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牙科专业人员和学生在牙髓治疗程序中关于根管充填的知识、认知和实践:一项全国性横断面调查。

Knowledge, perceptions, and practices of dental professionals and students regarding obturation in endodontic procedures: a nationwide cross-sectional survey.

作者信息

Garde Kalyani, Pawar Ajinkya M, Bhardwaj Anuj, Atram Jatin, Arora Suraj, Wahjuningrum Dian Agustin, Huri Maria Febritania Wahyuni, Kurnia Dennys

机构信息

Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai, Maharashtra, India.

Department of Conservative Dentistry and Endodontics, College of Dental Sciences & Hospital, Rau, Indore, Madhya Pradesh, India.

出版信息

PeerJ. 2025 Jun 3;13:e19455. doi: 10.7717/peerj.19455. eCollection 2025.

DOI:10.7717/peerj.19455
PMID:40487066
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12143286/
Abstract

BACKGROUND

The purpose of this study is to analyze dental professionals' and students' current understanding, attitudes, and usage of obturation trends in endodontic management.

METHODS

A national cross-sectional survey of 422 dental professionals and students was carried out using a structured questionnaire The questionnaire included 34 multiple-choice questions concerning demographics, knowledge, attitudes, and practices relevant to endodontic obturation. A combination of convenience and snowball sampling was used to recruit participants. The study applied descriptive statistics and the chi-square test of proportion with a significance threshold of  < 0.05 and a 95% confidence interval for analysis to assess the participants' comprehension, attitudes, and use of obturation procedures.

RESULTS

The study comprised 422 participants, the majority of whom were females (68.0%) with an average age of 24.55 ± 3.31 years. Final-year students, interns, postgraduate students, dentistry faculty, and private practitioners were among those who took part. The majority of respondents (91.2%) correctly identified the goal of root canal obturation and identified Gutta Percha and Sealer as the standard obturation material (98.8%). Obturation has a significance in root canal treatment results, according to 81.0% of respondents. 64.5% were willing to explore new obturation methods, and 72.0% said they would use newer obturation materials or equipment if it was advantageous. In routine, lateral compaction was the primary obturation technique (73.2%), with just 4.0% using a rubber dam on a regular basis. Only a small percentage (11.1%) were happy with the present efficiency and predictability of obturation procedures, whereas 58.8% noted occasional difficulties in attaining proper root canal obturation. Documentation methods were subpar, with 43.6% regularly noting obturation techniques and materials in patients' records. A sizable proportion (58.5%) underwent retreatment operations for unsuccessful obturations, highlighting the need for improved obturation outcomes. Bioceramic sealer use and comprehension varied greatly (11.1% utilized it).

CONCLUSIONS

In conclusion, this study emphasizes the need of better knowledge and application of obturation trends in endodontics. Key findings include a desire for better materials, an understanding of the importance of obturation, and an openness to new ideas. The difficulties in getting optimal results underline the need of standardized education.

摘要

背景

本研究旨在分析牙科专业人员和学生目前对牙髓治疗中根管充填趋势的理解、态度及应用情况。

方法

采用结构化问卷对422名牙科专业人员和学生进行全国性横断面调查。问卷包含34个多项选择题,涉及与根管充填相关的人口统计学、知识、态度和实践。采用便利抽样和滚雪球抽样相结合的方法招募参与者。本研究应用描述性统计以及比例的卡方检验进行分析,显著性阈值<0.05,置信区间为95%,以评估参与者对根管充填程序的理解、态度和应用情况。

结果

该研究共纳入422名参与者,其中大多数为女性(68.0%),平均年龄为24.55±3.31岁。参与人员包括最后一年的学生、实习生、研究生、牙科教员和私人执业者。大多数受访者(91.2%)正确识别了根管充填的目标,并将牙胶尖和封闭剂视为标准的充填材料(98.8%)。81.0%的受访者认为根管充填对根管治疗结果具有重要意义。64.5%的人愿意探索新的根管充填方法,72.0%的人表示如果有利,他们会使用更新的根管充填材料或设备。在常规操作中,侧向加压是主要的根管充填技术(73.2%),只有4.0%的人经常使用橡皮障。只有一小部分人(11.1%)对目前根管充填程序的效率和可预测性感到满意,而58.8%的人指出在实现恰当的根管充填时偶尔会遇到困难。记录方法欠佳,43.6%的人在患者记录中定期记录根管充填技术和材料。相当一部分人(58.5%)因根管充填失败而接受了再治疗手术,这凸显了改善根管充填效果的必要性。生物陶瓷封闭剂的使用和理解差异很大(11.1%的人使用过)。

结论

总之,本研究强调了更好地了解和应用牙髓病学中根管充填趋势的必要性。主要发现包括对更好材料的需求、对根管充填重要性的理解以及对新观念的开放性。在获得最佳效果方面存在的困难凸显了标准化教育的必要性。

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