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Eskibağlar M, Erdem S, Kaman MO. Evaluation of the effect of different rubber dam clamps on the mandibular first molar with Finite element analysis. Comput Methods Biomech Biomed Engin 2024; 27:1704-1713. [PMID: 37675586 DOI: 10.1080/10255842.2023.2254882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 08/21/2023] [Accepted: 08/23/2023] [Indexed: 09/08/2023]
Abstract
The aim of this study was to evaluate the stress induced by clamps made of different materials on mandibular first molar teeth using finite element analysis. The tooth model to be used in the study was created using micro-CT scanner and the rubber dam clamp model was created in three dimensions (3D) using Solidworks and applied to a finite element tooth model of an intact mandibular first molar. The size of the clamp opening and the force to be applied were calculated according to the buccolingual distances of the tooth. The contact areas of the clamps on the tooth were determined and subjected to force. The stress distribution patterns and maximum von Mises stresses were calculated and compared against these forces. The most stress against these forces occurred in the enamel tissue on the distal side where the clamp was in contact with the tooth. The stress value in the stainless steel clamp (191.63 MPa) was approximately 85% higher than the clamp made of polyethylene ketone (103.85 MPa). The stress in the dentin and pulp tissue of the tooth was negligible. Clinicians should examine the enamel tissue below the equatorial line of the tooth in detail before clamp application. The forces exerted by stainless steel clamps can cause damage to the enamel tissue of the tooth or progression of an existing enamel crack.
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Affiliation(s)
- Mehmet Eskibağlar
- Department of Endodontics, Faculty of Dentisry, Fırat University, Elazığ, Turkey
| | - Serkan Erdem
- Department of Mechanical Engineering, Engineering Faculty, Firat University, Elazığ, Turkey
| | - Mete Onur Kaman
- Department of Mechanical Engineering, Engineering Faculty, Firat University, Elazığ, Turkey
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Saleem NE, Baitalmal AY, Alsamman RM, Sembawa SN. Attitude of Dental Students Toward Rubber Dam Application: A Cross-Sectional Study. Cureus 2024; 16:e60503. [PMID: 38883128 PMCID: PMC11180472 DOI: 10.7759/cureus.60503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/17/2024] [Indexed: 06/18/2024] Open
Abstract
Introduction The rubber dam (RD) system is globally recognized as an indispensable component of dental treatments, ensuring the highest standards of care. The use of RD isolation profoundly impacts the clinical aspects of dental procedures. The aim of this study was to assess the attitudes of dental students toward the use of RD, with an emphasis on evaluating the factors influencing its use among students at Umm Al-Qura University in Makkah city, Kingdom of Saudi Arabia. Methods An online questionnaire was distributed to a population sample of 203 undergraduate dental students in their clinical years at Umm Al-Qura University. Questions covered various aspects, including the frequency of RD use, perceptions of its effectiveness, and prospective intentions for its future use, as well as factors influencing these attitudes. Statistical analysis was performed using SPSS software Version 26 (IBM Corp., Armonk, NY, USA). In addition, the chi-square test and Fisher-Freeman-Halton exact test were used for the comparison of the data at a significance level of p<0.05. Results The questionnaire was completed by 191 participants, with a response rate of 95.5%. Of the students, 189 (99%) used RD during operative procedures for adhesive restorations. Furthermore, 157 (82.2%) students agreed that proper isolation cannot be achieved without RD application. All the advantages of RD application were recognized by 165 (85.9%) of the students. Notably, there was a significant association between the factors limiting the RD application and the students' academic year (p<0.05), with senior students reporting fewer limitations. Responses indicated that 163 (85.3%) of the students received satisfactory training for RD and 165 (86.4%) students had a high intention to continue using RD following graduation. Conclusion Within the limitations of this study, it can be concluded that the results presented a positive attitude toward RD use. However, there is a continued necessity to enhance education and advocate consistent RD application for improved patient care and clinical outcomes.
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Affiliation(s)
- Nagham E Saleem
- College of Dental Medicine, Umm Al-Qura University, Makkah, SAU
| | | | - Reham M Alsamman
- Division of Operative Dentistry, Department of Restorative Dentistry, College of Dental Medicine, Umm Al-Qura University, Makkah, SAU
| | - Shahinaz N Sembawa
- Division of Dental Public Health, Department of Preventive Dentistry, College of Dental Medicine, Umm Al-Qura University, Makkah, SAU
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Alayouni AA, Alharkan HM. Rubber Dam Isolation Survey among Dental Students in Al-Qassim University and How to Promote its Usage. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2024; 16:S1657-S1662. [PMID: 38882844 PMCID: PMC11174262 DOI: 10.4103/jpbs.jpbs_1256_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 01/06/2024] [Accepted: 01/15/2024] [Indexed: 06/18/2024] Open
Abstract
Rubber dam isolation is crucial in dentistry, but its use varies among dental students. There is a need to assess their awareness, attitudes, and practices and find ways to promote its usage. To evaluate dental students' knowledge and practices regarding rubber dam isolation and identify barriers to its use. The study employed a cross-sectional design to assess dental students' knowledge and practices regarding rubber dam isolation. Data were collected from dental students at Al-Qassim University during the period from January to March 2023. A convenience sampling method was used, involving students from the third, fourth, and fifth academic years, with a total of 62 questionnaires distributed. A pre-tested questionnaire consisting of 11 closed-ended questions was used to collect data, and the analysis was performed using SPSS version 21, with results presented through descriptive statistics. Only 21% always used rubber dam for amalgam restorations, while 53.2% used it for composite restorations. Over 70% believed their education on rubber dam was adequate. The main barriers were difficulty (40.3%) and time constraints (53.2%). About 68% felt rubber dam should be mandatory for composite treatments. Dental students need more education and training to bridge the gap between knowledge and practice concerning rubber dam isolation. Implementing it can enhance the quality of dental care.
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Affiliation(s)
| | - Hamad Mohammad Alharkan
- Department of Conservative Dental Sciences and Endodontics, College of Dentistry, Qassim University, Buraydah, 52571, Qassim, Saudi Arabia
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Bokhari AM, Vinothkumar TS, Albar N, Basheer SN, Felsypremila G, Khayat WF, Zidane B, Apathsakayan R. Barriers in Rubber Dam Isolation Behaviour of Dental Students During Adhesive Restorative Treatments: A Cross-Sectional Study. Cureus 2024; 16:e58329. [PMID: 38752044 PMCID: PMC11095839 DOI: 10.7759/cureus.58329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/12/2024] [Indexed: 05/18/2024] Open
Abstract
PURPOSE There are unfavorable opinions connected with rubber dam isolation amongst dental students during adhesive restorative treatments. The aim of this study was to investigate the various barriers to practicing rubber dam isolation during dental procedures and provide necessary insight towards implementation of rubber dam among undergraduate dental students in Jazan. MATERIALS AND METHODS A pre-validated questionnaire in English entitled Rubber Dam Isolation Survey (E-RDIS) based on the Capability Opportunity Motivation-Behaviour (COM-B) model of behavioral change wheel was responded by 226 university dental students. RESULTS The satisfaction of training was highest among sixth year students (Mean=3.57, p<0.001). Fourth year dental students scored higher in the capability (Mean=3.18) and were more highly motivated to use rubber dams (Mean=4.21). Third year students were more likely to use rubber dams in anterior teeth (Mean=3.52) whereas fourth year students use rubber dam in posterior teeth (Mean=3.74). Lack of motivation was found to be the significant barrier influencing rubber dam usage (odds ratio (OR)=12.1; 3.74, p<0.05). CONCLUSION The satisfaction with training differed among the students of different years. The rubber dam technique might be used more frequently if it were made clear to students that mastering it would be necessary for them to receive good grades.
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Affiliation(s)
- Ahmed M Bokhari
- Department of Preventive Dental Sciences, Division of Community Dentistry, College of Dentistry, Jazan University, Jazan, SAU
| | - Thilla Sekar Vinothkumar
- Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, Jazan University, Jazan, SAU
| | - Nassreen Albar
- Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, Jazan University, Jazan, SAU
| | - Syed Nahid Basheer
- Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, Jazan University, Jazan, SAU
| | - Gnanasekaran Felsypremila
- Department of Clinical Research, Sri Ramachandra Faculty of Clinical Research, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - Waad F Khayat
- Department of Restorative Dentistry, College of Dentistry, Umm Al-Qura University, Makkah, SAU
| | - Bassam Zidane
- Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, SAU
| | - Renugalakshmi Apathsakayan
- Department of Preventive Dental Sciences, Division of Pedodontics, College of Dentistry, Jazan University, Jazan, SAU
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Kiraz G, Mumcu AK, Kurnaz S. YouTube as a source of information about rubber dam: quality and content analysis. Restor Dent Endod 2024; 49:e10. [PMID: 38449493 PMCID: PMC10912544 DOI: 10.5395/rde.2024.49.e10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Revised: 12/13/2023] [Accepted: 12/21/2023] [Indexed: 03/08/2024] Open
Abstract
Objectives This study aimed to evaluate the content, quality and demographics of YouTube videos about rubber dam as an information source for clinicians and dental students. Materials and Methods "Rubber dam," "rubber dam application," "dental isolation," "rubber dam isolation," and "dental dam" were determined as keywords for the detection of YouTube videos related to rubber dam. Seventy 3 videos were evaluated and a total of 34 videos met the inclusion criteria. All selected videos were evaluated according to 8 parameters. The videos were scored 1 if the videos contained information about the selected parameter, but if the videos did not contain enough information, they were scored 0. The data were statistically analyzed with the analysis of variance and post hoc Tukey test (p < 0.05). Results We found that 41% of the videos have poor, 47% have moderate, and 12% have good information. There is a statistically significant difference in time between poor and good information content (p < 0.05). There is a statistically significant difference between the poor and good information in the video information and quality index 1. Conclusions Rubber dam-related videos available on YouTube are generally moderately informed and insufficient. YouTube is currently not sufficient as a source of information for patients and clinicians at the moment. The YouTube platform should be developed and enriched with quality information on current and dental issues.
