Challenges Faced by Libyan Dental Practitioners in Endodontic Treatment

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Abstract

Objectives. The purpose of this study was to recognize the most challenging aspects of root canal treatment encountered by Libyan dental practitioners. Methods: A questionnaire was distributed randomly to 130 general dental practitioners who were working in Libya's public and private dental centers and dental faculty. The data was gathered and statically analyzed. Results: The results showed that 33.8% of the respondents had some difficulties taking periapical radiographs, 45.4% experienced problems in providing proper isolation with the rubber dam, and only 32.3% reported that they faced difficulties when determining working length. The majority of respondents 74.6% had appropriate knowledge about the various irrigation procedures and 26.9% of those experiencing problems associated with difficulties shaping the canal(s).In addition, 30% of respondents were having difficulties obturating the canal; 56.4% during master cone fitting; 30.8% choosing the proper technique; and 12.8% sealer placement.76.9% of respondents had challenge mishaps cases, the most challenging mishap case they had treated was separated instrument(s) by32.3% respondents, 19.2% respondents by ledge bypass, 15.4% of them by negotiating missed canal(s) and 10.0% of them by perforation management. Conclusion. The evaluation of the challenges that dental practitioners face during root canal therapy can help in the creation of instructional plans for preclinical and clinical training. Further studies should be required about this subject, this present survey helped to ascertain various gaps in the education schedule which, if altered correctly, would be of great benefit to both the quality of dental practitioners’ performance.
利比亚牙科医生在牙髓治疗中面临的挑战
研究目的本研究旨在了解利比亚牙科医生在根管治疗中遇到的最具挑战性的问题。方法:随机向在利比亚公立和私立牙科中心及牙科学院工作的 130 名普通牙科医生发放调查问卷。收集数据并进行统计分析。结果显示结果显示,33.8%的受访者在拍摄根尖周X光片时遇到一些困难,45.4%的受访者在使用橡皮障进行适当隔离时遇到问题,只有32.3%的受访者表示在确定工作长度时遇到困难。74.6% 的受访者对各种冲洗程序有适当的了解,26.9% 的受访者遇到的问题与难以修整根管有关。此外,30% 的受访者在修整根管时遇到困难;56.4% 的受访者在主锥安装时遇到困难;30.8% 的受访者在选择正确的技术时遇到困难;12.8% 的受访者在放置封闭剂时遇到困难。.9% 的受访者遇到过挑战性事故,其中 32.3% 的受访者处理过的最具挑战性的事故是器械分离,19.2% 的受访者处理过边缘分流,15.4% 的受访者处理过漏接的牙管,10.0% 的受访者处理过穿孔。结论对牙科医生在根管治疗过程中面临的挑战进行评估,有助于制定临床前和临床培训的教学计划。本调查有助于确定教育计划中存在的各种差距,如果能正确地加以改变,将对提高牙科医生的工作质量大有裨益。
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