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Estimation of Mandibular Third Molar Development Using the Correlation in Dental Developmental Stages 利用牙齿发育阶段的相关性估算下颌第三磨牙的发育情况
Pub Date : 2023-11-30 DOI: 10.5933/jkapd.2023.50.4.373
Junyoung Kim, Hyuntae Kim, T. Shin, H. Hyun, Young-Jae Kim, Jung‐Wook Kim, Ki-Taeg Jang, Ji-Soo Song
This study aims to confirm the average chronologic age according to the developmental stages of the mandibular canine (L3), first and second premolars (L4, L5), and second and third molars (L7, L8) in children and adolescents, and to confirm the developmental stage of L3, L4, L5, and L7, which can estimate the development of L8. A total of 1,956 digital panoramic radiographs of healthy individuals aged between 6 and 15 years who visited Seoul National University Dental Hospital from January 2019 to December 2020 were selected. The developmental stages of L3, L4, L5, L7, and L8 on both sides were evaluated using the dental maturity scoring system proposed by Demirjian and Goldstein. The average age at which the follicle of L8 was first observed was around 9.34 ± 1.35 years and varied from 6 to 12 years. The possibility of agenesis of L8 was high when no traces of L8 were observed after the following stages: L3, L4, and L5 at the developmental stage F and L7 at the developmental stage E; the age was about 10 years. In estimating the development of L8, when only one tooth was considered, estimation accuracy with L5 was the highest, and there was no significant difference when all four teeth were included. This study showed the age distribution according to the developmental stages of L3, L4, L5, L7, and L8 in children and adolescents and confirmed the developmental stages of L3, L4, L5, and L7, which can be used to estimate the development of L8.
本研究旨在根据儿童和青少年的下颌犬齿(L3)、第一和第二前臼齿(L4、L5)、第二和第三臼齿(L7、L8)的发育阶段确认其平均实际年龄,并确认 L3、L4、L5 和 L7 的发育阶段,从而推测 L8 的发育情况。研究选取了2019年1月至2020年12月期间在首尔大学牙科医院就诊的6至15岁健康人的数字全景X光片,共1956张。采用 Demirjian 和 Goldstein 提出的牙齿成熟度评分系统对两侧 L3、L4、L5、L7 和 L8 的发育阶段进行了评估。首次观察到 L8 卵泡的平均年龄约为 9.34 ± 1.35 岁,从 6 岁到 12 岁不等。如果在以下阶段后没有观察到 L8 的痕迹,则 L8 缺失的可能性很高:发育阶段 F 的 L3、L4 和 L5 以及发育阶段 E 的 L7 的年龄约为 10 岁。在估计 L8 的发育情况时,当只考虑一颗牙齿时,L5 的估计准确率最高,而当包括所有四颗牙齿时,则没有显著差异。该研究显示了儿童和青少年 L3、L4、L5、L7 和 L8 发育阶段的年龄分布,并确认了 L3、L4、L5 和 L7 的发育阶段,可用于估计 L8 的发育。
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引用次数: 0
Assessment of Risk Factors for Dental Developmental Disorders in Pediatric Cancer Survivors 评估儿童癌症幸存者牙齿发育障碍的风险因素
Pub Date : 2023-11-30 DOI: 10.5933/jkapd.2023.50.4.421
Jihyun Lee, Hyung-Jun Choi, Jaeho Lee, Je-Seon Song, Chung-Min Kang
This study was to examine the developmental dental abnormalities in childhood cancer survivors. Risk factors were assessed for 125 children with radiographic data through a retrospective analysis of medical records and panoramic images. 68.0% of childhood cancer survivors exhibited at least one dental abnormality. The types of abnormalities varied depending on the age at cancer diagnosis and treatment intensity, ranging from microdontia (43.2%), to abnormal root development (39.2%) and tooth agenesis (33.6%). Logistic regression analysis demonstrated that a young age at diagnosis (under 3 years), the use of heavy metal agents, a history of hematopoietic stem cell transplantation (HSCT), and combination treatment of chemotherapy, radiation therapy, and HSCT were associated with a significantly higher risk for overall dental abnormalities. The increased risk ratios were 6.00, 3.06, 3.22, and 7.87, respectively (p < 0.05). The results of this study will predict dental abnormality in permanent dentition according to the diagnosis age and treatment method of childhood cancer.