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Affiliation(s)
- Gülsen Kiraz
- Department of Endodontics, Faculty of Dentistry, Kutahya Health Sciences University, Kütahya, Turkey
| | - Arzu Kaya Mumcu
- Department of Endodontics, Faculty of Dentistry, Kutahya Health Sciences University, Kütahya, Turkey
| | - Safa Kurnaz
- Department of Endodontics, Faculty of Dentistry, Kutahya Health Sciences University, Kütahya, Turkey
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Elsayed MA, Islam MS, Saleh DR, Alnahdi AM, Padmanabhan V. Endodontic Procedural Errors and Associated Factors among Undergraduate Dental Students: A Cross-sectional Study. J Contemp Dent Pract 2023; 24:998-1007. [PMID: 38317399 DOI: 10.5005/jp-journals-10024-3614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
AIMS AND BACKGROUND 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. MATERIALS AND 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. CONCLUSION Tooth isolation emerges as a particularly challenging aspect for dental students, particularly when dealing with patients exhibiting limited mouth opening and excessive salivation. CLINICAL SIGNIFICANCE 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.
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Affiliation(s)
- Mohamed A Elsayed
- Department of Endodontics, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates; Department of Endodontics, Faculty of Dentistry, Assiut University, Assiut, Egypt, Phone: +97172222593, e-mail: , Orcid: https://orcid.org/0000-0003-2058-9804
| | - Md Sofiqul Islam
- Department of Operative Dentistry, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates, Orcid: https://orcid.org/0000-0003-0604-9553
| | - Duaa R Saleh
- Department of Clinical Sciences, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates
| | - Amal M Alnahdi
- Department of Clinical Sciences, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates
| | - Vivek Padmanabhan
- Department of Pediatric and Preventive Dentistry, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates
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Perception of Dental House Officers regarding Endodontic File Separation during Endodontic Treatment. BIOMED RESEARCH INTERNATIONAL 2023; 2023:1044541. [PMID: 36845639 PMCID: PMC9949941 DOI: 10.1155/2023/1044541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Revised: 02/07/2023] [Accepted: 02/08/2023] [Indexed: 02/18/2023]
Abstract
Background Despite of having improved endodontic file designs as well as the reinforced metal alloy file structure, intracanal endodontic file separation (EFS) is still a very problematic and worrisome dental incident, which usually occurs without any visible signs of permanent deformation. Further, there have been conflicting reports regarding the clinical significance of leaving separated files within root canals. Aims The aim of this study was to look into the current perceptions and awareness about file separation during endodontic treatment among the dental house officers (DHOs). Materials and Methods A novel validated questionnaire comprising of 15 close-ended questions was distributed anonymously via Google Forms through email to 1100 DHOs across Pakistan. The questionnaire consisted of two parts: the first component (Section I) collected demographic data and the second component (Section II) investigated the causes of EFS during root canal treatment. Following the completion of socioeconomic information, including age and gender, the DHOs were asked to answer a few questions about the various reasons for endodontic instrument fracture. Results A total of 800 responses were recorded, with an effective rate of 72.8%. The majority of the DHOs (p value < 0.001) perceived that endodontic instrument fracture occurred in the posterior (61.5%) and apical third of the canal (50.5%) and in older permanent dentition (67.3%), possibly due to patient anxiety (62%). Better choice of instrument (61.15%), operators' experience (95.3%), knowledge (87.5%), and proper root canal cleaning (91.1%) are believed to be the vital steps in reducing endodontic file separation/fracture. Furthermore, majority of them (p value < 0.001) perceived that stainless steel was a superior alloy for filing instruments. Manual files tend to be more prone to fractures due to repeated use than rotary files. Conclusion This study demonstrated that young DHOs had adequate knowledge and awareness regarding the potential predisposing factors and handling techniques for EFS. This study thereby provides an evaluating tool to access the insights of the current perceptions and awareness of DHOs concerning EFS.
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Alreshaid L, El-Badrawy W, Kulkarni G, Santos MJ, Prakki A. Resin Composite Versus Amalgam Restorations Placed in United States Dental Schools. Oper Dent 2023; 48:21-32. [PMID: 36472481 DOI: 10.2341/22-007-c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/15/2022] [Indexed: 12/12/2022]
Abstract
OBJECTIVES To investigate the latest teaching policies for posterior resin composite placement versus amalgam and to determine the actual numbers of posterior resin composites versus amalgam restorations placed in American dental schools from 2008 to 2018. METHODS Emails were sent to the deans of all 66 dental schools in the United States to collect data in the forms of: 1) Questionnaire on current teaching policies of posterior composite and amalgam restorations; and 2) Data entry form to collect the actual numbers of posterior composite and amalgam restorations placed in their clinics. Descriptive statistics were used to summarize ratios of posterior restorations. Inferential analysis (chi-square test and z-test) was employed to compare posterior restoration proportions over time and within each year. Level of significance was set at 0.05. RESULTS For the teaching questionnaire, the response rate was 52% (n=34). Seventy-six per cent of the responding schools reported that they assign 50% or more of their preclinical restorative teaching time towards posterior resin composite placement, while 50% of the responding schools devoted 25% or less towards amalgam teaching. Data entry response rate was 26% (n=17). In 2008, amalgam and resin composite restorations were placed almost equally. However, resin composite restorations were placed significantly more frequently from 2009 onwards in all responding schools. The results revealed a significant ongoing increasing trend in placing posterior resin composites in all responding schools over time (p<0.05). CONCLUSIONS Data analysis revealed a clear trend towards an increase in posterior resin composite restoration placement and a decrease in the number of amalgam restorations. However, the time assigned for posterior resin composite teaching is not aligned with quantity of restorations placed. Review and adjustment of the time allocated for teaching and training of each material are suggested.
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Affiliation(s)
- L Alreshaid
- Lulwah Alreshaid, BDS, PhD candidate, Department of Clinical Sciences, Faculty of Dentistry, University of Toronto, Toronto M5G 1G6 ON, Canada; Department of Restorative Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - W El-Badrawy
- Wafa El-Badrawy, BDS, MSc, Department of Clinical Sciences, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
| | - G Kulkarni
- Gajanan Kulkarni, BDS, LLB, MSc, DDS, Dip Paed, PhD, FRCD (C), Department of Pediatric Dentistry, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
| | - M J Santos
- Maria Jacinta Santos, DDS, MSc, PhD, Department of Restorative Dentistry, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada
| | - A Prakki
- *Anuradha Prakki, DDS, MSc, PhD, associate professor, Department of Clinical Sciences, University of Toronto, Faculty of Dentistry, Toronto, ON, Canada
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Mattar RE, Sulimany AM, Binsaleh SS, Hamdan HM, Al-Majed IM. Evaluation of fissure sealant retention rates using Isolite in comparison with rubber dam and cotton roll isolation techniques: A randomized clinical trial. Int J Paediatr Dent 2023; 33:12-19. [PMID: 35543302 DOI: 10.1111/ipd.13008] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 04/28/2022] [Accepted: 05/05/2022] [Indexed: 12/16/2022]
Abstract
BACKGROUND Clinical studies comparing retention rates of pit and fissure sealants placed under Isolite, rubber dam, and cotton roll combined have not been conducted until now. AIM To evaluate the retention rate of pit and fissure sealants (PFS) placed under three different isolation techniques (Isolite system [IS], rubber dam isolation [RDI], and cotton roll isolation [CRI]). DESIGN One hundred and forty-four teeth from 48 children aged 6-15 years attending paediatric dental clinics at King Saud University in Saudi Arabia were randomized to receive three PFS using three isolation techniques. The children that met the inclusion criteria were randomized by a simple block random allocation method. All PFS were placed by an operator and evaluated by a blinded evaluator. The evaluation scores were recorded at baseline and followed up over a period of 12-22 months. RESULTS The children's mean age was 8.58 ± 1.93 years. Seven patients were lost to follow-up. A total of 123 teeth were clinically evaluated; of these teeth, 22% had completely retained sealants, whereas approximately 66% had a partial loss of sealants, and approximately 12% had a complete loss of sealants. There were, however, no significant differences between the three isolation techniques on the retention rate of pit and fissure sealant. CONCLUSION The types of isolation had no impact on the retention rate of pit and fissure sealant.
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Affiliation(s)
- Rahif E Mattar
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.,Saudi Arabia Ministry of Health, Hail, Saudi Arabia
| | - Ayman M Sulimany
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Saad S Binsaleh
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Hebah M Hamdan
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Ibrahim M Al-Majed
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Olegário IC, Moro BLP, Tedesco TK, Freitas RD, Pássaro AL, Garbim JR, Oliveira R, Mendes FM, Raggio DP. Use of rubber dam versus cotton roll isolation on composite resin restorations' survival in primary molars: 2-year results from a non-inferiority clinical trial. BMC Oral Health 2022; 22:440. [PMID: 36217147 PMCID: PMC9552420 DOI: 10.1186/s12903-022-02449-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 09/06/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This non-inferiority randomised clinical trial aimed to evaluate the survival of direct bulk fill composite resin restorations in primary molars using different methods of moisture control: rubber dam isolation (RDI-local anaesthesia and rubber dam) and cotton roll isolation (CRI-cotton roll and saliva ejector). Secondary outcomes included baseline and 2-year incremental cost, self-reported child's pain scores and patient behaviour during the restorative procedure. METHODS A total of 174 molars (93 children) with dentine caries lesions were randomly allocated to study groups (RDI or CRI) and restored with bulk fill composite resin by trained operators. Two blinded examiners assessed the restorations for up to 24 months. Wong-baker faces and Frankl's behaviour rating scales were used for accessing the child's pain and behaviour, respectively. The primary outcome (restoration survival) was analysed using the two-sample non-inferiority test for survival data using Cox Regression (non-inferiority/alternative hypothesis HR > 0.85; CI = 90%). Bootstrap Linear regression was used for cost analysis and logistic regression for pain and behaviour analysis (α = 5%). RESULTS After 2-years, 157 restorations were evaluated (drop-out = 9.7%). The survival rate was RDI = 60.4% and CRI = 54.3%. The non-inferiority hypothesis was accepted by the Cox Regression analysis (HR = 1.33; 90% CI 0.88-1.99; p = 0.036). RDI was 53% more expensive when compared to the CRI group. No differences were found between the groups regarding pain (p = 0.073) and behaviour (p = 0.788). CONCLUSION Cotton roll isolation proved to be non-inferior when compared to rubber dam for composite restorations longevity in primary molars. Furthermore, the latest presented the disadvantage of higher cost and longer procedure time. Clinical Significance The moisture control method does not influence the longevity of composite restorations in primary molars. Cotton roll isolation proved to be non-inferior to rubber dam isolation and is a viable option for restoring primary molars. Clinical trial registration registered NCT03733522 on 07/11/2018. The present trial was nested within another clinical trial, the CARies DEtection in Children (CARDEC-03-NCT03520309).
