dentist

牙医
  • 文章类型: Clinical Trial Protocol
    背景:拔牙手术通常会导致骨吸收,这可能会对牙槽骨的尺寸产生不利影响。研究表明,在这种情况下,使用骨移植替代品的插座保存技术可以有效地减少早期骨丢失。α-硫酸钙半水合物(α-CSH)作为一种潜在的骨移植材料,由于其良好的性能而受到了广泛的关注。包括骨传导性,血管生成潜力,和生物相容性。考虑到这些事实,我们开发了应用α-CSH解决拔牙后牙槽骨丢失的初步方案。
    目的:这项研究的总体目标是评估α-CSH作为拔牙后保留牙槽的骨诱导移植材料的可行性和初始有效性。
    方法:这项初步临床试验将涉及30个来自18-35岁个体的新鲜拔牙槽。参与者将分为2组:一组将在拔牙后接受α-CSH移植材料以保存牙槽,而另一组不会接受任何移植材料。在整个研究过程中,将密切监测参与者的安全措施,其中包括临床检查,射线成像,和血液测试。射线照相成像将被广泛地用于辅助骨形成的进展。
    结果:该研究于2022年8月开始注册,并计划于2023年底结束后评估和分析。这项研究的结果预计将在2024年底公布。
    结论:这项临床研究代表了在人类中评估α-CSH在牙槽骨再生中的可行性和功效的初步研究。我们假设包含α-CSH可以大大加快新鲜插座内骨形成的过程,导致骨高度的迅速恢复,而没有与收获自体骨移植物相关的缺点。
    背景:印度尼西亚注册中心INA-D02FAHP;https://tinyurl.com/2jnf6n3s。
    DERR1-10.2196/49922。
    BACKGROUND: Tooth extraction procedures often lead to bone resorption, which can have adverse effects on the dimensions of the alveolar ridge. Research has shown that socket preservation techniques using bone graft substitutes can effectively minimize early bone loss in such cases. α-calcium sulfate hemihydrate (α-CSH) has garnered significant attention as a potential bone graft material due to its favorable properties, including osteoconductivity, angiogenic potential, and biocompatibility. Considering these facts, we developed a preliminary protocol for applying α-CSH in addressing alveolar bone loss following tooth extraction.
    OBJECTIVE: This research\'s general objective is to evaluate the feasibility and initial effectiveness of α-CSH as bone-inducing graft material for socket preservation after tooth extraction.
    METHODS: This preliminary clinical trial will involve 30 fresh extraction sockets from individuals aged 18-35 years. The participants will be divided into 2 groups: one group will receive α-CSH graft material after tooth extraction for socket preservation, while the other group will not receive any graft material. Throughout the study, the participants will be closely monitored for safety measures, which will include clinical examinations, radiographic imaging, and blood tests. Radiographic imaging will be used extensively to assist the progress of bone formation.
    RESULTS: The study commenced enrollment in August 2022 and is scheduled to conclude post assessments and analyses by the end of 2023. The results of the study are anticipated to be accessible in late 2024.
    CONCLUSIONS: This clinical study represents the initial investigation in humans to assess the feasibility and efficacy of α-CSH in alveolar bone regeneration. We hypothesize that the inclusion of α-CSH can greatly expedite the process of bone formation within fresh sockets, resulting in a swift restoration of bone height without the disadvantages associated with harvesting autogenous bone graft.
    BACKGROUND: Indonesia Registry Center INA-D02FAHP; https://tinyurl.com/2jnf6n3s.
    UNASSIGNED: DERR1-10.2196/49922.
