唐路,李培,王大维,杨成,刘克礼.CBCT介导的渐进式教学在口腔专科生根管治疗术实习中的初步探讨[J].口腔材料器械杂志,2018,27(3):167-172.
CBCT介导的渐进式教学在口腔专科生根管治疗术实习中的初步探讨
Preliminary evaluation of CBCT mediated progressive teaching for root canal treatment for higher vocational college students
投稿时间:2017-09-14  修订日期:2018-03-01
DOI:10.11752/j.kqcl.2018.03.10
中文关键词:  CBCT  渐进式教学  专科生  根管治疗
英文关键词:CBCT  Progressive teaching  Higher vocational college students  Root canal treatment
基金项目:首都医科大学校长研究基金(编号:2016JYY93)
作者单位E-mail
唐路 首都医科大学宣武医院口腔科, 北京 100053 Lutang@foxmail.com 
李培 北京市门头沟区医院口腔科, 北京 102300  
王大维 河北医科大学第三医院口腔科, 石家庄 050051  
杨成 武警总医院口腔科, 北京 100039  
刘克礼 武警总医院口腔科, 北京 100039  
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中文摘要:
      目的 探讨CBCT在口腔专科生根管治疗术实习过程中结合渐进式教学的效果。方法 选择62名口腔专科实习生,随机分为试验组(CBCT)和对照组(根尖片组),实习初期和实习中期进行理论学习和观摩根管治疗流程,实习后期进行根管治疗术临床实践,对患者上颌中切牙、上颌第一前磨牙和下颌第一磨牙进行根管治疗,对比两组实习生读片准确性和根管治疗操作合格率,比较两组操作时间和治疗后疼痛。结果 两组学生对上颌中切牙读片、根管治疗操作合格率、操作时间和治疗后疼痛未见统计学差异(P>0.05);而对上颌第一前磨牙和下颌第一磨牙,2组学生在所有评估指标上都存在差异(P<0.05)。结论 对于较复杂根管系统的牙位进行根管治疗时,CBCT可有效提高口腔专科生读片准确率和治疗成功率,缩短治疗操作时间,减轻治疗后疼痛。
英文摘要:
      Objective To explore the teaching effect of CBCT mediated progressive teaching on root canal treatment for higher vocational college students. Methods 62 higher vocational college students were randomly divided into the experimental group (CBCT) and the control group (periapical films). Students studied and watched the process of root canal treatment at the early and mid internship, practiced root canal treatment at the final stage of internship, and at last did root canal treatment for the maxillary incisor/maxillary first premolars and mandibular first molar. Finally, we compared the reading accuracy and operation qualification rate of root canal treatment of the two groups, and compared the two groups of operation time and the degree of pain after treatment. Results There was no statistical differences on reading accuracy/operation qualification rate/operation time and the degree of pain after treatment between the two groups in the maxillary incisor root canal treatment (P>0.05); but the differences in these parameters between these two groups are statistically significant in maxillary first premolars and mandibular first molar root canal surgeries. Conclusions For more complex root canal surgeries, CBCT can effectively improve reading the accuracy and rate of treatment success, shorten operation time, and reduce the pain after treatment.
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