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本科临床前牙科学生进行的下颌磨牙根管充填质量的评估与比较。

Evaluation and comparison of mandibular molar root canal filling quality performed by undergraduate preclinical dental students.

作者信息

Ayhan Muhammed, Yıldız Tuğçenur, Protogerou Eleni

机构信息

Department of Endodontics, Faculty of Dentistry, Burdur Mehmet Akif Ersoy University, Burdur, 15000, Turkey.

Department of Endodontics, Faculty of Dentistry, Sakarya University, Sakarya, 54000, Turkey.

出版信息

Sci Rep. 2025 Apr 30;15(1):15149. doi: 10.1038/s41598-025-00196-y.

Abstract

The present study aims to evaluate the quality of root canal fillings (RCFs) on extracted mandibular molars performed by undergraduate students during their preclinical training which spans 2 academic years. Endodontics records and periapical radiographs of 260 extracted human first and second mandibular molars without site specification consisted the sample of this retrospective cross-sectional study. All root canal fillings were performed by undergraduate students during the preclinical phase of their training The samples collected were assessed using radiographs based on three quality criteria: length, density, and taper. Chi-square test was used for statistical analysis and Cohen's Kappa coefficient was implemented to assess inter-rater reliability. The majority of the evaluated RCFs were of inadequate quality. Of the 260 mandibular molars included in the study, 67 (25.8%) were deemed sufficient in terms of overall technical quality across both academic years. 3rd-year students (44.5%) were significantly more efficient compared to their 2nd- year counterparts (12.0%) regarding the overall technical quality of RCFs (p < 0.05). RCFs performed by the 3rd -year students, were of relatively higher quality compared with those performed by the 2nd-year trainees. However, the overall technical quality of RCFs was inadequate. Improvement of the current curriculum should be considered by incorporating contemporary techniques and materials to enhance the performance of undergraduate students on RCFs, before entering the clinical phase of their training.

摘要

本研究旨在评估本科生在为期2个学年的临床前培训期间,对拔除的下颌磨牙进行根管充填的质量。本项回顾性横断面研究的样本包括260颗未指明部位的拔除的人类下颌第一和第二磨牙的牙髓病记录及根尖片。所有根管充填均由本科生在培训的临床前阶段完成。收集的样本通过根尖片,依据长度、密度和锥度这三个质量标准进行评估。采用卡方检验进行统计分析,并使用科恩kappa系数评估评分者间的可靠性。大多数评估的根管充填质量不足。在本研究纳入的260颗下颌磨牙中,就两个学年的整体技术质量而言,67颗(25.8%)被认为是充足的。在根管充填的整体技术质量方面,三年级学生(44.5%)相比二年级学生(12.0%)显著更高效(p<0.05)。三年级学生进行的根管充填与二年级实习生进行的相比,质量相对更高。然而,根管充填的整体技术质量仍不足。在进入临床培训阶段之前,应考虑通过纳入当代技术和材料来改进当前课程,以提高本科生在根管充填方面的表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7878/12043818/de4c2252b522/41598_2025_196_Fig1_HTML.jpg

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