全科牙医对进行磨牙根管治疗的信心

M. Abdullah, Z. A. C. A. Aziz, R. Saub, N. Murat, Eshamsul Sulaiman, N. A. Hashim, N. Azmi
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摘要

本研究的目的是评估普通牙科医生(gdp)进行磨牙根管治疗(RCT)的做法,gdp进行磨牙RCT的置信水平,并确定影响他们管理磨牙RCI信心的因素。向吉隆坡和雪兰莪的gdp发放了100份问卷。其中50份问卷通过邮寄的方式发放,剩下的50份则是手工发放。所有数据都经过编码和验证。56名受访者回答了调查问卷。只有45份问卷被接受(n=45),因为11名OOPs从未进行过臼齿RCI。除活力测试(36.4%)和橡胶坝使用(27.3%)外,大多数OOPs在进行磨牙RCT时符合标准质量准则。在本研究中,100%的gdp对针尖周围疾病的诊断有信心,95.4%的gdp对从病史到闭孔进行磨牙RCT有信心。患者的耐受性和器械和材料的可获得性(97.7%)是影响gdp置信水平的两个最重要因素。影响因素最少的是本科教育(78.1%)。参加牙髓学方面的研讨会和讲座、接受ReT治疗的磨牙数量较多、患者支付RCT费用的能力和研究生培训的能力也在一定程度上影响了gdp的信心。从本研究可以看出,除了活力测试和橡胶坝使用外,大多数OOPs符合标准质量准则。他们大多数对进行磨牙RCT有信心,并且在很大程度上受到临床可用的“仪器和材料”以及患者接受磨牙RCI的耐受性的影响。
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General Dental Practitioners' confidence in performing molar root canal treatment
The objectives of this study were to assess the practice of molar root canal treatment (RCT) among general dental practitioners (GDPs), confidence level of GDPs in performing molar RCT and to identify factors that influence their confidence in managing molar RCI. One hundred questionnaires were distributed to GDPs in Kuala Lumpur and Selangor. Fifty questionnaires were delivered by mail and the remaining fifty were hand-delivered. All data was coded and verified. Fifty six OOPs rcsponded to the questionnaires. Only forty five questionnaires were accepted (n=45) as eleven OOPs had never performed molar RCI. Most of the OOPs followed the standard quality guidelines while performing molar RCT except for vitality testing (36.4%) and rubber dam usage (27.3%). In this study, 100% of the GDPs were confident in making diagnosis of perinidicular diseases and 95.4% were confident in performing molar RCT from history taking until obturation. Patients' tolerance and availability of instruments and materials (97.7%) were two factors that most influence the GDPs' confidence level. The least influcncing factor was undergraduate training (78.1 %). Attending seminars and lectures on endodontic, large number of molar teeth treated for ReT, patLents' affordability to pay for RCT and postgraduate training also influencc GDPs' confidence to a certain degree. From this study, it can be concluded that majority of OOPs complied standard quality guidelines except for vitality testing and rubber dam usage. Most of them were confident in performing molar RCT and were greatly influenced by the availability or"instruments and materials in their clinic and patients' tolerance in receiving molar RCI.
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