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  • 文章类型: Journal Article
    背景:跨专业教育(IPE)促进跨专业协作实践(IPCP),以鼓励牙科护理专业人员之间的团队合作,并日益成为牙科和牙科技术学生培训计划的一部分。然而,以前的IPE和IPCP研究的重点主要是学生和教师的主观看法,而不包括对合作实践的客观评估作为结果衡量标准。
    目的:本研究的目的是开发适用于牙科和牙科技术学生的新型虚拟和跨专业客观结构化临床检查(viOSCE)的框架,评估框架作为衡量IPE成果的工具的有效性,并在牙科和牙科技术学生中推广IPCP。
    方法:提出的新颖viOSCE的框架是使用改进的Delphi方法开发的,然后进行了试点。首席研究员和一组专家确定了内容和评分系统。使用“跨专业学习准备量表”和自制量表收集主观数据,和客观数据收集使用审查员评级。使用非参数检验对数据进行分析。
    结果:我们成功开发了适用于牙科和牙科技术学生的viOSCE框架。50名学生中,32人(64%)参加了试点研究并完成了问卷。在准备跨专业学习量表的基础上,主观评价表明,团队合作能力得到了提高,2个专业组之间的参与者动机差异仅有统计学意义(P=.004)。对于viOSCE评估量表,可摘口腔修复专业组之间的差异有统计学意义,并注意到主观和客观分数之间的负相关趋势,但没有统计学意义。
    结论:结果证实,viOSCE可以用作评估IPE和IPCP结果的客观评估工具。这项研究还揭示了相互评估和IPCP结果之间的有趣关系,进一步表明,IPE和IPCP的结果迫切需要用客观的评估工具来补充。因此,实施viOSCE作为大型和更完整的客观结构化临床考试的一部分,以测试学生满足本科毕业要求的能力将是我们未来研究的重点。
    BACKGROUND: Interprofessional education (IPE) facilitates interprofessional collaborative practice (IPCP) to encourage teamwork among dental care professionals and is increasingly becoming a part of training programs for dental and dental technology students. However, the focus of previous IPE and IPCP studies has largely been on subjective student and instructor perceptions without including objective assessments of collaborative practice as an outcome measure.
    OBJECTIVE: The purposes of this study were to develop the framework for a novel virtual and interprofessional objective structured clinical examination (viOSCE) applicable to dental and dental technology students, to assess the effectiveness of the framework as a tool for measuring the outcomes of IPE, and to promote IPCP among dental and dental technology students.
    METHODS: The framework of the proposed novel viOSCE was developed using the modified Delphi method and then piloted. The lead researcher and a group of experts determined the content and scoring system. Subjective data were collected using the Readiness for Interprofessional Learning Scale and a self-made scale, and objective data were collected using examiner ratings. Data were analyzed using nonparametric tests.
    RESULTS: We successfully developed a viOSCE framework applicable to dental and dental technology students. Of 50 students, 32 (64%) participated in the pilot study and completed the questionnaires. On the basis of the Readiness for Interprofessional Learning Scale, the subjective evaluation indicated that teamwork skills were improved, and the only statistically significant difference in participant motivation between the 2 professional groups was in the mutual evaluation scale (P=.004). For the viOSCE evaluation scale, the difference between the professional groups in removable prosthodontics was statistically significant, and a trend for negative correlation between subjective and objective scores was noted, but it was not statistically significant.
    CONCLUSIONS: The results confirm that viOSCE can be used as an objective evaluation tool to assess the outcomes of IPE and IPCP. This study also revealed an interesting relationship between mutual evaluation and IPCP results, further demonstrating that the IPE and IPCP results urgently need to be supplemented with objective evaluation tools. Therefore, the implementation of viOSCE as part of a large and more complete objective structured clinical examination to test the ability of students to meet undergraduate graduation requirements will be the focus of our future studies.
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  • 文章类型: Journal Article
    牙科毕业生有各种各样的职业道路选择。毕业后,他们可以加入私人牙科诊所,政府或医院的牙科护理服务,研究小组,学术界,商业或工业。随着全球化和国际交流的频繁,现在,牙科毕业生可以探索自己国家以外的职业。然而,不同地区和国家的牙科教育系统和工作机会差异很大。牙科教育认证的多样性,不同的执照要求,缺乏全球牙科护理能力往往限制了全球化,全球牙科实践和教育的运作和生存。对专业教育和实践的要求可以相当多样,这些差异将成为牙科毕业生在本国以外寻求职业发展的障碍。应届牙科毕业生在求职方面的经验很少。更具体地说,他们不熟悉潜在的职业道路。本文基于香港大学组织的第四届三边研讨会2022,东北大学,福建医科大学,举办讲座,讨论香港牙科毕业生的职业道路,Japan,和中国大陆。本文的目的是提供牙医,特别是刚毕业的牙科学生,对香港(中国特别行政区,SAR),日本和中国大陆,以及可能影响他们职业选择的因素。它帮助牙科学生探索牙科的可能性,并在牙科学校毕业后为他们的职业发展做准备。
    Dental graduates have a variety of career-path choices. After graduation, they may join private dental practice, government- or hospital-based dental care services, research groups, academia, business or industry. With globalization and frequent international exchange, dental graduates nowadays can explore careers outside their home country. However, dental education systems and job opportunities vary widely across different regions and countries. Diversity of accreditation in dental education, different licensure requirements, and lack of global competencies in dental care often limit the globalization, operation and survival of dental practice and education worldwide. The requirements for professional education and practice can be quite diverse, and these differences will be barriers to dental graduates seeking career development outside their home home country. Fresh dental graduates have minimal experience in job hunting. More specifically, they are unfamiliar with potential career paths. This paper was based on the 4th trilateral symposium 2022 organized by The University of Hong Kong, Tohoku University, and Fujian Medical University, which offered a lecture to discuss career paths for dental graduates in Hong Kong, Japan, and mainland China. The aim of this paper was to provide dentists, particularly fresh graduated dental students, with practical insight into different career paths in Hong Kong (Special Administrative Region of China, SAR), Japan and mainland China, and factors that may influence their career options. It assists dental students in exploring possibilities in dentistry and preparing for their career development after graduation from dental school.
