Teaching posterior resin composites in UK and Ireland dental schools: do current teaching programmes match the expectation of clinical practice arrangements?
Teaching posterior resin composites in UK and Ireland dental schools: do current teaching programmes match the expectation of clinical practice arrangements?
复制标题
DOI：
10.1038/sj.bdj.2018.446
复制
发表时间：
2018-06-22
影响因子：
2.6
通讯作者：
Wilson, N. H. F.
中科院分区：
文献类型：
--
作者：
Lynch, C. D.;Blum, I. R.;Wilson, N. H. F.
目的：针对牙科学校教学与临床实践在后牙修复方面存在分歧的证据背景，本研究的目的是调查英国和爱尔兰牙科学校目前后牙树脂复合材料的教学。方法2015年对英国和爱尔兰18所开设牙科学位课程的牙科学校进行在线调查。本问卷旨在了解目前后路树脂复合材料教学的相关信息。结果18所学校满意率为100%。所有学校都教授在前磨牙和磨牙的咬合腔中放置后牙树脂复合材料。一所学校没有包括磨牙两面合近端树脂复合材料的教学，两所学校没有包括前磨牙和磨牙三面合近端树脂复合材料的教学。平均而言，学生放置后牙树脂复合材料的数量是汞合金修复体的两倍：后牙树脂复合材料占所放置修复体的66%（范围：30-80%），而汞合金占33%（范围：20-70%）。在五年内，预计这一比例将增加到78%的树脂复合材料：22%的汞合金，其中一所学校表示他们将不再教授临床汞合金修复体放置，而另外七所学校表示汞合金将占学生放置后牙修复体的10%或更少。对更新颖的技术，如填充材料的接触有限（七所学校包括教学教学，但只有三所学校包括这种材料的临床经验）。《水俣条约》预计不会产生任何中短期影响：超过一半的答复者（n = 9所学校）认为，汞合金要到2020年至2025年之间的某个时候才会逐步淘汰。结论：本研究强调了当前的牙科学生群体，他们是新兴的牙科劳动力，在后牙树脂复合材料放置方面比以往任何时候都有更多的丰富经验。
Objectives Against a backdrop of evidence of divergence between dental school teaching and clinical practice in relation to the restoration of posterior teeth, the aim of this study was to investigate the current teaching of posterior resin composites in UK and Ireland dental schools. Methods An online survey was distributed to the 18 dental schools in the United Kingdom and Ireland with dental degree programmes in 2015. This questionnaire sought information in relation to the current teaching of posterior resin composites. Results A 100% response rate was achieved (n = 18 schools). All schools taught the placement of posterior resin composites in occlusal cavities of premolar and molar teeth. One school did not include teaching of two-surface occlusoproximal resin composites in molars and two schools did not include the teaching of three-surface occlusoproximal resin composites in premolar or molar teeth. Students place twice as many posterior resin composites, on average, than restorations of amalgam: posterior resin composites account for 66% of restorations placed (range: 30-80%), while amalgam accounts for 33% (range: 20-70%). Within five years, it is anticipated that this ratio will increase to 78% resin composite: 22% amalgam, with one school indicating they will no longer teach clinical amalgam restoration placement, while an additional seven schools indicate that amalgam will account for 10% or less of posterior restorations placed by students. There is limited exposure to more novel techniques such as bulk-fill materials (seven schools include didactic teaching, but only three include clinical experience of such materials). The Minamata Treaty is not expected to have any short- to medium-term impacts: more than half of the respondents (n = 9 schools) felt that amalgam would not be phased out until sometime between 2020 and 2025. Conclusions This study has highlighted that the current cohort of dental students, who are the emerging dental workforce, have much more substantial experience in the placement of posterior resin composites than ever before.