Enhanced personal protective equipment and dental students' experience and quality of a restorative procedure in a simulated clinical setting.

Autor: Miletic V; The University of Sydney, Faculty of Medicine and Health, Sydney Dental School, Surry Hills NSW, Australia., Avuthu R; The University of Sydney, Faculty of Medicine and Health, Sydney Dental School, Surry Hills NSW, Australia., Zaprzala P; The University of Sydney, Faculty of Medicine and Health, Sydney Dental School, Surry Hills NSW, Australia., Divnic-Resnik T; The University of Sydney, Faculty of Medicine and Health, Sydney Dental School, Surry Hills NSW, Australia., Savic-Stankovic T; University of Belgrade, School of Dental Medicine, Department of Restorative Odontology and Endodontics, DentalNet Research Group, Belgrade, Serbia., Cabunac J; Private Practice, Dr Jovan Cabunac, Belgrade, Serbia., Stasic JN; University of Belgrade, School of Dental Medicine, Department of Restorative Odontology and Endodontics, DentalNet Research Group, Belgrade, Serbia., Matic T; University of Belgrade, Faculty of Technology and Metallurgy, Department of Inorganic Chemical Technology, Belgrade, Serbia.
Jazyk: angličtina
Zdroj: Journal of dental education [J Dent Educ] 2024 Nov; Vol. 88 (11), pp. 1490-1502. Date of Electronic Publication: 2024 May 25.
DOI: 10.1002/jdd.13593
Abstrakt: Objectives: To evaluate the effects of enhanced personal protective equipment (Enhanced_PPE) on student-operator's experience and restorative procedure.
Methods: Student-operators (N = 29 Year 3 dental students) performed Class II composite restorations (SimpliShade, Kerr) in typodont upper molars (OneDental) equipped with N95 respirators, full-face shields, disposable headwear and gowns (Enhanced_PPE) or surgical masks, protective glasses/goggles and non-disposable gowns (Standard_PPE) 2 weeks later. Cavity dimensions were measured on cone beam computed tomography images. The quality of composite restorations was assessed using selected FDI criteria and Vickers hardness. A questionnaire assessed the operators' discomfort, anxiety, confidence, ability to perform, and procedure outcome. Data were analyzed using paired t-test and McNemar test (alpha = 0.05).
Results: Student-operators experienced greater discomfort and anxiety, reduced confidence and ability to perform, and rated the procedure as less satisfactory with Enhanced_PPE (p < 0.05). Differences in proximal box width were marginally significant (Enhanced_PPE 1.8 ± 0.4 mm, Standard_PPE 1.6 ± 0.3 mm) (p = 0.047). Other cavity dimensions were similar between groups (p > 0.05) as were restorations regarding surface luster, anatomical form, marginal adaptation, proximal contour, and contact (p > 0.05). There were no differences in the hardness of composite restorations (top p = 0.349, bottom p = 0.334).
Conclusions: Enhanced_PPE led to student-operator discomfort, anxiety, and reduced confidence, but did not impact the quality of Class II preparation and composite restorations versus Standard_PPE.
(© 2024 American Dental Education Association.)
Databáze: MEDLINE
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