fa بررسی میزان آگاهی دندانپزشکان عمومی در مواجهه با Avulsion اندو Endo مطالعه اصیل original article <strong><span style="font-family:b nazanin;">خلاصه</span></strong><span dir="LTR"><span style="font-family:times new roman bold,serif;">:</span></span><span style="font-family:b nazanin;"></span><br> <strong><span style="font-family:b nazanin;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-11T09:43">سابقه و هدف</ins></span></strong> : <span style="font-family:b nazanin;">با توجه به شیوع&nbsp; </span><span style="font-family:b nazanin;">نسبتا</span><span style="font-family:b nazanin;"> بالای</span> <span dir="LTR"><span style="font-size:10.0pt;">Avulsion</span></span><span style="font-family:b nazanin;">&nbsp;&nbsp;&nbsp; و اهمیت درمان اورژانس و عوارض جبران ناپذیر درمان غلط و اهمیت آگاهی دندانپزشکان در مواجهه با </span><span dir="LTR"><span style="font-size:10.0pt;">Avulsion</span></span><span style="font-family:b nazanin;">&nbsp; بر آن شدیم تا به سنجش میزان دانش دندانپزشکان عمومی در مورد درمان صحیح </span><span dir="LTR"><span style="font-size:10.0pt;">Avulsion</span></span><span style="font-family:b nazanin;">&nbsp; بپردازیم تا برنامه های آموزشی آتی با جهت گیری درست انجام گیرد.</span><br> <strong><span style="font-family:b nazanin;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-11T09:43">مواد</ins></span></strong><strong><span style="font-family:b nazanin;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-11T09:43"> و روش ها</ins></span></strong>: <span style="font-family:b nazanin;">ا</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ن</span><span style="font-family:b nazanin;"> تحق</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ق</span><span style="font-family:b nazanin;"> به صورت توص</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ف</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> مقطع</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> (</span><span dir="LTR"><span style="font-size:10.0pt;">descriptive</span></span><span dir="LTR"><span style="font-family:times new roman bold,serif;"> -</span></span><span dir="LTR"><span style="font-size:10.0pt;">cross</span></span> <span dir="LTR"><span style="font-size:10.0pt;">sectional</span></span><span style="font-family:b nazanin;">) بر رو</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> 300 نفر از دندانپزشکان شرکت کننده در کنگره ها</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> ترم</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">م</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> و ب</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">مار</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> ها</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> دهان در سال 1397 انجام شد. داوطلبان با پاسخ به 11 پرسش&nbsp; چند گز</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">نه</span><span style="font-family:b nazanin;"> ا</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> در چهار ط</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ف</span><span style="font-family:b nazanin;"> خ</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ل</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> خوب، خوب به عنوان قابل قبول، متوسط و ضع</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ف</span><span style="font-family:b nazanin;"> به عنوان غ</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ر</span><span style="font-family:b nazanin;"> قابل قبول تقس</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">م</span><span style="font-family:b nazanin;"> شدند. نتا</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ج</span><span style="font-family:b nazanin;"> با آزمون </span><span dir="LTR"><span style="font-size:10.0pt;">chi</span></span><span dir="LTR"><span style="font-family:times new roman bold,serif;">-</span></span><span dir="LTR"><span style="font-size:10.0pt;">square</span></span><span style="font-family:b nazanin;">&nbsp; تحل</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ل</span><span style="font-family:b nazanin;"> آمار</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> شد.</span><strong><span style="font-family:b nazanin;"></span></strong><br> <strong><span style="font-family:b nazanin;"><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-11T09:43">یافته ها:</ins></span></strong> <span style="font-family:b nazanin;">از 300 نفر افراد مورد بررس</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">&nbsp; 33% آگاه</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> قابل قبول و 67% آگاه</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> غ</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ر</span><span style="font-family:b nazanin;"> قابل قبول داشتند. مهم تر</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ن</span><span style="font-family:b nazanin;"> شاخص عدم آگاه</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> مربوط به زمان مناسب جهت آغاز درمان ر</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">شه</span><span style="font-family:b nazanin;"> دندان </span><span dir="LTR"><span style="font-size:10.0pt;">Avulsed</span></span><span style="font-family:b nazanin;"> با اپکس بسته به م</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">زان</span><span style="font-family:b nazanin;"> 7/76% بود. کمبودآگاه</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> در افراد با سابقه طبابت ب</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">شتر</span><span style="font-family:b nazanin;"> (003/</span>> <span dir="LTR"><span style="font-size:11.0pt;">P</span></span><span style="font-family:b nazanin;">) و عدم سابقه درمان تروما</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> دندان</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> ( 000/0</span>> <span dir="LTR"><span style="font-size:11.0pt;">P</span></span><span style="font-family:b nazanin;">) به طور معنادار</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> ب</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">شتر</span><span style="font-family:b nazanin;"> بود.