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Affiliation(s)
- Isabel C Olegário
- Division of Public and Child Dental Health, School of Dental Science, Trinity College Dublin, Dublin, Ireland.,Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Bruna L P Moro
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Tamara K Tedesco
- School of Dentistry, Cruzeiro Do Sul University, São Paulo, Brazil
| | - Raiza D Freitas
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Ana Laura Pássaro
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Jonathan Rafael Garbim
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Rodolfo Oliveira
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Fausto M Mendes
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | | | - Daniela Prócida Raggio
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil. .,School of Dentistry, University Dental Hospital (UDH), Cardiff University, Heath Park, Cardiff, CF14 4XW, UK.
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Jiang H, Shen L, Zhang Y, Yang J. Attitudes towards and use of dental dams by final-year dental students in Chongqing, China: a cross-sectional study. BMJ Open 2022; 12:e059148. [PMID: 35831056 PMCID: PMC9280896 DOI: 10.1136/bmjopen-2021-059148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES To investigate the current and intended future use of dental dams (DDs) and attitudes regarding DD use among final-year dental students at two levels (undergraduate and college) in dental schools in Chongqing, China. DESIGN A cross-sectional study based on a questionnaire was conducted from June to July 2021. SETTING Chongqing Medical University (CQMU, undergraduate level) and Chongqing Three Gorges Medical College (CQTGMC, junior college level). PARTICIPANTS A total of 245 final-year dental students. MAIN OUTCOME MEASURES An anonymous online questionnaire was distributed to dental students less than 1 month before graduation. Students were asked about the DD training they had received, their attitudes towards some aspects of DDs, their current DD use and their intended future DD use in adult or child patients and in various dental procedures. RESULTS A total of 238 valid questionnaires were returned (response rate=97.1%, CQMU=96.2%, n=76; CQTGMC=97.6%, n=162). A total of 47.5% of respondents used DDs on real patients during their internships (CQMU=59.2%, CQTGMC=42.0%, p<0.05). Whether in restorative procedures or endodontic treatment, the most common reason for not using DDs was a 'lack of knowledge and experience', followed by 'DDs could not be provided by internship institutions'. Although the advantages of DDs were recognised by most students from the two schools, 52.9% thought DDs were difficult to apply (CQMU=42.1%, CQTGMC=58.0%, p<0.05). A total of 92.1% of CQMU respondents and 95.1% of CQTGMC respondents expressed their willingness to use DDs after independent practice in the future. CONCLUSIONS Although final-year students have a clear awareness of the advantages of DDs and are very enthusiastic about future DD use, the current DD utilisation rate is low. Education about DDs should be continuously improved in many aspects, and the advantages of using DDs in clinical dentistry should be further emphasised at dental schools.
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Affiliation(s)
- Haofeng Jiang
- College of Clinical Medicine, Chongqing Three Gorges Medical College, Chongqing, Municipality, China
| | - Lu Shen
- College of Stomatology, Chongqing Medical University, Chongqing, Municipality, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, Municipality, China
| | - Yuhan Zhang
- College of Clinical Medicine, Chongqing Three Gorges Medical College, Chongqing, Municipality, China
| | - Jing Yang
- College of Clinical Medicine, Chongqing Three Gorges Medical College, Chongqing, Municipality, China
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Alreshaid L, El-Badrawy W, Lawrence HP, Santos MJ, Prakki A. Composite versus Amalgam Restorations Placed in Canadian Dental Schools. Oper Dent 2021; 46:621-630. [PMID: 35507902 DOI: 10.2341/20-212-c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To investigate the latest teaching policies of posterior composite placement versus amalgam and to determine the actual numbers of posterior composites versus amalgam restorations placed in Canadian dental schools, over the years from 2008 to 2018. METHODS Emails were sent to Chairs/Heads of Restorative Departments and Clinic Directors of all 10 Canadian dental schools to collect data in the forms of: 1) Questionnaire on current teaching policies of posterior composite and amalgam restorations; 2) data entry form to collect the actual numbers of posterior composite and amalgam restorations placed in their clinics. RESULTS For the teaching questionnaire, the response rate was 90% (n=9). Seven (78%) of the responding schools reported that they assign 25%-50% of their preclinical restorative teaching time towards posterior composite placement. While, three (33%) of the responding schools allocated 50%-75% of their restorative teaching towards amalgam placement. Data entry response rate was 80% (n=8). Amalgam material was dominant in the restoration distribution from 2008 to 2012. While from 2013 to 2018, resin composite material was dominant in all eight responding schools. Linear regression analysis revealed a significant increasing trend in placing posterior composites in all the responding schools over time (p<0.05). CONCLUSIONS Data analysis revealed a clear trend towards an increase of posterior composite restoration placement and a decrease in the number of amalgam restorations placed. However, the teaching time assigned for posterior composite is not aligned with quantity placed. Review and adjustment of time allocated for teaching and training of each material are recommended.
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Affiliation(s)
- L Alreshaid
- Lulwah Alreshaid, BDS, PhD candidate, Department of Clinical Sciences, Faculty of Dentistry, University of Toronto, Toronto M5G 1G6 ON, Canada; Department of Restorative Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - W El-Badrawy
- Wafa El-Badrawy, BDS, MSc, Department of Clinical Sciences, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
| | - H P Lawrence
- Herenia P Lawrence, DDS, MSc, PhD, Department of Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
| | - M J Santos
- Maria J Santos, DDS, MSc, PhD, Department of Restorative Dentistry, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada
| | - A Prakki
- *Anuradha Prakki, DDS, MSc, PhD, Department of Clinical Sciences, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
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Abuzenada BM. Attitude of Dental Students towards the Rubber Dam Use in Operative Dentistry. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2021; 13:S637-S641. [PMID: 34447170 PMCID: PMC8375787 DOI: 10.4103/jpbs.jpbs_764_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 11/27/2020] [Accepted: 11/30/2020] [Indexed: 11/07/2022] Open
Abstract
Aim: Operative dentistry and endodontics are the two major areas where rubber dam is used extensively with special emphasis to train students on its application during dental curriculum. The purpose of the present study was to evaluate the attitude of dental students toward the use of rubber dam in operative dentistry clinics along with emphasis on evaluation of its prospective application after graduation. Materials and Methods: A structured questionnaire-based analysis was performed among internship students of a dentistry program, Batterjee Medical College, Jeddah, Saudi Arabia. The questions were based on training, latex allergy, and selection of jaws for application of rubber dam and prospective use of rubber dam during practice. Results: A completed questionnaire by all participants (n = 110) was analyzed and subjected to statistical analysis. Around 80.9% of the students agreed that adequate and satisfactory training for rubber dam placement was imparted while 59.1% agreed that they enquire about latex allergy before placement of rubber dam. Further, 85.5% of the students planned to use rubber dam for all procedures after graduation. Conclusion: A promising response was exhibited by this group of future dentists toward the application of rubber dam during restorative procedures.
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Affiliation(s)
- Basem Mohammed Abuzenada
- Department of Operative Dentistry, Faculty of Dentistry, King Abdul Aziz University, Jeddah, Kingdom of Saudi Arabia.,Department of Operative Dentistry, Batterjee Medical College for Science and Technology, Jeddah, Kingdom of Saudi Arabia
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Çağa D, Brennan AM, Eaton K. An internet-mediated investigation into the reported clinical use of rubber dam isolation by GDPs in the UK - part 2: clinical applications. Br Dent J 2021:10.1038/s41415-021-3226-2. [PMID: 34239053 PMCID: PMC8264967 DOI: 10.1038/s41415-021-3226-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 10/05/2020] [Indexed: 12/05/2022]
Abstract
Aims To investigate the reported clinical applications of rubber dam isolation by UK general dental practitioners (GDPs) using an internet-mediated approach.Methods The data were collected in 2019, using an online (SurveyMonkey) questionnaire that was distributed to GDPs in a private group on Facebook. The percentages are based on the number of respondents who answered each question.Results The response rate was 61% with 403 valid completed questionnaires. The majority (395; 98%) of respondents reported using rubber dam in clinical practice. Undergraduate training in rubber dam use was received by 382 (98%) respondents, with greater training reported by younger, more recently qualified graduates. The main clinical applications of rubber dam included its use for composite restorations, endodontic treatments and internal bleaching procedures, while for other clinical procedures, the majority of respondents did not use rubber dam. For posterior and anterior composites, 332 (82%) and 298 (74%) respondents, respectively, reported using rubber dam isolation at least rarely. At least 98% (395) of the respondents used rubber dam for endodontic procedures, irrespective of tooth type and position. Over 70% (281) of respondents reported using rubber dam at least rarely for internal bleaching. Rubber dam was used by 99% (392) and 67% (262) of respondents on adults and paediatric patients, respectively.Conclusions The main clinical applications agree with previous reports, but highlight an increase in rubber dam use. This study investigated a wider range of clinical applications compared to previous studies, adding to the literature surrounding rubber dam use.
