Akkaya Elif, Durmazpinar Parla Meva, Basmaci Gülsüm Kutlu
Faculty of Dentistry, Marmara University, Istanbul, Turkey.
Department of Endodontics, Faculty of Dentistry, Marmara University, Istanbul, Turkey.
J Dent Educ. 2024 Dec;88(12):1634-1641. doi: 10.1002/jdd.13681. Epub 2024 Jul 31.
This survey aims to assess the understanding, viewpoints, and methods employed by undergraduate dental students in the fourth and fifth grades regarding broken endodontic instruments in root canal procedures.
A survey comprising 27 questions across three sections-demographic information, practical application, and knowledge-approach-awareness inquiries-was developed. It was distributed to 282 students either in person or via a link shared through WhatsApp groups using Google Forms.
Out of the total 219 respondents (77.6%), 10.6% experienced instrument breakage once during their clinical internship, while 2.8% encountered it more than once. The majority (86.7%) did not face instrument fracture incidents. Among these occurrences, it was observed that endodontic instruments were most commonly separated in molars, accounting for 51.9%. Nearly half (48.1%) of the students noted instrument breakage during the initial attempt to reach the apical part of the canal, while 55.6% reported breakage during root canal cleaning and shaping.
Most dental students opted to leave the separated instrument in the root canal and proceed with filling it. Enhancing students' understanding and awareness of this matter will help prevent potential complications and enable them to handle such situations appropriately when they arise.
本调查旨在评估牙科本科四、五年级学生对根管治疗过程中根管器械折断的理解、观点及所采用的方法。
设计了一项包含三个部分(人口统计学信息、实际应用以及知识 - 方法 - 意识询问)共27个问题的调查问卷。通过亲自发放或利用谷歌表单通过WhatsApp群组分享链接的方式将问卷分发给282名学生。
在总共219名受访者(77.6%)中,10.6%的学生在临床实习期间曾有过一次器械折断经历,2.8%的学生经历过不止一次。大多数(86.7%)学生未遇到器械折断事件。在这些事件中,观察到根管器械最常折断于磨牙,占51.9%。近一半(48.1%)的学生指出在首次尝试到达根管根尖部分时器械折断,而55.6%的学生报告在根管清理和塑形过程中发生折断。
大多数牙科学生选择将折断的器械留在根管内并继续进行充填。增强学生对该问题的理解和意识将有助于预防潜在并发症,并使他们在遇到此类情况时能够妥善处理。