本研究旨在调查儿童癌症幸存者的牙齿发育异常情况。通过对医疗记录和全景图像进行回顾性分析,对 125 名儿童的放射学数据进行了风险因素评估。68.0%的儿童癌症幸存者至少有一种牙齿异常。畸形的类型因癌症诊断年龄和治疗强度而异,从小牙合(43.2%)到牙根发育异常(39.2%)和牙齿缺失(33.6%)不等。逻辑回归分析表明,诊断年龄小(3 岁以下)、使用重金属制剂、有造血干细胞移植(HSCT)史以及化疗、放疗和造血干细胞移植联合治疗与总体牙齿畸形的风险显著增加有关。增加的风险比分别为 6.00、3.06、3.22 和 7.87(P < 0.05)。本研究结果将根据儿童癌症的诊断年龄和治疗方法预测恒牙的牙齿异常。
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引用次数: 0
Comparison of Shear Bond Strength in Novel Calcium Silicate-Based Materials to Composite Resin 新型硅酸钙基材料与复合树脂的剪切粘接强度比较
Pub Date : 2023-11-30 DOI: 10.5933/jkapd.2023.50.4.443
Wonkyu Shin, Hyuntae Kim, Ji-Soo Song, T. Shin, Young-Jae Kim, Jung‐Wook Kim, Ki-Taeg Jang, H. Hyun
The purpose of this study was to evaluate whether the newly introduced calcium silicate-based materials with fast-setting properties could be appropriately used as basement materials in indirect pulp treatment (IPT). This was performed by quantifying the durability of adhesion between the material and composite resin, measured by the shear bond strength (SBS). Five calcium silicate-based materials, TheraCal LC® (TLC), TheraCal PT® (TPT), TheraBase® (TB), Well-Root™ PT (WPT), and Endocem® MTA (EMTA), as well as two glass ionomer-based materials, Fuji II and Fuji II LC, were included. Specimens containing these materials were manufactured and bonded to composite resin with a universal adhesive applied in self-etch mode. The SBS values and failure modes were recorded, and the mean SBSs of the materials were compared. Both TPT and TB exhibited SBS values that were similar to TLC, while both WPT and EMTA appeared to have statistically lower SBS values. Mixed failure was commonly observed in TLC and TPT, while all WPT and EMTA samples showed cohesive failure. In comparison with TLC and TPT, more samples with cohesive failure were observed in TB, implying that this material forms a stronger bond with composite resin. Together with the ability of TB to chemically bind to dentin due to its 10-methacryloyloxydecyl dihydrogen phosphate component, TB seems to be a promising material for IPT within the limitations of this in vitro study.
本研究的目的是评估新推出的具有快速固化特性的硅酸钙基材料是否可以适当地用作间接牙髓治疗(IPT)的基底材料。具体方法是通过剪切粘接强度(SBS)来量化材料与复合树脂之间粘接的耐久性。研究对象包括五种硅酸钙基底材料:TheraCal LC® (TLC)、TheraCal PT® (TPT)、TheraBase® (TB)、Well-Root™ PT (WPT) 和 Endocem® MTA (EMTA),以及两种玻璃离聚物基底材料:Fuji II 和 Fuji II LC。制作了含有这些材料的试样,并用通用粘合剂以自酸蚀模式粘合到复合树脂上。记录了 SBS 值和失效模式,并比较了材料的平均 SBS 值。TPT 和 TB 的 SBS 值与 TLC 相似,而 WPT 和 EMTA 的 SBS 值在统计上似乎较低。TLC 和 TPT 通常会出现混合破坏,而所有 WPT 和 EMTA 样品都会出现内聚破坏。与 TLC 和 TPT 相比,TB 中出现内聚失效的样品更多,这意味着这种材料与复合树脂形成的粘合力更强。再加上 TB 的 10-甲基丙烯酰氧癸基磷酸二氢酯成分能够与牙本质发生化学结合,因此在这项体外研究的局限性范围内,TB 似乎是一种很有前途的 IPT 材料。
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引用次数: 0
Analysis of the Screening Rates and Examination Results of the National Dental Screening for Infants and Children 全国婴幼儿牙科筛查的筛查率和检查结果分析
Pub Date : 2023-11-30 DOI: 10.5933/jkapd.2023.50.4.385
Jihyeon Lee, Jaehee Lee, Saeromi Jun, Sohee Oh
The purpose of this study was to analyze the screening rates and examination results of the national dental screening program for infants and children since its initiation. Data for this study were obtained from the annual health screening statistical yearbook of the National Health Insurance Service. The investigation focused on the screening rate according to year, age, and region, as well as examination results from 2008 to 2021. The study revealed a general increase in screening rates over the years, with a simultaneous decrease observed as the age of the subjects increased. Regional variations in screening rates were observed, with the highest and lowest rates in Sejong and Jeonbuk, respectively. Analysis of examination results revealed an increasing proportion of subjects requiring treatment as they aged. From 2008 to 2013, less than 15% of subjects aged 18 - 24 and 18 - 29 months required treatment, whereas over 30% required treatment in the remaining age groups. Between 2014 and 2021, the proportion of subjects in the 18 - 29 month age group requiring treatment remained under 15%, but it exceeded 40% in the other age groups. In conclusion, active participation in national dental screening for infants and children is crucial to improving oral health outcomes.