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Affiliation(s)
- Daniel Çağa
- General Dental Practitioner and MSc Student, Birmingham, UK.
| | - Anne-Maria Brennan
- Director of Graduate Studies, Senior Lecturer in Professional Practice, Centre for Professional Practice, Medway Campus, University of Kent, Medway Maritime, Kent, ME4 4AG, UK
| | - Kenneth Eaton
- Honorary Professor, Centre for Professional Practice, Medway Campus, University of Kent, Medway Maritime, Kent, ME4 4AG, UK
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15
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Winter J, Frankenberger R, Günther F, Roggendorf MJ. Dental Education during the COVID-19 Pandemic in a German Dental Hospital. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6905. [PMID: 34199085 PMCID: PMC8297123 DOI: 10.3390/ijerph18136905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Revised: 06/20/2021] [Accepted: 06/24/2021] [Indexed: 11/30/2022]
Abstract
Due to the SARS-CoV-2 pandemic, dental treatment performed by undergraduate students at the University of Marburg/Germany was immediately stopped in spring 2020 and stepwise reinstalled under a new hygiene concept until full recovery in winter 2020/21. Patient treatment in the student courses was evaluated based on three aspects: (1) Testing of patients with a SARS-CoV-2 Rapid Antigen (SCRA) Test applied by student assistants (SA); (2) Improved hygiene regimen, with separated treatment units, cross-ventilation, pre-operative mouth rinse and rubber dam application wherever possible; (3) Recruitment of patients: 735 patients were pre-registered for the two courses; 384 patients were treated and a total of 699 tests with the SCRA test were performed by SAs. While half of the patients treated in the course were healthy, over 40% of the patients that were pre-registered but not treated in the course revealed a disease being relevant to COVID (p < 0.001). 46 patients had concerns to visit the dental hospital due to the increase of COVID incidence levels, 14 persons refused to be tested. The presented concept was suitable to enable patient treatment in the student course during the SARS-CoV-2 pandemic.
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Affiliation(s)
- Julia Winter
- Department of Operative Dentistry, Endodontics, and Pediatric Dentistry, Medical Center for Dentistry, Philipps University Marburg and University Medical Center Giessen and Marburg (Campus Marburg), Georg Voigt Str. 3, 35039 Marburg, Germany; (J.W.); (R.F.)
| | - Roland Frankenberger
- Department of Operative Dentistry, Endodontics, and Pediatric Dentistry, Medical Center for Dentistry, Philipps University Marburg and University Medical Center Giessen and Marburg (Campus Marburg), Georg Voigt Str. 3, 35039 Marburg, Germany; (J.W.); (R.F.)
| | - Frank Günther
- Institute for Medical Microbiology and Hygiene, Marburg University Hospital, Hans-Meerwein-Straße 2, 35043 Marburg, Germany;
| | - Matthias Johannes Roggendorf
- Department of Operative Dentistry, Endodontics, and Pediatric Dentistry, Medical Center for Dentistry, Philipps University Marburg and University Medical Center Giessen and Marburg (Campus Marburg), Georg Voigt Str. 3, 35039 Marburg, Germany; (J.W.); (R.F.)
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16
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Çağa D, Brennan AM, Eaton K. An internet-mediated investigation into the reported clinical use of rubber dam isolation by GDPs in the UK - part 1: factors influencing rubber dam use. Br Dent J 2021:10.1038/s41415-021-3083-z. [PMID: 34172925 DOI: 10.1038/s41415-021-3083-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 10/05/2020] [Indexed: 11/09/2022]
Abstract
Aims To investigate the reported use of rubber dam isolation by UK general dental practitioners (GDPs), utilising an internet-mediated (SurveyMonkey) questionnaire reporting the demographic profile of respondents and the attitudes and factors influencing rubber dam use.Methods A piloted questionnaire was distributed to a random sample of GDPs in a private Facebook group, investigating respondent demographics, clinical applications, and attitudes towards and factors influencing rubber dam use. The data were analysed using descriptive statistics along with chi-squared and pairwise Mann-Whitney U tests.Results The response rate was 61%, with 403 valid completed questionnaires. Of these, 218 (54%) were female and 185 (46%) were male, with an age range of 23-72 years. Most of them (248; 62%) worked in mixed practices. The majority agreed that rubber dam aids placement of posterior restorations (311; 78%), provides clearer access (308; 76%), enables a higher clinical standard (355; 89%) and increases restoration longevity (257; 65%). Most agreed that proper isolation for root canal/operative procedures cannot be achieved without rubber dam use (329; 82%). Respondents disagreed with the following statements: root canal therapy completed without rubber dam isolation is as successful as those completed using rubber dam (338; 85%), rubber dam is difficult to apply (292; 73%) and rubber dam is disliked by patients (257; 64%). Respondents agreed that rubber dam use is influenced by clinical setting (259; 64%), procedure (390; 97%), choice of material being placed (382; 95%) and ease of application (337; 84%). Furthermore, 218 (54%) of the respondents expressed an interest in further training in rubber dam use.Conclusions This study provides greater insight into the attitudes and factors influencing rubber dam use, while demonstrating an interest in further training.
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Affiliation(s)
- Daniel Çağa
- General Dental Practitioner and MSc Student, Birmingham, UK.
| | - Anne-Maria Brennan
- Director of Graduate Studies, Lecturer in Professional Practice, Centre for Professional Practice, Medway Campus, University of Kent, Medway Maritime, Kent, ME4 4AG, UK
| | - Kenneth Eaton
- Honorary Professor, Centre for Professional Practice, Medway Campus, University of Kent, Medway Maritime, Kent, ME4 4AG, UK
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17
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Comparison of Fissure Sealant Chair Time and Patients' Preference Using Three Different Isolation Techniques. CHILDREN-BASEL 2021; 8:children8060444. [PMID: 34070253 PMCID: PMC8225132 DOI: 10.3390/children8060444] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 05/23/2021] [Accepted: 05/23/2021] [Indexed: 11/17/2022]
Abstract
This randomized clinical trial aimed to evaluate the patient’s preference and chair time needed during pit and fissure sealant placement under three isolation techniques (Isolite system, rubber dam isolation, and cotton roll isolation). Participants, aged 6–15 years and requiring four sealants on the first or second permanent molars, attending the pediatric dental clinics at King Saud University in Saudi Arabia were enrolled according to the inclusion criteria. Each participant received sealants on three random first or second permanent molars using three isolation techniques. The time required for sealant placement was recorded for each technique. Following sealant placement, an interview-based questionnaire was administered to the participants to evaluate their preference regarding the isolation techniques. Forty-eight children (23 male and 25 female) with a mean age of 8.58 ± 1.93 years participated in this study. The mean chair times were 248.14, 255.89, and 243.29 s for the Isolite system, rubber dam isolation, and cotton roll isolation, respectively. Approximately 79% of participants considered cotton roll isolation to be the most comfortable, whereas approximately 71% were significantly less likely to use rubber dam isolation again. In conclusion, there were no significant differences in sealant placement time among the three isolation techniques. However, cotton roll isolation was the technique that was most preferred by the participants.
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Abreu-Placeres N, Yunes Fragoso P, Cruz Aponte P, Garrido LE. Rubber Dam Isolation Survey (RDIS) for adhesive restorative treatments. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2020; 24:724-733. [PMID: 32603495 DOI: 10.1111/eje.12562] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2020] [Revised: 05/27/2020] [Accepted: 06/10/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Rubber dam isolation is considered as an essential component of modern adhesive dentistry. However, dental students do not always use it due to several barriers they face on their clinical practice. The aim of this study was to design and validate a questionnaire based on the COM-B model to measure students' implementation of rubber dam isolation in restorative treatments with adhesive materials. MATERIALS AND METHODS A 7-item questionnaire was developed based on the COM-B model, with questions measuring the Capability, Opportunity (Relevance and Resources), and Motivation to perform rubber dam isolation (Behaviour). Content validation of the questionnaire was conducted by experts in aesthetic/restorative dentistry that assessed the clarity, coherence and relevance of the questions. The final survey was administered to a dental student population from three large private universities in the Dominican Republic. Descriptive analysis, t tests, polychoric correlations and a path analysis were carried out to establish the validity of the instrument. RESULTS A total of 382 students from three universities completed the questionnaire. According to the COM-B path model, the significant predictors of the implementation of rubber dam isolation were Capability and Motivation for University A, Motivation and Opportunity-Resources for University B, and Opportunity-Relevance and Capability for University C. CONCLUSIONS The RDIS is a very short, easy to administer and valid questionnaire that can be applied by the universities to determine where they need to focus their interventions to achieve better rubber dam isolation implementation by their students.
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Affiliation(s)
- Ninoska Abreu-Placeres
- Biomaterials and Dentistry Research Center (CIBO-UNIBE), Academic Research Department, Universidad Iberoamericana, Santo Domingo, Dominican Republic
| | - Paula Yunes Fragoso
- Biomaterials and Dentistry Research Center (CIBO-UNIBE), Academic Research Department, Universidad Iberoamericana, Santo Domingo, Dominican Republic
| | - Paola Cruz Aponte
- School of Dentistry, Universidad Tecnológica de Santiago, Santiago, Dominican Republic
| | - Luis Eduardo Garrido
- Department of Psychology, Pontificia Universidad Católica Madre y Maestra, Santo Domingo, Dominican Republic
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Ahmed HMA, Che Ab Aziz ZA, Azami NH, Farook MS, Khan AA, Mohd Noor NS, Ayoub AA, Imran ZA, Halim MS, Pai ARV, Kacharaju KR, Mohammad N, Nagendrababu V, Nabhan MS, Dummer PMH. Application of a new system for classifying root canal morphology in undergraduate teaching and clinical practice: a national survey in Malaysia. Int Endod J 2020; 53:871-879. [PMID: 32003029 DOI: 10.1111/iej.13271] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Accepted: 01/29/2020] [Indexed: 12/23/2022]
Abstract
AIM To evaluate and compare the feedback of final year undergraduate dental students in eight Malaysian dental schools on the application of a new system for classifying root canal morphology in teaching and clinical practice. METHODS One PowerPoint presentation describing two classification systems for root canal morphology (Oral Surgery Oral Medicine Oral Pathology, 1974 38, 456 and its supplemental configurations, International Endodontic Journal 2017, 50, 761) was delivered to final year undergraduate dental students in eight dental schools in Malaysia by two presenters (each presented to four schools). To examine students' feedback on the utility of each system, printed questionnaires consisting of six questions (five multiple choice questions and one open-ended question) were distributed and collected after the lecture. The questionnaire was designed to compare the classification systems in terms of accuracy, practicability, understanding of root canal morphology and recommendation for use in pre-clinical and clinical courses. The exact test was used for statistical analysis, with the level of significance set at 0.05 (P = 0.05). RESULTS A total of 382 (out of 447) students participated giving a response rate of 86%. More than 90% of students reported that the new system was more accurate and more practical compared with the Vertucci system (P < 0.001). Overall, 97% of students reported the new system helped their understanding of root and canal morphology compared with the Vertucci classification (P < 0.001). Over 97% of students recommended the use of the new system in teaching, pre-clinical courses and clinical practice (P < 0.001). Except for two schools, no significant difference was detected between the responses of students for all questions at the different schools (P > 0.05). The students' responses for all questions were almost similar for both presenters (P > 0.05). CONCLUSIONS The new system of International Endodontic Journal 2017, 50, 761 for classifying root and canal morphology was favoured by final year undergraduate dental students in Malaysia. The new system has the potential to be included in the undergraduate endodontic curriculum for teaching courses related to root and canal morphology.
