Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Complications and Dental Students' Perceptions Regarding Student-to-Student Local Anesthesia Administration in Oral Surgery Clinic: Descriptive Research
Ağız Cerrahisi Kliniğinde Öğrenciden-Öğrenciye Lokal Anestezi Uygulamasına İlişkin Komplikasyonlar ve Öğrenci Algısı: Tanımlayıcı Araştırma
Sara SAMUR ERGÜVENa, Aydın ÖZKANa, Metin ŞENÇİMENa, Ümit KARAÇAYLIa, Gürkan Raşit BAYARa
aDepartment of Oral and Maxillofacial Surgery, Gülhane Faculty of Dentistry, University of Health Sciences, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(4):772-7
doi: 10.5336/dentalsci.2022-90539
Article Language: EN
Full Text
ABSTRACT
 Objective: Student-to-student practice is the one of the most common preclinical training method for local anesthesia education in dentistry. However, the complications in this modality are relatively less known. This study aimed to evaluate the rate and types of complications and the perception of student-to-student local anesthesia education during dental education. Material and Methods: This prospective, single-center study was conducted on fourth-year dental students. As part of their clinical education, students performed inferior alveolar block anesthesia on each other at the oral surgery department. Two days after the training, local and systemic complications linked to local anesthesia were assessed. Overall perception and satisfaction level of the students related to the practice and education modality were also evaluated. Results: The study included 44 participants [median age, 22 years; female, 26 (59%)]. The rate of any local complication was 72.7%. Pain and burning on the injection site (65.9%) and trismus (15.9%) were the most common complications. Hematoma, soft tissue injury, facial paralysis, subluxation, and syncope were also observed (2.3%). All participants recommended the practice for future applications, while 88.6% were willing to access advanced educational modalities such as simulation. Also, 97.7% agreed that the student-to-student local anesthesia education improved their empathy level toward patients. The overall satisfaction level was 87.5% (70%-90%). Conclusion: Local complications were common after student-to-student inferior alveolar block anesthesia. On the other hand, the students were overall satisfied by this unique educational practice.

Keywords: Local anesthesia; complications; dentistry; education; informed consent
ÖZET
 Amaç: Diş hekimliğinde lokal anestezi eğitimi için öğrencidenöğrenciye anestezi uygulaması en yaygın klinik öncesi eğitim yöntemlerinden biridir. Bununla birlikte, bu eğitim modeline ilişkin komplikasyon oranları literatürde belirsizdir. Bu çalışma, diş hekimliği eğitimi sırasında öğrenciden-öğrenciye lokal anestezi uygulamasının komplikasyon oranları ile öğrencilere yönelik algı ve memnuniyet oranlarını değerlendirmeyi amaçlamaktadır. Gereç ve Yöntemler: Bu prospektif, tek merkezli çalışma, diş hekimliği fakültesi 4. sınıf öğrencileri üzerinde yürütülmüştür. Öğrenciler, klinik eğitimlerinin bir parçası olarak ağız diş ve çene cerrahisi bölümünde klinik uygulamalara başlamadan önce birbirlerine inferior alveoler blok anestezisi uygulamışlardır. Eğitimden 2 gün sonra uygulanan anket formları aracılığıyla lokal anesteziye bağlı gelişmesi muhtemel lokal ve sistemik komplikasyonlar, öğrencilerin eğitim modeline ilişkin genel algı ve memnuniyet düzeyleri değerlendirilmiştir. Bulgular: Çalışmaya 44 [ortanca yaş 22, kadın, 26 (%59)] katılımcı dâhil edilmiştir. Herhangi bir lokal komplikasyon gelişme oranı %72,7 olarak belirlenmiştir. Enjeksiyon yerinde ağrı/yanma (%65,9) ve trismus (%15,9) en sık belirlenen komplikasyonlar olup; hematom, yumuşak doku yaralanması, fasiyal paraliz, subluksasyon ve senkop da gelişen diğer komplikasyonlar olarak saptanmıştır (%2,3). Tüm katılımcılar uygulamayı gelecekteki öğrenciler için tavsiye ederken, katılımcıların %88,6'sı simülasyon gibi gelişmiş eğitim yöntemlerine erişim konusunda istekli olduklarını bildirmişlerdir. Ayrıca katılımcıların %97,7'si öğrenciden-öğrenciye lokal anestezi eğitiminin hastalara karşı empati düzeyini geliştirdiğini ifade etmiştir. Uygulamaya yönelik genel memnuniyet seviyesi %87,5 (%70-90) olarak saptanmıştır. Sonuç: Öğrenciden-öğrenciye inferior alveolar blok anestezisi uygulaması sonrası lokal komplikasyonlar yaygın olarak izlenmiştir. Bununla birlikte, öğrenciler bu benzersiz eğitim uygulamasından genel olarak memnun kalmıştır.

Anahtar Kelimeler: Lokal anestezi, komplikasyonlar, diş hekimliği; eğitim; bilgilendirilmiş onam
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