本研究旨在分析全国婴幼儿牙科筛查计划启动以来的筛查率和检查结果。本研究的数据来自国家健康保险服务局的年度健康检查统计年鉴。调查的重点是根据年份、年龄和地区划分的筛查率,以及 2008 年至 2021 年的检查结果。研究结果显示,筛查率逐年普遍上升,但随着受试者年龄的增长,筛查率同时有所下降。筛查率存在地区差异,世宗和全北的筛查率分别最高和最低。对检查结果的分析表明,随着年龄的增长,需要治疗的受检者比例也在增加。从 2008 年到 2013 年,年龄在 18-24 个月和 18-29 个月的受检者中需要治疗的比例不到 15%,而其余年龄组中需要治疗的比例超过 30%。在 2014 年至 2021 年期间,18-29 个月年龄组需要治疗的受试者比例仍低于 15%,但其他年龄组则超过了 40%。总之,积极参与全国婴幼儿牙科筛查对于改善口腔健康状况至关重要。
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引用次数: 0
Morphological Assessment of Proximal Restoration Depending on Different Matrix Systems in Primary Molars with a 3D Scanner: In Vitro Studies 利用 3D 扫描仪对不同基质系统的初级磨牙近端修复体进行形态学评估:体外研究
Pub Date : 2023-11-30 DOI: 10.5933/jkapd.2023.50.4.396
Hyewon Hyewon, Nanyoung Lee, Joohun Song, Joon-Seong Kim, Myeongkwan Jih
The purpose of this study was to compare the proximal surface contour, size of contact area, and volume difference before and after restoration in artificial teeth of primary molars during proximal composite resin restoration using different matrix systems. Four types of artificial teeth were restored with composite resin using sectional matrix systems-Palodent V3 Sectional Matrix System and myJunior Kitand a circumferential matrix system-Tofflemire Matrix System-and modeled threedimensionally for analysis. When sectional matrix systems were used, there was a higher probability of concave proximal surface contour and simultaneously greater contact area and volume. This is attributed to the dead soft properties of the matrix band used in sectional matrix systems, which can lead to deformation of the band and hence an excessive amount of resin applied around the contact point. Additionally, the rubber wedge in the sectional matrix system may not help the matrix band fit into the cavity. Therefore, based on the findings of this study, morphological aspects need to be carefully considered for proximal composite resin restoration of primary molars using sectional matrix systems.
