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讲授后牙复合树脂修复术:巴勒斯坦牙科学校的一项调查

Teaching posterior composite restorations: A survey of dental schools in Palestine.

作者信息

Arandi Naji Ziad

机构信息

Faculty of Dentistry, Arab American University, Palestine.

出版信息

Heliyon. 2024 Oct 10;10(20):e39154. doi: 10.1016/j.heliyon.2024.e39154. eCollection 2024 Oct 30.

DOI:10.1016/j.heliyon.2024.e39154
PMID:39640736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11620056/
Abstract

AIM

This study aimed to assess different aspects of teaching posterior composite restorations in two dental schools in Palestine.

MATERIALS AND METHODS

A questionnaire was emailed to the heads of the operative and conservative dentistry departments to collect detailed information on the teaching practices related to posterior composite restorations. The questionnaire comprised 22 questions structured to collect information on the time dedicated to teaching the topic, competency assessments, future plans for allocating time for each restoration type, relevant indications and contraindications, specific materials and techniques utilized in the application, and fees charged for posterior restorations. The gathered responses were collated in Excel and analyzed.

RESULTS

Both dental schools allocated similar teaching times to posterior composites and amalgam in their preclinical operative dentistry courses. However, there was a greater emphasis on composites in the clinical course than in the preclinical course at both institutions. Despite these differences, both institutions expressed a shared intention to allocate more time to teaching posterior composites while reducing the emphasis on teaching amalgam procedures. Consistency was observed across competency testing, cavity design preferences, and contraindications, with both schools favoring slot-type cavities. Furthermore, uniformity was noted in the management of operatively exposed dentin and matrix techniques, although variations existed in moisture isolation. Notably, both schools taught circumferential and sectional metal matrices but did not teach clear sectional matrices or use of bulk-fill composites. Additionally, the adhesive and light-curing practices remained consistent across both institutions.

CONCLUSION

The findings of this study indicate that the teaching of posterior composite restorations is consistent across both Palestinian dental schools. Their curricula are aligned with contemporary international practices, demonstrating a strong commitment to modern operative dentistry and adherence to global standards. These findings offer valuable insights for educators and researchers and emphasize the need for ongoing adaptations to maintain high clinical standards.

摘要

目的

本研究旨在评估巴勒斯坦两所牙科学院在后牙复合树脂修复教学方面的不同情况。

材料与方法

通过电子邮件向牙体牙髓病科和保守牙科的负责人发送问卷,以收集与后牙复合树脂修复教学实践相关的详细信息。问卷包含22个问题,旨在收集有关该主题教学时间、能力评估、每种修复类型未来的时间分配计划、相关适应证和禁忌证、应用中使用的特定材料和技术以及后牙修复收费等信息。收集到的回复在Excel中进行整理和分析。

结果

两所牙科学院在临床前牙体牙髓病课程中,分配给后牙复合树脂和银汞合金的教学时间相似。然而,在临床课程中,两所院校对复合树脂的重视程度均高于临床前课程。尽管存在这些差异,但两所院校都表示有意增加后牙复合树脂的教学时间,同时减少对银汞合金操作程序教学的重视。在能力测试、窝洞设计偏好和禁忌证方面观察到一致性,两所学校都倾向于使用槽型窝洞。此外,在操作暴露牙本质的处理和成形片技术方面存在一致性,尽管在隔湿方面存在差异。值得注意的是,两所学校都讲授了环形和分段金属成形片,但未讲授透明分段成形片或大块充填复合树脂的使用。此外,两所院校在粘接和光固化操作方面保持一致。

结论

本研究结果表明,巴勒斯坦两所牙科学院在后牙复合树脂修复教学方面是一致的。它们的课程与当代国际实践相一致,表明对现代牙体牙髓病学的坚定承诺以及对全球标准的遵循。这些发现为教育工作者和研究人员提供了有价值的见解,并强调了持续调整以维持高临床标准的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ad/11620056/6ab1ab98867f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ad/11620056/ceab412f216f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ad/11620056/6ab1ab98867f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ad/11620056/ceab412f216f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ad/11620056/6ab1ab98867f/gr2.jpg

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本文引用的文献

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Current trends in placing posterior composite restorations: Perspectives from Palestinian general dentists: A questionnair study.巴勒斯坦普通牙医对后牙复合树脂修复的当前趋势:一项问卷调查研究
J Int Soc Prev Community Dent. 2024 Apr 29;14(2):112-120. doi: 10.4103/jispcd.jispcd_157_23. eCollection 2024 Mar-Apr.
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A narrative review of minimally invasive techniques in restorative dentistry.口腔修复学中微创技术的叙述性综述
Saudi Dent J. 2024 Feb;36(2):228-233. doi: 10.1016/j.sdentj.2023.11.005. Epub 2023 Nov 4.
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Dental restoration selection by students at southern Saudi Arabian universities.
沙特阿拉伯南部大学学生对牙齿修复的选择
Bioinformation. 2022 Oct 31;18(10):986-990. doi: 10.6026/97320630018986. eCollection 2022.
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The clinical performance of bulk-fill versus the incremental layered application of direct resin composite restorations: a systematic review.大体积充填与分层直接树脂复合材料修复体临床性能的比较:系统评价。
Evid Based Dent. 2023 Sep;24(3):143. doi: 10.1038/s41432-023-00905-4. Epub 2023 Jul 4.
5
Teaching of posterior composites for the restoration of permanent teeth in undergraduate dental training programmes: Systematic review and meta-analysis.本科牙科培训计划中后牙复合材料修复的教学:系统评价和荟萃分析。
J Dent. 2023 Aug;135:104589. doi: 10.1016/j.jdent.2023.104589. Epub 2023 Jun 17.
6
Developing procedural metrics for training in class II posterior composite resin restorations: Outcomes from an international Delphi panel.制定 II 类后牙复合树脂修复体训练的程序性指标:国际 Delphi 小组的结果。
J Dent. 2023 Aug;135:104584. doi: 10.1016/j.jdent.2023.104584. Epub 2023 Jun 8.
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Resin Composites in Posterior Teeth: Clinical Performance and Direct Restorative Techniques.后牙树脂复合材料:临床性能与直接修复技术
Dent J (Basel). 2022 Nov 27;10(12):222. doi: 10.3390/dj10120222.
8
Longevity of composite restorations is definitely not only about materials.复合修复体的寿命肯定不仅仅与材料有关。
Dent Mater. 2023 Jan;39(1):1-12. doi: 10.1016/j.dental.2022.11.009. Epub 2022 Dec 7.
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Resin Composite Versus Amalgam Restorations Placed in United States Dental Schools.美国牙科学院中使用的树脂复合材料与银汞合金修复体的比较
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J Clin Med. 2022 Nov 7;11(21):6591. doi: 10.3390/jcm11216591.