Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Evaluation of the Prosthodontic Clinical Internship Experiences of 4th and 5th Grade Dentistry Students: A Cross-Sectional Study
4 ve 5. Sınıf Diş Hekimliği Öğrencilerinin Protetik Diş Tedavisi Klinik Stajı Deneyimlerinin Değerlendirilmesi: Kesitsel Araştırma
Bike ALTANa, Şevki ÇINARa
aDepartment of Prosthodontics, University of Health Sciences Faculty of Dentistry, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(1):147-58
doi: 10.5336/dentalsci.2022-91953
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aims to evaluate the prosthodontic internship experiences of 4th and 5th grade dentistry students in terms of clinical procedures and patient-physician relationships. Material and Methods: A questionnaire consisting of a total of 26 closed and open-ended questions was created through Google Forms and shared with students' representatives of each grade. It included 5-point Likert scale to allow dentistry students to evaluate prosthodontic treatment procedures. A total of 143 dentistry students were included in the study. The data were statistically analyzed using the Pearson chi-square test and the Bonferroni-corrected Z-test. Results: Of the dentistry students, 58% were 4th graders, 42% were 5th graders, 63.6% reported to consider themselves sufficient when planning treatment, 50.4% reported to spend around 30 min-1 hour for a tooth preparation, 56.8% reported border moulding as the most challenging complete denture clinical procedure, and 77.5% reported to feel strongly responsible for patients whom they treat. In addition, there was no statistically significant difference between the students' perceptions of whether the treatment they applied was ideal according to their grades (p=0.089). Conclusion: In general, dentistry students have the most difficulty in tooth preparation among fixed prosthesis clinical procedures and in border molding among total prosthesis clinical procedures. The 5th graders were more successful than the 4th graders in some clinical procedures that required correct use of time and dexterity.

Keywords: Dental students; internship and residency; prosthodontics
ÖZET
 Amaç: Çalışmamızın amacı, üniversitemizdeki 4 ve 5. sınıf diş hekimliği öğrencilerinin protetik diş tedavisi staj deneyimlerini klinik işlemler ve hasta-hekim ilişkisi açısından değerlendirmektir. Gereç ve Yöntemler: Google Formlar üzerinden oluşturulan 26 soruluk anket, sınıf temsilcileriyle paylaşılarak uygulanmıştır. Anket, protetik diş tedavi işlemlerini değerlendirdikleri kapalı ve açık uçlu sorular ile 5 düzeyli Likert skalası ile değerlendirilen sorulardan oluşmaktadır. Çalışmaya 143 öğrenci dâhil edilmiştir. Elde edilen veriler Pearson kikare testi ve Bonferroni düzeltmeli Z testi kullanılarak istatistiksel olarak analiz edilmiştir. Bulgular: Çalışmaya katılan öğrencilerin %58'i 4. sınıf, %42'si 5. sınıftır. Hastaya endikasyon koyarken kendimi yeterli buluyorum ifadesine en fazla verilen yanıt %63,6 ile 'katılıyorum' yanıtı olmuştur. 'Bir diş kesimi için ortalama ne kadar zaman harcıyorsunuz?' sorusuna en fazla verilen yanıt %50,4 ile '30 dk-1 saat' yanıtı olmuştur. Total protez klinik işlemlerinden sizi en çok zorlayanları işaretleyiniz' ifadesine en fazla verilen yanıt %56,8 ile 'kaşık kenarlarının stenç ile şekillendirilmesi' olmuştur. 'Tedavisini üstlendiğim hastaya karşı sorumluluk duyuyorum' ifadesine en fazla verilen yanıt %77,5 ile 'kesinlikle katılıyorum' yanıtı olmuştur. Öğrencilerin sınıflarına göre uyguladıkları tedavinin ideal olduğunu düşünme durumlarının dağılımları arasında istatistiksel olarak anlamlı bir farklılık bulunmamıştır (p=0,089). Sonuç: Öğrenciler genel olarak sabit protez klinik işlemlerinden en fazla diş preparasyonunda, total protez klinik işlemlerinden en fazla kaşık kenarlarının şekillendirilmesi (border moulding) işleminde zorlanmaktadır. Çalışmanın sonucunda, 5. sınıfların zamanı doğru kullanma ve el becerisi gerektiren bazı klinik işlemlerde 4. sınıflara göre daha başarılı oldukları görülmüştür.

Anahtar Kelimeler: Diş hekimliği öğrencileri; intörnlük ve asistanlık; prostodonti
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