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  • 文章类型: Journal Article
    Background: The epidemic infection of coronavirus disease 2019 (COVID-19) may have a profound impact on dentistry, mainly due to the mode of transmission of the pathogen, which poses a risk to almost all dental operations. Therefore, this study aimed to investigate the prevalence and influencing factors of anxiety, depression, perceived stress, and acute stress disorder among dental medical staff in emergency situations during the COVID-19 epidemic. Methods: From April 3, 2020, to April 10, 20204, a multicenter cross-sectional study was conducted among 808 first-line dental professionals at an emergency department in mainland China. A self-designed questionnaire was used to collect general demographic information. The 7-item Generalized Anxiety Disorder Scale (GAD-7), 9-item Patient Health Questionnaire (PHQ-9), 10-item Perceived Stress Scale (PSS-10), and Acute Stress Disorder Scale (ASDS) were used to assess the severity of symptoms of anxiety, depression, perceived stress, and acute stress disorder (ASD), respectively. Results: The prevalence rates of depression, anxiety, perceived pressure, and ASD among the frontline dental medical staff were 46.4, 36.3, 65.2, and 1.1%, respectively. The frontline dental medical staff who were working in the Wuhan area reported experiencing more anxiety (p = 0.038) and perceived stress (p < 0.001) compared with those who were not working in the Wuhan area. The frontline dental medical staff who were working in a general hospital reported experiencing more dissociation symptoms (p = 0.001) compared with those working in a specialized or private hospital. Individuals with a past medical history reported experiencing more anxiety (p = 0.009), depression (p < 0.001), and perceived stress (p = 0.003) than those without, and individuals with lower levels of education showed higher levels of anxiety (p = 0.038). Binary logistic regression analysis results (after controlling for other confounders) suggested that having a past medical history was a risk factor for both anxiety (p = 0.002; OR = 2.441; 95% CI, 1.384-4.306) and perceived stress (p = 0.001; OR = 1.417; 95% CI, 1.145-1.754). Conclusions: The prevalence of mental symptoms was high among the first-line emergency dental staff. Male sex, working in the Wuhan area, working in a general hospital, a past medical history, and lower levels of education were risk factors. Therefore, we need to pay close attention to the mental health problems of frontline dentists during the COVID-19 outbreak and adopt active preventive strategies to maintain their physical and mental health.
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  • 文章类型: Journal Article
    OBJECTIVE: The aim of the present investigation was to describe the distribution, structure and allocation of oral health services personnel, evaluate oral health service capacity and predict the needs for oral health services in northern China over the coming 10 years.
    METHODS: The questionnaires were sent to all the dental medical institutions included in this study directly from the Sanitation Bureau and the Health Supervision Station. All the institutions and dental personnel were asked to fill out the questionnaires, and then, the questionnaires were collected through postal service and email.
    RESULTS: In Liaoning Province, which is in northern China, there are a total of 5617 dentists in total, 87.8% of whom are located in urban areas. Dentists in rural areas were found to be less educated and specialized. The ratio of dentists to nurses to technicians was about 6:2:1, and the ratio of dentists to total population was 1:7682. It was predicted that, in 2020, the number of dentists could reach 13 207. This would meet the area\'s needs for oral health services.
    CONCLUSIONS: Currently, in northern China, the oral health infrastructure suffers from an insufficient number of dental professionals, disproportionate distribution and inappropriate structure. To improve social equity, it is necessary to adjust the distribution of dental personnel capable of performing for oral health services.
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