemp Dent Pract. 2023 Dec 1;24(12):998-1007. doi: 10.5005/jp-journals-10024-3614.
AIMS AND BACKGROUND
To assess the procedural errors committed by undergraduate students at RAK College of Dental Sciences, during root canal treatments and the factors associated with these errors.
MATERIALS AND METHODS
In this cross-sectional study, 180 self-administered questionnaires were distributed, each comprising 26 questions, among 4th and 5th-year students. Participants were requested to report their endodontic mishaps based on feedback from their supervisors. The questionnaire assessed the frequency and types of procedural errors, considering patient, operator, and tooth-related factors. Data were collected tabulated and analyzed using the Chi-square test.
RESULTS
A total of 124 root canal-treated teeth exhibiting iatrogenic errors done by students were assessed. Out of which, 53% were performed by 5th-year students, and 69% were conducted by female operators. About 62% of errors occurred in the upper teeth and 68% in the posterior teeth. The most prevalent errors during the rubber dam isolation step were soft tissue trauma (21%) and isolation leakage (20%), significantly associated with limited mouth opening, excessive salivation, and tooth malalignment ( < 0.05). Apical blockage (15%) emerged as the most frequent error during instrumentation phase, showing a significant association with canal dimension and curvature ( < 0.05). For access cavity and obturation phases, under-extended cavity (9%), and under-extended filling (11%) were the most reported errors, respectively.
CONCLUSION
Tooth isolation emerges as a particularly challenging aspect for dental students, particularly when dealing with patients exhibiting limited mouth opening and excessive salivation.
CLINICAL SIGNIFICANCE
Clinical instructors should caution the undergraduates about the heightened risk of endodontic procedural errors when dealing with patients exhibiting limited mouth opening, excessive salivation, tooth misalignment, and narrow canals. Addressing these challenges is crucial for enhancing the proficiency of undergraduate students in performing successful root canal treatments. How to cite this article: Elsayed MA, Islam MS, Saleh DR, . Endodontic Procedural Errors and Associated Factors among Undergraduate Dental Students: A Cross-sectional Study. J Contemp Dent Pract 2023;24(12):998-1007.
目的和背景
评估 RAK 牙科科学学院本科生在根管治疗过程中犯的程序错误，以及与这些错误相关的因素。
材料和方法
在这项横断面研究中，向 4 年级和 5 年级的学生发放了 180 份自我管理的问卷，每份问卷包含 26 个问题。参与者根据主管的反馈报告他们的牙髓治疗失误。问卷评估了考虑患者、操作者和牙齿相关因素的程序错误的频率和类型。数据采用卡方检验进行收集、制表和分析。
结果
共评估了 124 颗由学生进行的出现医源性错误的根管治疗牙。其中，53%由 5 年级学生完成，69%由女性操作者进行。约 62%的错误发生在上颌牙齿，68%发生在后牙。橡皮障隔离步骤中最常见的错误是软组织创伤（21%）和隔离泄漏（20%），与开口受限、过度流涎和牙齿排列不齐显著相关（<0.05）。在器械阶段，根尖堵塞（15%）是最常见的错误，与根管尺寸和曲率显著相关（<0.05）。对于开髓腔和充填补牙阶段，分别报道了扩展不足的腔（9%）和扩展不足的填充（11%）为最常见的错误。
结论
牙齿隔离对牙科学生来说是一个特别具有挑战性的方面，特别是在处理开口受限和过度流涎的患者时。
临床意义
临床讲师应警告本科生，在处理开口受限、过度流涎、牙齿排列不齐和狭窄根管的患者时，牙髓治疗程序错误的风险更高。解决这些挑战对于提高本科生成功进行根管治疗的熟练程度至关重要。
如何引用本文
Elsayed MA, Islam MS, Saleh DR,. Endodontic Procedural Errors and Associated Factors among Undergraduate Dental Students: A Cross-sectional Study. J Contemp Dent Pract 2023;24(12):998-1007.
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