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Affiliation(s)
- H M A Ahmed
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Z A Che Ab Aziz
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - N H Azami
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - M S Farook
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - A A Khan
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - N S Mohd Noor
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - A A Ayoub
- Comprehensive Care Centre of Studies, Faculty of Dentistry, University Teknologi MARA, Sungai Buloh, Selangor, Malaysia
| | - Z A Imran
- Endodontic Unit, Kulliyyah of Dentistry, International Islamic University Malaysia, Pahang, Malaysia
| | - M S Halim
- Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - A R V Pai
- Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Melaka-Manipal Medical College (MMMC), Manipal Academy of Higher Education (MAHE), Melaka, Malaysia
| | - K R Kacharaju
- Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, Jenjarom, Selangor, Malaysia
| | - N Mohammad
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Sains Islam Malaysia, Kuala Lumpur, Selangor, Malaysia
| | - V Nagendrababu
- Division of Clinical Dentistry, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - M S Nabhan
- Department of Prosthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt
| | - P M H Dummer
- School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
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Loch C, Liaw Y, Metussin AP, Lynch CD, Wilson N, Blum IR, Brunton PA. The teaching of posterior composites: A survey of dental schools in Oceania. J Dent 2019; 84:36-43. [DOI: 10.1016/j.jdent.2019.01.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Revised: 12/19/2018] [Accepted: 01/17/2019] [Indexed: 11/29/2022] Open
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21
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Imbery TA, Greene KE, Carrico CK. Dental Dam and Isovac Usage: Factors Influencing Dental Students' Decisions on Isolation Techniques. J Dent Educ 2019; 83:474-482. [DOI: 10.21815/jde.019.048] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Accepted: 07/26/2018] [Indexed: 11/20/2022]
Affiliation(s)
| | - Kelsey E. Greene
- General Practice Residency; Veterans Affairs Hospital; Washington, DC
| | - Caroline K. Carrico
- Department of Periodontics; School of Dentistry; Virginia Commonwealth University
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22
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Eliyas S, Briggs PFA, Gallagher JE. Assessing a training programme for primary care dental practitioners in endodontics of moderate complexity: Pilot data on skills enhancement and treatment outcomes. Br Dent J 2018; 225:617-628. [PMID: 30310203 DOI: 10.1038/sj.bdj.2018.807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2018] [Indexed: 11/09/2022]
Abstract
Aims To explore the impact of dedicated training to extend the skills of primary care practitioners on the quality of endodontic care, using clinical, radiographic and patient-related outcomes. Methods The quality of endodontic treatment performed at the beginning and end of training to become dentists with extended skills (DES) in endodontics was assessed in vitro and in vivo from endo-training blocks and self-reported logbooks containing clinical notes and radiographs respectively. The quality of endodontic care delivered by DES post-training was measured using clinical and radiographic outcomes. Patient-related outcomes were assessed using a self-report questionnaire, including the Oral Health Impact Profile – Endodontic Outcome Measure (OHIP-EOM). Results Data on eight dentists were examined pre-and post-training, five of whom participated in further follow-up investigations on the quality of endodontic care delivered to their patients. Significant improvements in skills were seen for all domains in vitro (p <0.05), and for all domains of the clinical treatment process, and achieving the correct working length of the root filling as seen by radiography in vivo (p <0.05). The quality of the clinical process was maintained following training. Positive patient outcome (OHIP-EOM) scores were recorded (mean score of 34.72, SD = 10.74, n = 120 pre-treatment and 25.85, SD = 7.74, n = 47 representing reduced impact at follow-up). The majority of patients reported being satisfied, or very satisfied, with the service they received (72.5%, n = 98); would use the service again (68.1%, n = 92); and would recommend the service to friends and family (74.8%, n = 101). Conclusions Findings suggest that training for dentists working in practice can be successful in enhancing skills and changing practice, with evidence of high patient satisfaction and good clinical and patient-related outcomes. Pilot results must be interpreted with caution and further research is required.
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Affiliation(s)
- S Eliyas
- St George's University Hospital's NHS Foundation Trust and Hodsoll House Specialist Practice, Kent
| | - P F A Briggs
- Barts Health NHS Trust, Whitechapel, London, UK.,Health Education England London and South East, Stewart House, Russell Square London, UK
| | - J E Gallagher
- King's College London Dental Institute, Population and Patient Health Division, London, UK
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Dental-Dam for Infection Control and Patient Safety during Clinical Endodontic Treatment: Preferences of Dental Patients. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15092012. [PMID: 30223521 PMCID: PMC6165332 DOI: 10.3390/ijerph15092012] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 09/11/2018] [Accepted: 09/13/2018] [Indexed: 11/25/2022]
Abstract
Background: A number of factors (first experience, treating clinician and time to place dental-dam) may influence patients’ preferences regarding dental-dams. In general, patients accept placing it and that it must be used for teeth isolation during endodontic procures for the sake of patient safety and infection control. Objectives: The aim of this study is to investigate preferences and experiences of patients using dental-dam (DD) isolation during root canal treatment (RCT) and to explore influencing factors among the residents of Madinah Munnawara, Saudi Arabia. Methods: Following an ethical approval and a pilot study, a self-administrated questionnaire was distributed to 305 patients attending endodontic clinics at the Taibah University College of Dentistry (TUCOD) over six months. Patients voluntarily participated in the study after understanding the methodologies and signing a consent form. They were asked to fill out a questionnaire on their experiences and preferences in placing the DD during RCT. Data were analyzed using the Chi-square test at p = 0.05. Results: The response rate was 91%. There was no significant correlation between patients’ preferences and their race, age and gender (p > 0.05). The majority of participants (74.3%) would prefer to use a DD in their next session (p < 0.001). This preference negatively correlated with the time required to place a DD and the duration of the current visit (p < 0.001). While most of those who would prefer to use a DD in their next visit were pleased with how it was placed in the current session (76.6%), most of those who would not do so (66.7%) were uncomfortable. Overall, the highest proportion of participants (40.2%) reported that prevention of instrument swallowing was the most important advantage of DD isolation (p < 0.001). Conclusions: Overall, DD isolation for RCT is generally well accepted by patients regardless of their country of origin, gender, education and awareness of its advantages. Patients’ safety was the most attractive advantage for patients to the application of the DD. The time required to place the dental dam and first visit experience in placing the DD affect patients’ future preference.
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24
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Al-Sabri FA, Elmarakby AM, Hassan AM. Attitude and knowledge of isolation in operative field among undergraduate dental students. Eur J Dent 2017; 11:83-88. [PMID: 28435371 PMCID: PMC5379841 DOI: 10.4103/ejd.ejd_191_16] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Objective: The purpose of this study was to evaluate the general attitude of undergraduate dental students toward rubber dam use, specifically focusing on operative procedures before starting to serve community. Methods: Questionnaires were distributed to undergraduate clinical years' students of two private colleges; Al-Farabi Dental College, Riyadh, KSA and Buraidah Private Colleges, Qassim, KSA. Questions were asked about areas where the students used rubber dam in operative procedures, in which types of caries classes, and in which type of restoration they frequently used the rubber dam. Results: We found that students of both private dental colleges agreed with the opinions that proper isolation cannot be achieved for the restoration of operative procedures without using rubber dam and restoration placed under rubber dam have a greater longevity than those placed without. Conclusions: Within the limitations of the present study, it can be concluded that the perceptions of dental students on rubber dam need to be improved and strategies should be developed so that this valuable adjunct will comprise one of the indispensable elements of dental care.
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Affiliation(s)
- Fuad Abdo Al-Sabri
- 1Department of Restorative Dental Sciences, Al-Farabi Dental College, Riyadh, KSA.,Department of Operative Dentistry, Faculty of Dentistry, Thamar University, Dhamar, Yemen
| | - Ahmed Mohamed Elmarakby
- 1Department of Restorative Dental Sciences, Al-Farabi Dental College, Riyadh, KSA.,Department of Operative Dentistry, Faculty of Dentistry, Al-Azhar University, Cairo, Egypt
| | - Ahmed Mohammed Hassan
- 1Department of Restorative Dental Sciences, Al-Farabi Dental College, Riyadh, KSA.,Department of Operative Dentistry, Faculty of Dentistry, Al-Azhar University, Cairo, Egypt
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Kapitán M, Šustová Z. The Use of Rubber Dam among Czech Dental Practitioners. ACTA MEDICA (HRADEC KRÁLOVÉ) 2016. [DOI: 10.14712/18059694.2016.38] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Rubber dam is considered an ideal device for tooth isolation. Nevertheless, its usage is quite rare in the Czech Republic. The aim of this study was: firstly, to gather and evaluate information regarding the use of rubber dam by dentists in the Czech Republic and to compare it with other countries; secondly to find out whether there are any influencing factors as to rubber dam usage; and finally to find out frequency of rubber dam use separately in endodontic treatment and in placing fillings of different materials. A questionnaire-based survey was conducted. Dentists filled in the questionnaires during dental conventions, educational events, conferences and congresses. Rubber dam was routinely used by less than eight per cent of the respondents (n = 35); less than twenty-two per cent of the respondents (n = 97) used rubber dam occasionally, and more than seventy per cent of the respondents (n = 317) has never use it. The results showed that rubber dam is not used frequently in the Czech Republic. If rubber dam is used, then it is typically for endodontic treatment or composite fillings. There were several factors with a statistically significant influence on the usage of rubber dam, such as gender, length of professional career, percentage of direct payments, previous experience in using rubber dam, and undergraduate training in rubber dam use.