本研究的目的是比较使用不同基质系统修复初级磨牙近端复合树脂时人工牙近端表面轮廓、接触面积大小和修复前后的体积差。研究人员使用切面基质系统--Palodent V3 切面基质系统和 myJunior Kit,以及圆周基质系统--Tofflemire 基质系统,对四种类型的人工牙进行了复合树脂修复,并进行了三维建模分析。使用分段式基质系统时,近端表面轮廓出现凹陷的几率更高,同时接触面积和体积也更大。这是因为分段式基质系统中使用的基质带具有死软的特性,会导致基质带变形,从而在接触点周围涂抹过量的树脂。此外,分段式基质系统中的橡胶楔可能不利于基质带进入空腔。因此,根据这项研究的结果,在使用分段基质系统对初级磨牙进行近端复合树脂修复时,需要仔细考虑形态方面的问题。
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引用次数: 0
Prosthetic Treatment Strategies for Improving Denture Retention in Pediatric Patients with Hypohidrotic Ectodermal Dysplasia: a Report of Two Cases 改善外胚层发育不全儿科患者义齿固位的修复治疗策略:两个病例的报告
Pub Date : 2023-11-30 DOI: 10.5933/jkapd.2023.50.4.483
Hongju Jeon, Seonmi Kim, Namki Choi
This report presents two cases concerning strategies for improving denture retention in pediatric patients with oligodontia caused by hypohidrotic ectodermal dysplasia (HED). Both patients presented with multiple missing teeth, conical canines, alveolar bone atrophy, and a skeletal Class III tendency. In the first case, a modified form of conical-crown-retained denture was used to cover the canines. This approach was carried out without tooth extraction or coping. In the second case of severe alveolar bone resorption and a distally tilted lower left canine, the tooth was restored with a hybrid ceramic crown. It was subsequently converted into a clasp-retained removable partial denture, utilizing a suction mechanism. Both patients are currently receiving regular check-ups for the maintenance of their prosthetic appliances and the evaluation of their growth patterns. This study presents innovative prosthetic treatment methods for pediatric patients with HED who have inadequate denture retention.
本报告介绍了两个病例,这些病例涉及如何改善因发育不全外胚层发育不良(HED)引起的少牙症儿科患者的义齿固位情况。这两名患者都有多颗牙齿缺失、锥形犬齿、牙槽骨萎缩和骨骼III级倾向。在第一个病例中,使用了一种改良的锥冠固位义齿来覆盖犬齿。这种方法不需要拔牙,也不需要牙合。在第二个病例中,牙槽骨严重吸收,左下犬齿远端倾斜,采用混合陶瓷冠修复。随后,利用吸附装置将其转化为扣锁式可摘局部义齿。这两名患者目前都在接受定期检查,以维护他们的修复装置并评估他们的生长模式。本研究介绍了针对义齿固位不足的 HED 儿童患者的创新修复治疗方法。
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引用次数: 0
A Retrospective Clinical Investigation of Delayed Eruption of Premolars in the Mandible 下颌前磨牙延迟萌出的回顾性临床研究
Pub Date : 2023-11-30 DOI: 10.5933/jkapd.2023.50.4.469
Sookyung Park, Hyuntae Kim, Ji-Soo Song, T. Shin, Young-Jae Kim, H. Hyun
This study aimed to investigate the treatment options for the delayed eruption of mandibular premolars and identify the predictors of spontaneous eruption using panoramic radiography. The prevalence of delayed mandibular premolar eruption in this retrospective analysis, comprising 254 patients (aged 9 - 15 years), was 5.19%, with no significant difference based on gender. The mandibular second premolars were most affected (4.39%) compared to the first premolars (0.76%). No significant difference in prevalence was observed between the left and right sides. Among the treated mandibular premolars, primary molar-related lesions were identified as the leading cause (7.85%) of delayed tooth eruption. The treatment duration varied based on the Nolla stage, eruption stage, and treatment method. Teeth with Nolla stage 7 or lower had a treatment duration of 22.89 ± 11.96 months, whereas those with stage 8 or higher had a 15.02 ± 6.34 month duration. The deeper the tooth was located in the bone, the longer the treatment period became. The treatment duration varied depending on the treatment method, and statistically, there was no significant difference. The treatment durations for affected mandibular premolars increased with the depth of impaction angle of inclination. In this study, the treatment duration for delayed eruptions varied depending on the Nolla stage, eruption stage, and treatment method. Variations in the impaction depth and inclination angle across various treatment approaches, as explored in this study, might offer valuable insights into the selection of the most suitable management options for delayed tooth eruptions.
