目标:为了评估RAK牙科科学学院本科生犯下的程序错误,在根管治疗期间以及与这些错误相关的因素。
方法:在这项横断面研究中,发放自编问卷180份,每个包含26个问题,在4年级和5年级的学生中。参与者被要求根据其主管的反馈报告他们的牙髓事故。问卷评估了程序错误的频率和类型,考虑到患者,运算符,和牙齿相关因素。收集数据并使用卡方检验进行分析。
结果:总共对124颗根管治疗的牙齿进行了评估,这些牙齿表现出学生的医源性错误。从中,53%由五年级学生表演,69%是由女性操作员进行的。大约62%的错误发生在上牙,68%发生在后牙。橡胶坝隔离步骤中最普遍的错误是软组织创伤(21%)和隔离泄漏(20%),与有限的张嘴显著相关,过度流涎,和牙齿排列不良(p<0.05)。根尖堵塞(15%)是仪表阶段最常见的错误,显示与管径和曲率显著相关(p<0.05)。对于进入腔和闭塞阶段,欠扩展腔(9%),填充不足(11%)是报告最多的错误,分别。
结论:牙齿隔离对于牙科学生来说是一个特别具有挑战性的方面,特别是在处理张口受限和流涎过多的患者时。
结论:临床指导者在处理张口受限的患者时,应提醒本科生牙髓手术错误的风险增加,过度流涎,齿错位,狭窄的运河。应对这些挑战对于提高本科生成功进行根管治疗的熟练程度至关重要。如何引用这篇文章:ElsayedMA,伊斯兰教MS,SalehDR,etal.本科牙科学生牙髓手术错误及其相关因素:一项横断面研究。JContempDentPract2023;24(12):998-1007。
OBJECTIVE: To assess the procedural errors committed by undergraduate students at RAK College of Dental Sciences, during root canal treatments and the factors associated with these errors.
METHODS: In this cross-sectional
study, 180 self-administered questionnaires were distributed, each comprising 26 questions, among 4th and 5th-year students. Participants were requested to report their endodontic mishaps based on feedback from their supervisors. The questionnaire assessed the frequency and types of procedural errors, considering patient, operator, and tooth-related factors. Data were collected tabulated and analyzed using the Chi-square test.
RESULTS: A total of 124 root canal-treated teeth exhibiting iatrogenic errors done by students were assessed. Out of which, 53% were performed by 5th-year students, and 69% were conducted by female operators. About 62% of errors occurred in the upper teeth and 68% in the posterior teeth. The most prevalent errors during the rubber dam isolation step were soft tissue trauma (21%) and isolation leakage (20%), significantly associated with limited mouth opening, excessive salivation, and tooth malalignment (p < 0.05). Apical blockage (15%) emerged as the most frequent error during instrumentation phase, showing a significant association with canal dimension and curvature (p < 0.05). For access cavity and obturation phases, under-extended cavity (9%), and under-extended filling (11%) were the most reported errors, respectively.
CONCLUSIONS: Tooth isolation emerges as a particularly challenging aspect for dental students, particularly when dealing with patients exhibiting limited mouth opening and excessive salivation.
CONCLUSIONS: Clinical instructors should caution the undergraduates about the heightened risk of endodontic procedural errors when dealing with patients exhibiting limited mouth opening, excessive salivation, tooth misalignment, and narrow canals. Addressing these challenges is crucial for enhancing the proficiency of undergraduate students in performing successful root canal treatments. How to cite this article: Elsayed MA, Islam MS, Saleh DR, et al. Endodontic Procedural Errors and Associated Factors among Undergraduate Dental Students: A Cross-sectional
Study. J Contemp Dent Pract 2023;24(12):998-1007.