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Madarati AA, Bani Younes HA. Survey on the modalities of rubber dam usage for root canal treatment. J Taibah Univ Med Sci 2016. [DOI: 10.1016/j.jtumed.2016.01.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Wu J, Feng X, Chen A, Zhang Y, Liu Q, Shao L. Comparing Integrated and Disciplinary Clinical Training Patterns for Dental Interns: Advantages, Disadvantages, and Effect on Students’ Self-Confidence. J Dent Educ 2016. [DOI: 10.1002/j.0022-0337.2016.80.3.tb06087.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Junrong Wu
- Nanfang Hospital; Southern Medical University; Guangzhou China
| | - Xiaoli Feng
- Nanfang Hospital; Southern Medical University; Guangzhou China
| | - Aijie Chen
- Nanfang Hospital; Southern Medical University; Guangzhou China
| | - Yanli Zhang
- Nanfang Hospital; Southern Medical University; Guangzhou China
| | - Qi Liu
- Nanfang Hospital; Southern Medical University; Guangzhou China
| | - Longquan Shao
- Nanfang Hospital; Southern Medical University; Guangzhou China
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Why dentists don't use rubber dam during endodontics and how to promote its usage? BMC Oral Health 2016; 16:24. [PMID: 26916426 PMCID: PMC4766746 DOI: 10.1186/s12903-016-0175-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Accepted: 01/29/2016] [Indexed: 11/26/2022] Open
Abstract
Background This survey study aimed at investigating the frequency of rubber dam use during root canal treatment, identifying influencing factors for not using it by Saudi general dental practitioners (GDPs) and endodontists. It also aimed at identifying measures that increase rubber dam usage. Methods After obtaining an ethical approval, two pilot studies were conducted on staff members at Taibah University College of Dentistry and a group of GDPs. A final online survey was constructed comprising 17 close-ended questions divided into six categories: demographics, endodontic practice, rubber dam use, alternative isolation methods, reasons for not using rubber dam, and measures and policies that increase its usage. The survey was emailed to 375 GDPs randomly selected from the dental register and all endodontists (n = 53) working in the western province, Saudi Arabia. Data were analyzed using the Chi-square and Linear-by-Linear association tests at p ≤ 0.05. Results The proportion of endodontists who used rubber dam (84.8 %) was significantly greater than that of GDPs (21.6 %) (p < 0.001). Significantly the highest proportion (40.5 %) did not use rubber dam because of unavailability at working place. Most rubber dam none-users (69.25 %) used a combination of other isolation means. The highest proportion of those who used rubber dam were working in the governmental sector (54.3 %). Among rubber dam users, the greatest proportion graduated from Saudi Arabia (57.8 %) compared to those graduated from Egypt (34.3 %) and Syria (22.4 %). There was a significant correlation between the patterns of rubber dam use during undergraduate training and its usage after graduation (p = 0.001). The highest proportion of participants (48.1 %) reported better undergraduate education as the most important factor that would increase rubber dam use in dental practice. Conclusions Using of rubber dam was not common in Saudi general dental practice. Dentists must follow the recommended standards of care. Place of work and patterns of using rubber dam during undergraduate study were the most influencing factors. Better undergraduate education was the most important proposed measure to increase its usage. The combination of cotton rolls and saliva high-volume ejector or gauze was the most common alternative to rubber dam isolation.
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Gilbert GH, Riley JL, Eleazer PD, Benjamin PL, Funkhouser E. Discordance between presumed standard of care and actual clinical practice: the example of rubber dam use during root canal treatment in the National Dental Practice-Based Research Network. BMJ Open 2015; 5:e009779. [PMID: 26656026 PMCID: PMC4679916 DOI: 10.1136/bmjopen-2015-009779] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES Use of a rubber dam during root canal treatment is considered the standard of care because it enhances patient safety and optimises the odds of successful treatment. Nonetheless, not all dentists use a rubber dam, creating disconnect between presumed standard of care and what is actually done in clinical practice. Little is known about dentists' attitudes towards use of the rubber dam in their practices. The objectives were to: (1) quantify these attitudes and (2) test the hypothesis that specific attitudes are significantly associated with rubber dam use. SETTING National Dental Practice-Based Research Network (NationalDentalPBRN.org). PARTICIPANTS 1490 network dentists. OUTCOME MEASURES Dentists completed a questionnaire about their attitudes towards rubber dam use during root canal treatment. Three attitude scales comprised 33 items that used a 5-point ordinal scale to measure beliefs about effectiveness, inconvenience, ease of placement, comparison to other isolation techniques and patient factors. Factor analysis, cluster analysis and multivariable logistic regression analysed the relationship between attitudes and rubber dam use. RESULTS All items had responses at each point on the 5-point scale, with an overall pattern of substantial variation across dentists. Five attitudinal factors (rubber dam effectiveness; inconvenient/time-consuming; ease of placement; effectiveness compared to Isolite; patient factors) and 4 clusters of practitioners were identified. Each factor and cluster was independently and strongly associated with rubber dam use. CONCLUSIONS General dentists have substantial variation in attitudes about rubber dam use. Beliefs that rubber dam use is not effective, inconvenient, time-consuming, not easy to place or affected by patient factors, were independently and significantly associated with lower rubber dam use. These attitudes explain why there is substantial discordance between presumed standard of care and actual practice.
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Affiliation(s)
- Gregg H Gilbert
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Joseph L Riley
- Department of Community Dentistry and Behavioral Science, College of Dentistry, University of Florida, Gainesville, Florida, USA
| | - Paul D Eleazer
- Department of Endodontics, School of Dentistry, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | | | - Ellen Funkhouser
- Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
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Davey J, Bryant ST, Dummer PMH. The confidence of undergraduate dental students when performing root canal treatment and their perception of the quality of endodontic education. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2015; 19:229-34. [PMID: 25490882 DOI: 10.1111/eje.12130] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/11/2014] [Indexed: 05/17/2023]
Abstract
AIM This article aims to gain understanding into the perception of undergraduate dental students in terms of their confidence and competence at performing root canal treatment and their perception of the quality of endodontic education. METHODS An online questionnaire was distributed to all 3rd, 4th and 5th year dental students at Cardiff University via their academic e-mail addresses. The questionnaire utilised both scaled response and open questions to gain an insight into undergraduate opinion. RESULTS Out of a possible 208 students, 98 responses were obtained (response rate = 47%). Perception of competence and confidence were significantly greater amongst the more senior year groups (P < 0.01). However, 49% (n = 38) of participants did not feel competent performing root canal treatment on anterior, single-rooted teeth, whilst 74% (n = 70) did not feel competent performing root canal treatment on posterior, multirooted teeth. Free comments from participants indicated that this was due to a lack of clinical experience. Approximately, 80% of participants ranked education in endodontics at Cardiff University as ≤5 on a Likert scale (1 = inadequate to 10 = good), indicating that improvement was required. Improvements that were suggested by the students included the provision of further information within lectures, a broader range of lecturers, an increased number of shorter, more organised practical sessions, additional training equipment, greater supervision and online reference guides to root canal treatment. CONCLUSION Enhancing undergraduate education in endodontics is necessary to increase students' perception of their confidence and competence when performing root canal treatment.
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Affiliation(s)
- J Davey
- School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
| | - S T Bryant
- School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
| | - P M H Dummer
- School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
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Loguercio AD, Luque-Martinez I, Lisboa AH, Higashi C, Queiroz VAO, Rego RO, Reis A. Influence of Isolation Method of the Operative Field on Gingival Damage, Patients' Preference, and Restoration Retention in Noncarious Cervical Lesions. Oper Dent 2015; 40:581-93. [PMID: 26158415 DOI: 10.2341/14-089-c] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To evaluate the retention rates, gingival damage, and patients' preferences for adhesive restorations in noncarious cervical lesions (NCCL) associated with the use of rubber dam vs cotton rolls/retraction cord isolation. METHODS Thirty patients having one pair of similar NCCL on opposing sides of the same arch were enrolled in this study. A total of 60 restorations were placed. In each patient one restoration was placed under rubber dam isolation (RD) using dental retainers, and the other one was placed using cotton rolls/retraction cord (CR/RC) isolation. Dental residents with more than 10 years of clinical experience restored all NCCL using the same adhesive (GO!, SDI Limited, Bayswater, Australia) and composite resin (Ice, SDI). The patients' preferences were recorded. The gingival condition (bleeding, gingival laceration, and gingival insertion level) was evaluated immediately after the restorative procedure and after one week. Gingival sensitivity was also assessed one week after the end of the restorative procedures. The clinical time required to perform each restoration was recorded. The performance of the restorations was assessed using the FDI criteria at baseline and six, 12, and 18 months after clinical service. All criteria evaluated were submitted to appropriate statistical analysis (α=0.05). RESULTS The retention rates of the restorations at each recall time were not affected by the isolation method (p>0.05). No significant difference between isolation methods was found in regard to patients' preferences (p=0.86), gingival bleeding (p=0.57), laceration (p=0.64), insertion (p>0.52), gingival sensitivity (p=0.52), or chairside time (p=0.77). CONCLUSIONS The use of CR/RC was shown to be similar to the use of RD in terms of retention rates, patient's preference, gingival damage, and chairside time for adhesive restorations in NCCL.