本研究旨在调查下颌前磨牙延迟萌出的治疗方案,并利用全景放射摄影术确定自发萌出的预测因素。在这项回顾性分析中,254名患者(年龄在9至15岁之间)的下颌前磨牙延迟萌出发生率为5.19%,性别差异不大。与第一前磨牙(0.76%)相比,下颌第二前磨牙受影响最大(4.39%)。左右两侧的患病率无明显差异。在接受治疗的下颌前磨牙中,原磨牙相关病变被认为是导致牙齿延迟萌出的主要原因(7.85%)。根据诺拉期、萌出期和治疗方法的不同,治疗时间也不同。诺拉分期为 7 期或 7 期以下的牙齿的治疗时间为 22.89 ± 11.96 个月,而 8 期或 8 期以上的牙齿的治疗时间为 15.02 ± 6.34 个月。牙齿在牙槽骨中的位置越深,治疗时间就越长。治疗时间因治疗方法而异,在统计学上没有显著差异。受影响的下颌前磨牙的治疗时间随着嵌塞深度和倾斜角度的增加而延长。在这项研究中,延迟萌出的治疗时间因Nolla阶段、萌出阶段和治疗方法而异。本研究中探讨的各种治疗方法的阻生深度和倾斜角度的变化,可能会为选择最适合延迟萌出牙的治疗方案提供有价值的见解。
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引用次数: 0
Trend Analysis of Pediatric Dentistry Patients at Seoul National University Dental Hospital: a Study on the Impact of the COVID-19 Outbreak 首尔大学牙科医院儿童牙科患者的趋势分析:COVID-19 爆发的影响研究
Pub Date : 2023-11-30 DOI: 10.5933/jkapd.2023.50.4.452
Hee-Sun Choi, Hyuntae Kim, Ji-Soo Song, T. Shin, H. Hyun, Jung‐Wook Kim, Ki-Taeg Jang, Young-Jae Kim
This study aims to investigate changes in dental service use among pediatric patients during the COVID-19 pandemic. The analysis was performed by collecting information about the number of visits, age, gender, diagnoses, and treatments for patients at the Pediatric Dentistry Department of Seoul National University Dental Hospital from January 2017 to December 2022. Compared with the period from 2017 to 2019, the total number of visits decreased during the COVID-19 pandemic, with a substantial decline in 2020. Patients in all age groups, except those aged 10 - 14, experienced decreased visits, and there was no significant gender difference. Z29.8 (need for other specified prophylactic measures) declined in all age groups, especially among those aged 0 - 4, except for those 20 years and older. K02.1 (caries of dentine) was sought by the age groups in the following order: 10 - 14, 15 - 19, 5 - 9, and 0 - 4 years, with the most significant decrease in the 0 - 4 years age group compared to others. K07.4 (malocclusion, unspecified) decreased in younger groups aged 9 and below but increased in older groups aged 10 and above. During the period from 2020 to 2022, preventive, restorative, pulp, and trauma treatments decreased, but surgical and orthodontic treatments increased compared with the previous three years. The use of sedation decreased and general anesthesia increased during COVID-19 compared to pre-pandemic. This study describes the impact of the COVID-19 pandemic on pediatric dentistry, making it a valuable reference for future pandemics.
本研究旨在调查 COVID-19 大流行期间儿科患者使用牙科服务的变化情况。分析通过收集首尔大学牙科医院儿童牙科2017年1月至2022年12月期间患者的就诊次数、年龄、性别、诊断和治疗信息进行。与 2017 年至 2019 年期间相比,COVID-19 大流行期间的就诊总人数有所减少,2020 年出现大幅下降。除10-14岁的患者外,其他年龄组的患者就诊次数均有所减少,性别差异不明显。除 20 岁及以上人群外,所有年龄段的 Z29.8(对其他特定预防措施的需求)均有所下降,尤其是 0-4 岁人群。K02.1(牙本质龋齿)在各年龄组的发病率依次为:10-14 岁、15-19 岁、20 岁及以上:与其他年龄组相比,0-4 岁年龄组的下降幅度最大。K07.4(错颌畸形,未指定)在 9 岁及以下年龄组中有所下降,但在 10 岁及以上年龄组中有所上升。与前三年相比,2020 年至 2022 年期间,预防、修复、牙髓和外伤治疗有所减少,但手术和正畸治疗有所增加。与大流行前相比,COVID-19 期间镇静剂的使用减少,全身麻醉增加。本研究描述了 COVID-19 大流行对儿童牙科的影响,对未来的大流行具有重要的参考价值。
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引用次数: 0
Trends of Dental Caries Prevalence in Children Under 14-Year-Old Using a Health Insurance Database 利用健康保险数据库了解 14 岁以下儿童的龋齿患病率趋势
Pub Date : 2023-11-30 DOI: 10.5933/jkapd.2023.50.4.409
Seongeun Mo, Jaegon Kim, Daewoo Lee, Yeonmi Yang
The purpose of this study is to analyze trends in the prevalence of dental caries and demand for dental caries treatment among children under 14 years old using Health Insurance Review and Assessment data. The analysis was conducted using treatment records from a random sample of approximately 1 million pediatric patients from a population that included all children and adolescents for each year from 2011 to 2020. In this study, the number of children diagnosed with K02 dental caries and the number of children receiving dental caries treatment across all ages have increased. However, the number of children aged 10 to 14 who received pulp treatment or extraction has decreased. In the National Survey of Children’s Oral Health, the decay-missing-filled teeth index for 5- and 12-year-olds has stagnated or increased slightly, but the percentage of the population with active dental caries has decreased. Accessibility and local environments for dental caries treatment have generally improved compared to the past, but preventive dental care has stagnated over the past decade. Therefore, it is necessary to evaluate the effectiveness of oral health programs implemented in Korea to promote and prevent dental caries among children.
