Objective: The goal of this study is to compare experiences and self-rated confidence levels between 4th and 5th year students across endodontic assignments. Material and Methods: A survey consisting of 26 questions was organized at the termination of the academic year with the involvement of 4th and 5th year students studying at Kırıkkale University Faculty of Dentistry in accordance with the Principles of the Declaration of Helsinki. First 16 questions were about levels of confidence. Other questions prepared as multiple choices are about their experiences in endodontic procedures. The data obtained after collecting the questionnaires were analyzed by using chi-square, Fisher's exact and Mann-Whitney U tests at the 5% significance level. Results: One hundred and sixteen students (64 of 72 4th and 52 of 62 5th grade students) answered the survey. The participation rate was 86.27%. The Grade-5 group felt statistically more confident about radiographic techniques, determining the working length, mechanical instrumentation and filling of the root canals (p=0.030, p=0.001, p=0.011, p=0.020). Comparing mechanical instrumentation in maxillary and mandibular molars, the Grade-4 group felt statistically significantly confident in instrumentation of the mandibular molars (p=0.000). The Grade-4 group felt statistically more confident in performing periapical radiographs of maxillary anterior teeth (p=0.000) and the Grade-5 group of mandibular molars (0.001). Additionally, students think that endodontics are more difficult than other dentistry departments (p=0.000). Conclusion: Within the limitation of this study, evaluating the major student difficulties during endodontic treatment may improve teaching strategies throughout preclinical and clinical education.
Keywords: Dental education; dental students; root canal preparation; root canal therapy; teaching
Amaç: Bu çalışmanın amacı, 4 ve 5. sınıf öğrencilerinin kök kanal tedavisi aşamalarındaki deneyimleri ve güven düzeylerini karşılaştırmaktır. Gereç ve Yöntemler: Helsinki Deklerasyonu prensiplerine uygun olarak Kırıkkale Üniversitesi Diş Hekimliği Fakültesinde öğrenim gören 4 ve 5. sınıf öğrencilerinin katılımıyla eğitim-öğretim yılının sonunda 26 sorudan oluşan bir anket düzenlenmiştir. İlk 16 soru güven seviyeleri ile, diğer sorular ise endodontik prosedürlerdeki deneyimleriyle ilgili olup çoktan seçmeli olarak hazırlanmıştır. Anketler toplandıktan sonra elde edilen veriler ki-kare, 'Fisher's exact' ve Mann-Whitney U testleri kullanılarak %5 anlamlılık düzeyinde istatistiksel olarak analiz edilmiştir. Bulgular: Anketi 116 öğrenci (72 4. sınıf öğrencisinin 64'ü ve 62 5. sınıf öğrencisinin 52'si) yanıtladı. Katılım oranı %86,27'dir. Beşinci sınıf öğrencileri, radyografik tekniklerin uygulanması, çalışma uzunluğunun belirlenmesi, mekanik enstrümantasyon ve kök kanallarının doldurulması konusunda istatistiksel olarak anlamlı derecede daha kendilerine güvenli bulunmuştur (p=0,030, p=0,001, p=0,011, p=0,020). Maksiller ve mandibular molarlarda mekanik enstrümantasyon karşılaştırıldığında, 4. sınıf öğrencileri mandibular molarların enstrümantasyonunda istatistiksel olarak anlamlı bir şekilde daha kendilerine güvenli bulunmuştur (p=0,000). Dördüncü sınıf öğrencileri, maksiller kesici dişlerin (p=0,000) ve 5. sınıf öğrencileri mandibular molar dişlerinin (0,001) periapikal radyografilerini alırken istatistiksel olarak kendilerine daha güvenli bulunmuştur. Ayrıca öğrenciler endodontinin diğer diş hekimliği bölümlerine göre daha zor olduğunu düşünmektedirler (p=0,000). Sonuç: Bu çalışmanın sınırları dâhilinde, kök kanal tedavisi sırasında öğrencilerin karşılaştığı başlıca zorlukların değerlendirilmesi, klinik öncesi ve klinik eğitim boyunca öğretim stratejilerini iyileştirebilir.
Anahtar Kelimeler: Diş hekimliği eğitimi; diş hekimliği öğrencileri; kök kanallarının şekillendirmesi; kök kanalı tedavisi; öğretim
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