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Lawson NC, Gilbert GH, Funkhouser E, Eleazer PD, Benjamin PL, Worley DC. General Dentists' Use of Isolation Techniques during Root Canal Treatment: From the National Dental Practice-based Research Network. J Endod 2015; 41:1219-25. [PMID: 26015159 DOI: 10.1016/j.joen.2015.04.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2015] [Revised: 03/24/2015] [Accepted: 04/19/2015] [Indexed: 11/16/2022]
Abstract
INTRODUCTION A preliminary study done by a National Dental Practice-Based Research Network precursor observed that 44% of general dentists (GDs) reported always using a rubber dam (RD) during root canal treatment (RCT). This full-scale study quantified the use of all isolation techniques, including RD use. METHODS Network practitioners completed a questionnaire about isolation techniques used during RCT. Network enrollment questionnaire data provided practitioner characteristics. RESULTS One thousand four hundred ninety of 1716 eligible GDs participated (87%); 697 (47%) reported always using an RD. This percentage varied by tooth type. These GDs were more likely to always use an RD, do not own a private practice, perform less than 10 RCTs/month, and have postgraduate training. CONCLUSIONS Most GDs do not use an RD all the time. Ironically, RDs are used more frequently by GDs who do not perform molar RCT. RD use varies with tooth type and certain dentist, practice, and patient characteristics.
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Affiliation(s)
- Nathaniel C Lawson
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, Alabama
| | - Gregg H Gilbert
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, Alabama.
| | - Ellen Funkhouser
- Division of Preventive Medicine, Department of Medicine, School of Dentistry, University of Alabama at Birmingham, Birmingham, Alabama
| | - Paul D Eleazer
- Department of Endodontics, School of Dentistry, University of Alabama at Birmingham, Birmingham, Alabama
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Murray CM, Chandler NP. Undergraduate endodontic teaching in New Zealand: Students’ experience, perceptions and self-confidence levels. AUST ENDOD J 2014; 40:116-22. [DOI: 10.1111/aej.12084] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ahmed HMA, Cohen S, Lévy G, Steier L, Bukiet F. Rubber dam application in endodontic practice: an update on critical educational and ethical dilemmas. Aust Dent J 2014; 59:457-63. [PMID: 25091028 DOI: 10.1111/adj.12210] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/07/2014] [Indexed: 01/28/2023]
Abstract
Proper isolation is an essential prerequisite for successful endodontic treatment. This article aims to provide an update on the prevalence of rubber dam (RD) use, and the role of education along with attitudes of general dental practitioners (GDPs) and patients towards the application of RD in endodontics. Critical ethical issues are also highlighted. Using certain keywords, an electronic search was conducted spanning the period from January 1983 to April 2013 to identify the available related investigations, and the pooled data were then analysed. The results show that although RD is the Standard of Care in endodontic practice, there is a clear discrepancy in what GDPs are taught in dental school and what they practice after graduation. There is little scientific evidence to support the application of RD; however, patient safety and clinical practice guidelines indicate that it is unnecessary and unethical to consider a cohort study to prove what is already universally agreed upon. A few clinical situations may require special management which should be highlighted in the current guidelines. This would pave the way for clear and straightforward universal guidelines.
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Affiliation(s)
- H M A Ahmed
- School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
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G S, Jena A, Maity AB, Panda PK. Prevalence of Rubber Dam Usage during Endodontic Procedure: A Questionnaire Survey. J Clin Diagn Res 2014; 8:ZC01-3. [PMID: 25121053 PMCID: PMC4129331 DOI: 10.7860/jcdr/2014/9011.4425] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2014] [Accepted: 05/02/2014] [Indexed: 11/24/2022]
Abstract
AIM To determine the prevalence and frequency of rubber dam usage for endodontic procedures among general practitioners, specialized practitioners, undergraduate final year students and Endodontists in the state of Odisha, India. METHODOLOGY A pre-piloted questionnaire was distributed among 737 subjects. Dentists and final year students were surveyed in relation to their prevalence of rubber dam usage. STATISTICAL ANALYSIS USED Chi-square/ Fisher Exact tests have been used to find the significance of study parameters on categorical scale between two or more groups. RESULTS Overall response rate was 71%. While about 94% of the subjects knew the use of rubber dam, 30% have used it for root canal cases and 23% use them for all cases of root canal treatment. Use of rubber dam was 15.4% in paediatric patients and 34.4% in adult patients. 68% of subjects received knowledge about rubber dam usage in undergraduate school. 75% felt that rubber dam should be compulsory before endodontic treatment & 90% were willing to gain knowledge through training and continuing dental education programs. CONCLUSION Whilst rubber dam is used frequently for root canal treatment than operative treatment, in the present survey there is a low prevalence of its usage during endodontic therapy. This presents quality issues, as well as medico-legal and safety concerns for the professional and patients alike. Greater emphasis should be placed on the advantages of using rubber dam in clinical dentistry at dental school and through continuing dental education for practitioners to update their knowledge.
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Affiliation(s)
- Shashirekha G
- Reader, Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha’O’ Anusandhan University, Kalinganagar, Bhubaneswar, Odisha, India
| | - Amit Jena
- Reader, Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha’O’ Anusandhan University, Kalinganagar, Bhubaneswar, Odisha, India
| | - Asim Bikash Maity
- Reader, Department of Conservative Dentistry and Endodontics, Haldia Institute of Dental Sciences and Research, Banbishnupur, Balughata, Haldia, West Bengal, India
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Demarco FF, Baldissera RA, Madruga FC, Simões RC, Lund RG, Correa MB, Cenci MS. Anterior composite restorations in clinical practice: findings from a survey with general dental practitioners. J Appl Oral Sci 2014; 21:497-504. [PMID: 24473714 PMCID: PMC3891272 DOI: 10.1590/1679-775720130013] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2013] [Accepted: 09/10/2013] [Indexed: 11/22/2022] Open
Abstract
Objectives The aim of this study was to assess technical preferences of general dental
practitioners when restoring anterior composite restorations. How the level of
clinical experience or post-graduate training infuenced their options was also
tested. Material and Methods A cross-sectional study was performed using a questionnaire with general dental
practitioners (GDPs) (n=276) in Southern Brazil. Information regarding post
graduation training (specialization, master's or PhD degree) and linical
experience (years since completing graduation) were gathered. The options
regarding anterior composite restorations (type of composite, adhesive system,
light curing unit, polishing procedures and rubber dam use) were collected. Data
were submitted to descriptive analysis and associations were tested. Results Response rate was 68% (187). GDPs selected microhybrid composite (52%) and 2-step
total etch adhesive system (77%). LED was the preferred method of activation for
72.8%. Immediate polishing was preferred by 75%, using a combination of
techniques. Most of the respondents (74.3%) did not use rubber dam. More
experienced clinicians used more halogen lights (p<0.022), performed more light
monitoring (p<0.001) and were resistant to use rubber dam (p<0.012).
Dentists with post-graduation training used 3-etch-and-rinse system more
frequently (p<0.04), usually monitored light intensity (p<0.014) and placed
rubber dam more frequently (p<0.044). Conclusions Hybrid composite, simplifed adhesives, LED units and immediate polishing were
preferred by Southern Brazilian dentists for anterior composite restorations. Few
dentists used rubber dam to perform composite restorations in anterior teeth.
Clinical experience and post-graduation training infuenced the dentists' choices.
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Affiliation(s)
| | | | | | | | - Rafael Guerra Lund
- Federal University of Pelotas, Post-Graduate Program in Dentistry, PelotasRS, Brazil
| | - Marcos Britto Correa
- Federal University of Pelotas, Post-Graduate Program in Dentistry, PelotasRS, Brazil
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Evaluation of senior dental students' general attitude towards the use of rubber dam: a survey among two dental schools. ScientificWorldJournal 2014; 2014:290101. [PMID: 24729749 PMCID: PMC3960558 DOI: 10.1155/2014/290101] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2013] [Accepted: 01/29/2014] [Indexed: 11/19/2022] Open
Abstract
The purpose of this study was to evaluate the general attitude of senior dental students towards rubber dam use, specifically focusing on endodontic practices prior to starting to serve community. Questionnaires were distributed to senior year students of a private school and a state school in Istanbul. Questions were asked about areas where the students used rubber dam, its advantages and difficulties, and whether they agreed or disagreed with some aspects of the rubber dam. The private school students rated isolation whereas those of the state school selected prevention of aspiration which the top advantage rubber dam provides. Students of the state school agreed with the opinion that isolation cannot be achieved without rubber dam and it extended the procedure with a significantly higher ratio compared to the private school. Within the limitations of the present study, it can be concluded that the perceptions of dental students on rubber dam needs to be improved and strategies should be developed so that this valuable adjunct will comprise one of the indispensable elements of dental care.
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Al-Abdulwahhab B, Al-Thabit H, Al-Harthi A, Shamina R, Al-Taher R, Al-Ashgai A, Al-Qabbani F, Al-Ghamdi S. The attitudes of dental interns to the use of the rubber dam and obstacles to its use. Indian J Dent 2013. [DOI: 10.1016/j.ijd.2013.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Kapitan M, Hodacova L, Jagelska J, Kaplan J, Ivancakova R, Sustova Z. The attitude of Czech dental patients to the use of rubber dam. Health Expect 2013; 18:1282-90. [PMID: 23789901 DOI: 10.1111/hex.12102] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/31/2013] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND The most frequent arguments against rubber dam are that patients generally do not like it and the prolonged time of treatment. However, according to several studies, the attitude of patients towards rubber dam is rather positive. OBJECTIVE To find out the attitudes of patients to treatment with rubber dam; to determine influence of the circumstances of treatment or factors about patients; and to establish a mean time needed for rubber dam placement. DESIGN A questionnaire survey. SETTING AND PARTICIPANTS Patients of general dental practitioners, university clinical specialists and undergraduate dental students. RESULTS A total of 179 questionnaires were distributed, from which 150 were returned. The mean time needed for rubber dam placement was 4 min for students and < 2 min for dentists. For 56% of patients, this had been their first experience with rubber dam. A total of 77% of patients indicated a higher level of comfort during treatment with rubber dam. A preference to the future rubber dam usage was indicated by 86% of patients. The preference to the further rubber dam usage was statistically significantly affected by the level of comfort during the treatment with rubber dam (P < 0.001) and by the sufficiency of explanation of reasons for rubber dam usage (P < 0.05). The other factors presented no statistically significant influence on patients' attitude to rubber dam usage. CONCLUSIONS The attitude of patients to rubber dam was rather positive in our study. The time needed for rubber dam application was rather short.