本研究的目的是利用健康保险审查和评估数据分析 14 岁以下儿童龋齿患病率和龋齿治疗需求的趋势。分析使用的是 2011 年至 2020 年每年从包括所有儿童和青少年在内的人群中随机抽取的约 100 万名儿科患者的治疗记录。在这项研究中,各年龄段被诊断患有 K02 龋齿的儿童人数和接受龋齿治疗的儿童人数都有所增加。不过,10 至 14 岁儿童接受牙髓治疗或拔牙的人数有所减少。在全国儿童口腔健康调查中,5 至 12 岁儿童的蛀牙缺失指数停滞不前或略有上升,但活动性龋齿的人口比例有所下降。与过去相比,龋齿治疗的可及性和当地环境普遍有所改善,但预防性牙科保健在过去十年中却停滞不前。因此,有必要对韩国为促进和预防儿童龋齿而实施的口腔健康计划的有效性进行评估。
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引用次数: 0
Measuring the Empathy Level of Dental Students Using the Jefferson Scale of Empathy 用杰弗逊共情量表测量牙科学生的共情水平
Pub Date : 2023-08-31 DOI: 10.5933/jkapd.2023.50.3.252
Hee-Won Kim, Yeon-mi Yang, Jaegon Kim, Daewoo Lee
The aim of this study was to evaluate the effectiveness of clinical trainings in improving empathy in dental students by analyzing changes in empathy level before and after clinical training. Third grade dental students at Jeonbuk National University (JBNU) participated for 2 years. They had clinical training for 3 weeks in pediatric dentistry at JBNU Dental Hospital. Then, 20 items of the modified form of Jefferson Scale of Empathy-Health Profession Students Version were done twice, before and after clinical training. The students who had lectures and role-playing were in the experimental group, while those who had no additional trainings were in the control group. Out of 69 students, 35 were in the experimental group and 34 were in the control group. Empathy level has increased after clinical training in both groups, but only the experimental group showed a significant increase (p = 0.0052). It also showed a significant increase in specific items (No. 6, 9, 10, 15, 17, 18, 19, 20) compared to the control group (p < 0.05). Clinical trainings such as lectures and role playing might have increased empathy levels related to standing in patient’s position. Therefore, it is necessary to consider, try, and evaluate various types of clinical training rather than common education to improve dental students’ empathy.
本研究旨在通过分析临床培训前后共情水平的变化,评价临床培训对提高牙科学生共情能力的效果。全北大学牙科3年级学生参加了为期2年的活动。他们在JBNU牙科医院接受了为期三周的儿科牙科临床培训。然后,在临床培训前和临床培训后分别对修改后的杰弗逊共情-卫生专业学生版量表20个项目进行两次测试。参加过讲座和角色扮演的学生被称为实验组,而没有接受过额外训练的学生被称为对照组。69名学生中,实验组35人,对照组34人。临床训练后两组共情水平均有提高,但只有实验组有显著提高(p = 0.0052)。特定项目(6、9、10、15、17、18、19、20)与对照组相比也有显著增加(p < 0.05)。临床培训,如讲座和角色扮演,可能会增加与站在病人位置相关的同理心水平。因此,有必要考虑、尝试和评估各种类型的临床培训,而不是普通教育,以提高牙科学生的同理心。
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引用次数: 0
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