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Simulation for training in sinus floor elevation: New surgical bench model

机译:窦底高程训练的模拟:新型手术台模型

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摘要

Objectives: to describe a bench model (workshop of abilities) for sinus floor elevation (SFE) training that simulates the surgical environment and to assess its effectiveness in terms of trainees’ perception. Study design: thirty-six randomly selected postgraduate students entered this cross-sectional pilot study and asked to fill in an anonymous, self-applied, 12-item questionnaire about a SFE workshop that included a study guide containing the workshop’s details, supervised practice on a simulated surgical environment, and assessment by means of specific check-lists. Results: Thirtiy-six fresh sheep heads were prepared to allow access to the buccal vestible. Using the facial tuber, third premolar and a 3D-CT study as landmarks for trepanation, the sinus membrane was lifted, the space filled with ceramic material and closed with a resorbable membrane. The participants agreed on their ability to perform SFE in a simulated situation (median score= 4.5; range 2-5) and felt capable to teach the technique to other clinicians or to undertake the procedure for a patient under supervision of an expert surgeon (median= 4; range 1-5 ). There were no differences on their perceived ability to undertake the technique on a model or on a real patient under supervision of an expert surgeon (p=0.36). Conclusions: Clinical abilities workshops for SFE teaching are an essential educational tool but supervised clinical practice should always precede autonomous SFE on real patients. Simulation procedures (workshop of abilities) are perceived by the partakers as useful for the surgical practice. However, more studies are needed to validate the procedure and to address cognitive and communication skills, that are clearly integral parts of surgical performance. > Key words:Sinus-floor elevation, animal model, dental education, dental implants, teaching, simulation.
机译:目标:描述用于窦底抬高(SFE)训练的基准模型(能力车间),该模型可模拟手术环境并根据受训者的感知评估其有效性。研究设计:三十六名随机选择的研究生参加了这一横断面试点研究,要求填写一份关于SFE研讨会的匿名的,自我申请的12项调查问卷,其中包括一份学习指南,其中包含了该研讨会的详细信息,并指导了实践。模拟的手术环境,并通过特定的检查清单进行评估。结果:准备了三十六只新鲜的绵羊头,以便进入颊可触及的地方。使用面部块茎,第三前磨牙和3D-CT研究作为治疗的标志,将鼻窦膜提起,用陶瓷材料填充空间,并用可吸收膜封闭。参与者同意他们在模拟情况下进行SFE的能力(中位分数= 4.5;范围2-5),并感到有能力向其他临床医生教授该技术或在专业外科医生的监督下为患者进行手术(中位数)。 = 4;范围1-5)。在专家或外科医生的监督下,他们对模型或真实患者进行该技术的感知能力没有差异(p = 0.36)。结论:SFE教学的临床能力研讨会是必不可少的教育工具,但是在实际患者身上,应始终在有监督的临床实践之前进行自主SFE。分担者认为模拟程序(能力车间)对外科手术很有用。但是,需要进行更多的研究来验证手术程序并解决认知和沟通技巧,这显然是手术性能不可或缺的部分。 >关键词:窦底高程,动物模型,牙科教育,种植牙,教学,模拟。

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