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Affiliation(s)
- Martin Kapitan
- Department of Dentistry, Charles University in Prague, Faculty of Medicine in Hradec Kralove, University Hospital, Hradec Kralove, Czech Republic
| | - Lenka Hodacova
- Department of Social Medicine, Charles University in Prague, Faculty of Medicine in Hradec Kralove, Hradec Kralove, Czech Republic
| | - Julie Jagelska
- Centrum stomatologie Impla, Hradec Kralove, Czech Republic
| | - Jiri Kaplan
- MUDr. et MDDr. Jiri Kaplan, Pardubice, Czech Republic
| | - Romana Ivancakova
- Department of Dentistry, Charles University in Prague, Faculty of Medicine in Hradec Kralove, University Hospital, Hradec Kralove, Czech Republic
| | - Zdenka Sustova
- Department of Dentistry, Charles University in Prague, Faculty of Medicine in Hradec Kralove, University Hospital, Hradec Kralove, Czech Republic
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Ibrahim AA, Fadlalla NB, Nory NF, Abu-bakr NH. Difficulties in performing root canal treatment among dental students in Sudan. Indian J Dent 2012. [DOI: 10.1016/j.ijd.2012.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Castillo-de Oyagüe R, Lynch C, McConnell R, Wilson N. Teaching the placement of posterior resin-based composite restorations in Spanish dental schools. Med Oral Patol Oral Cir Bucal 2012; 17:e661-8. [PMID: 22322491 PMCID: PMC3476032 DOI: 10.4317/medoral.17656] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2011] [Accepted: 08/18/2011] [Indexed: 11/10/2022] Open
Abstract
Objectives: In an area of esthetic dentistry such as posterior composites, in which new materials and techniques are being devolved continuously, it is important to confirm that dental students have a clear understanding of the basic principles of clinical application of this knowledge. Considering that the preparation of dental graduates in Spain may be of interest to competent dental authorities and employers with whom they can work worldwide, this study investigated the teaching of posterior composite restorations in Spanish dental schools.
Study design: In late 2009⁄ early 2010, a questionnaire seeking information on the teaching of posterior composites was emailed to the professor responsible for teaching operative dentistry in each of the fifteen dental schools having complete undergraduate dental degree programs in Spain.
Results: The response rate was 100%. Most investigated topics did not show noteworthy differences depending on whether the schools were public or private. Variations were found among Spanish dental schools in both the amount and content of the teaching programs concerning posterior composite restorations. Differences were recorded in the teaching of cavity design, contraindications to composite placement, indications for liners and bases, matrix and wedging techniques, composite and bonding systems, light curing and finishing procedures for composite restorations. More consistency was observed in teaching methods of moisture-control, indirect composites and amalgam bonding.
Conclusions: As recommended in previously surveyed countries, efforts must be made to promote harmonization of dental curricula to make it easier for graduates to work elsewhere, and to ensure they meet the needs of their patients on entering independent practice.
Key words:Aesthetic dentistry, composite restoration, dental education, teaching program, undergraduate dental student.
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Affiliation(s)
- Raquel Castillo-de Oyagüe
- Department of Buccofacial Prostheses, School of Dentistry, Complutense University of Madrid, Madrid, Spain.
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Tanalp J, Karapinar-Kazandag M, Ersev H, Bayirli G. The Status of Mineral Trioxide Aggregate in Endodontics Education in Dental Schools in Turkey. J Dent Educ 2012. [DOI: 10.1002/j.0022-0337.2012.76.6.tb05310.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Jale Tanalp
- Department of Endodontics, Faculty of Dentistry; Yeditepe University; Turkey
| | | | - Handan Ersev
- Department of Endodontics, Faculty of Dentistry; Istanbul University; Turkey
| | - Gündüz Bayirli
- Department of Endodontics, Faculty of Dentistry; Yeditepe University; Turkey
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Quality-Shaping Factors and Endodontic Treatment amongst General Dental Practitioners with a Focus on Denmark. Int J Dent 2012; 2012:526137. [PMID: 22536241 PMCID: PMC3320012 DOI: 10.1155/2012/526137] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2011] [Accepted: 01/19/2012] [Indexed: 11/18/2022] Open
Abstract
There is a gap between the endodontic outcome that can be achieved and the outcome observed on the basis of worldwide general dental practitioner data. The quality of root canal treatment (RCT) is shaped by the dentist's knowledge, attitude, and skills, but it may also be influenced by the patient's demands and degree of satisfaction. The topic has only been sparsely investigated. Although dental health has increased over the years in Denmark, the number of performed root fillings has also increased, probably because the number of tooth extractions have declined and more molar teeth have been treated. Caries appears to be the main cause for performing RCT and a preventive approach by employing stepwise excavation may reduce RCT, but this strategy does not remove the gap. Factors influencing RCT quality could be the status on adoption of nickel-titanium rotary technology, more focus on infection control (rubber dam use, knowledge of factors important for prognosis), as dentists often think that they are good at doing RCT, but often perform inadequately, an alteration of clinician's awareness of their performance in the context of dental practices, seems warranted. Finally, the development of new preventive modalities for pulp and apical inflammation are crucial.
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Blum IR, Lynch CD, Wilson NHF. Teaching of direct composite restoration repair in undergraduate dental schools in the United Kingdom and Ireland. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2012; 16:e53-e58. [PMID: 22251354 DOI: 10.1111/j.1600-0579.2010.00674.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
AIM To investigate aspects of the teaching of restoration repair as a minimally invasive alternative to the replacement of defective direct composite restorations in teaching programmes in undergraduate curricula in dental schools in the United Kingdom and Ireland. METHODS An online questionnaire which sought information in relation to the current teaching of composite restoration repair was developed and distributed to the 17 established UK and Irish dental schools with undergraduate teaching programmes in Spring 2010. RESULTS Completed responses were received from all 17 schools (response rate= 100%). Fifteen schools reported that they included teaching of repair techniques for defective direct composite restorations in their programme. Of the two remaining schools, one indicated that it would introduce teaching of repair techniques during the next five years. The most common indication for a composite repair was that of 'tooth substance preservation' (15 schools). The defects in restorations considered appropriate for repair rather than replacement by the largest number of schools included partial loss of restoration (13 schools) and marginal defects (12 schools). The most commonly taught surface treatment when performing a repair was mechanical roughening of the existing composite with removal of the surface layer (14 schools). Thirteen schools taught etching and the application of an adhesive bonding agent to the prepared surfaces, while the most commonly taught material for completing the repair was a hybrid composite resin (12 schools). Popular finishing implements included diamond finishing instruments (13 schools) and finishing discs (11 schools). CONCLUSION Not withstanding reluctance amongst general dental practitioners, the teaching of repair of a defective composite restoration, rather than total restoration replacement, is firmly established within UK and Irish dental school programmes. Repair techniques have clear advantages for patients, not least including a minimally invasive approach to treatment and avoidance of unnecessary loss of tooth tissue and pulpal damage. Dental practitioners should look more to repair techniques when managing defective composite restorations and clinical dental teachers should continue to research and refine composite repair techniques.
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Affiliation(s)
- I R Blum
- Restorative Dentistry, University of Bristol Dental School and Hospital, Bristol, UK.
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Lin HC, Pai SF, Hsu YY, Chen CS, Kuo ML, Yang SF. Use of Rubber Dams During Root Canal Treatment in Taiwan. J Formos Med Assoc 2011; 110:397-400. [DOI: 10.1016/s0929-6646(11)60058-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2010] [Revised: 04/28/2010] [Accepted: 04/29/2010] [Indexed: 10/18/2022] Open
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Gilbert GH, Litaker MS, Pihlstrom DJ, Amundson CW, Gordan VV. Rubber dam use during routine operative dentistry procedures: findings from the Dental PBRN. Oper Dent 2010; 35:491-9. [PMID: 20945739 DOI: 10.2341/09-287c] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Rubber dam use during operative dentistry procedures has been quantified based on questionnaires completed by dentists. However, based on the knowledge of the authors of the current study, there are no reports based on use during actual clinical procedures other than in dental materials studies and none based on routine care. The objectives of the current study were to: 1) quantify how commonly the rubber dam is used during operative dentistry procedures; 2) test the hypothesis that certain dentist, restoration and patient-level factors are associated with its use. A total of 229 dentist practitioner-investigators in The Dental Practice-Based Research Network (DPBRN) participated. DPBRN comprises five regions of the USA: Alabama/Mississippi, Florida/Georgia, Minnesota, Permanente Dental Associates and Scandinavia. Practitioner-investigators collected data on 9,890 consecutive restorations done in previously unrestored tooth surfaces from 5,810 patients. Most dentists (63%) did not use a rubber dam for any restoration in this study. A rubber dam was used for only 12% of restorations, 83% of which were used in one DPBRN region. With regions accounted for, no other dentist characteristics were significant. A multi-level multiple logistic regression of rubber dam use was done with restoration and patient-level variables modeled simultaneously. In this multi-variable context, these restoration-level characteristics were statistically significant: tooth-arch type, restoration classification and reason for placing the restoration. These patient-level characteristics were statistically significant: ethnicity, dental insurance and age. These results, obtained from actual clinical procedures rather than questionnaires, document a low prevalence of usage of the rubber dam during operative dentistry procedures. Usage varied with certain dentist, restoration and patient-level characteristics.
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Affiliation(s)
- Gregg H Gilbert
- Department of General Dental Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, USA.
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Abstract
Rubber dam has been available to the dental profession for over 140 years. During this time, the use of rubber dam has been perfected, universally taught and recommended by professional organizations. Unfortunately, its consistent use has been rejected by many in the profession. The literature suggests that rubber dam is not used routinely by dental practitioners for root canal treatment. Many unfounded reasons have been cited for its lack of use, including concerns over patient acceptance, time required for application, cost of equipment and materials, insufficient training, difficulty in use and low treatment fees. Failure to use rubber dam has been shown to influence the choice of root canal irrigant, has a negative impact on treatment outcome and places the patient at risk of swallowing or aspirating materials and instruments. Methods to popularize rubber dam amongst general practitioners are discussed.
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Affiliation(s)
- I A Ahmad
- Private Dental Practice, Amman, Jordan.
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