</span><strong><span style="font-family:b nazanin;"></span></strong><br> <font face="b nazanin"><b><u>نتیجه گیری&nbsp;</u></b></font>: <span style="font-family:b nazanin;">به نظر م</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> رسد که م</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">زان</span><span style="font-family:b nazanin;"> آگاه</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> از درمان دندان </span><span dir="LTR"><span style="font-size:10.0pt;">Avulsed</span></span><span style="font-family:b nazanin;">&nbsp; شده در م</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ان</span><span style="font-family:b nazanin;"> دندانپزشکان عموم</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> غ</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ر</span><span style="font-family:b nazanin;"> قابل قبول و جا</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">گاه</span><span style="font-family:b nazanin;"> نگران کننده ا</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> دارد به خصوص با فاصله گرفتن از زمان فارغ التحص</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">ل</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> م</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">زان</span><span style="font-family:b nazanin;"> آگاه</span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;"> کاهش </span><span style="font-family:b nazanin;">ی</span><span style="font-family:b nazanin;">افته</span><span style="font-family:b nazanin;"> است.</span> <strong><ins cite="mailto:magazine" datetime="2018-12-22T13:05">Ab</ins></strong><strong><ins cite="mailto:magazine" datetime="2018-12-22T13:05">stract</ins></strong><br> &nbsp;<br> <strong><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-16T11:52">B</ins></strong><strong><ins cite="mailto:Nasim%20Naraghian" datetime="2019-07-01T13:28">ackground </ins><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-16T11:52">& </ins>A<ins cite="mailto:Nasim%20Naraghian" datetime="2019-09-21T09:36">im</ins></strong><strong><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-16T11:52">:</ins></strong>&nbsp;The prevalence of avulsed teeth is high and wrong treatment can complicate dental problems, so emergency treatment and making the right decision is crucial. This study was going to assess knowledge of general dentists regarding this issue in order to proper orientation in future education.<br> <strong><strong><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-16T11:52">Material & Methods:</ins></strong></strong> This descriptive-cross sectional research was done on 300 dentists who have participated in operative and oral disease congress in 2018.Volunteers answered to 11 multiple choice questions in 4 stages of very good, good, fair, poor. Dentists whose grade were in range of very good to good were considered as acceptable score. Dentists whose grade were in range of fair to poor, they were considered as unacceptable score. Findings were evaluated by chi-square analysis.<br> <strong><strong><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-16T11:53">Results</ins></strong></strong><strong><strong><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-16T11:52">:</ins></strong></strong>&nbsp;From 300 dentists who were tested, 33% of them had acceptable point and 67% had unacceptable point. The most difficulty they had was knowing the appropriate time to start root canal treatment in mature teeth (76/7%). Insufficient knowledge was significantly higher in more experienced dentist (P=0/003) and dentists who had no experience about treatment of traumatic teeth (P < 0/00).<br> <strong><strong><ins cite="mailto:Nasim%20Naraghian" datetime="2019-03-16T11:52">Conclusion:</ins></strong></strong>&nbsp; It seems the amount of knowledge for treatment of avulsed teeth is low and concerning among general dentists especially those graduated from university for a long time ago, the amount of knowledge is decreased.<br> &nbsp; : آگاهی, اوالژن دندانی, درمان اورژانس, دندانپزشک , صدمات دندانی dentist, emergency treatment, knowledge, tooth avulsion, tooth injuries 57 63 http://jrds.ir/browse.php?a_code=A-10-1453-1&slc_lang=fa&sid=1 Mansoureh Abbasi منصوره عباسی ma_8498@yahoo.com 100319475328460015843 100319475328460015843 No Faculty of Dentistry, Tehran medical Sciences, Islamic Azad University دانشکده دندانپزشکی دانشگاه علوم پزشکی آزاد اسلامی تهران solmaz araghi سولماز عراقی solmaz8260@yahoo.com 100319475328460015844 100319475328460015844 No Faculty of Dentistry, Tehran medical Sciences, Islamic Azad University دانشکده دندانپزشکی دانشگاه علوم پزشکی آزاد اسلامی تهران amid Jazieeyan عمید جزیرئیان Doctor.amid@yahoo.com 100319475328460015845 100319475328460015845 No Faculty of Dentistry, Tehran medical Sciences, Islamic Azad University دانشکده دندانپزشکی دانشگاه علوم پزشکی آزاد اسلامی تهران Elahe Moravej-Salehi الهه مروج صالحی elahemsalehi@yahoo.com 100319475328460015846 100319475328460015846 Yes Faculty of Dentistry, Tehran medical Sciences, Islamic Azad University دانشکده دندانپزشکی دانشگاه علوم پزشکی آزاد اسلامی تهران