内牙教育:基于对与根管治疗相关因素的观察研究的反思 技术质量
Alexander P Jardine1, Roberta K Scarparo1, Fernanda G Pappen2
1Graduate Program in Dentistry, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil.
Journal of dental education
|February 23, 2026
概括
根管曲率显著影响牙科学生进行的根管治疗 (RCT) 的技术质量. 教师应该加强培训,以解决复杂的案例,并改善整体RCT结果.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科教育 牙科教育
- 公共卫生 公共卫生
背景情况:
- 根管治疗 (RCT) 是一种常见的牙科手术.
- 评估牙科学生进行的RCT的质量对于改善牙科教育至关重要.
- 确定影响RCT成功的因素对于患者的治疗结果至关重要.
研究的目的:
- 为了确定由本科牙科学生进行的技术上令人满意的根管治疗 (RCT) 的普及率.
- 确定与不令人满意的RCT结果相关的手术前和手术内因素.
主要方法:
- 一项横截面研究分析了巴西三年级和四年级牙科学生的462个RCT.
- 放射性评估使用了欧洲牙周学会 (ESE) 的指导方针 (没有密封器挤出 - NSE,接受密封器挤出 - ASE).
- 双变量和多变量逻辑回归分析了牙类型,仪器仪表,道曲率和再吸收等变量.
主要成果:
- 令人满意的RCT率为45.9% (NSE) 和62.3% (ASE).
- 根管曲率 (>7°对于NSE,>12°对于ASE) 是不令人满意的技术质量最强的预测指标 (p < 0.001).
- 角根吸收也与失败相关 (NSE模型,p = 0.028).
结论:
- 根管曲率显著影响学生执行的RCT的技术质量.
- 本科牙科课程需要强调识别和管理复杂的病例.
- 持续开发培训策略对于提高学生和专业内牙科技能至关重要.
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