DİŞ HEKİMLİĞİNDE YARDIMCI PERSONEL EĞİTİMİ:DENTAL İMPLANTLAR VE BİYOMATERYALLER ÜZERİNE BİR PİLOT ÇALIŞMA

AMAÇ: Diş hekimliğinde yardımcı personel hizmetinin önemi, çeşitlenen tedavi seçenekleri ve genişleyen klinik uygulama alanları ile paralel olarak artmaktadır. Ancak diş hekiminin yardımcılığını yapan personelin iş ve görev tanımı ile ilgili olarak yasal düzenlemeler oldukça yenidir ve uygulamadaki eksiklikleri henüz bilinmemektedir. Diğer taraftan kamu hastanelerinde ve özel kliniklerde yardımcı personel olarak pek çok birey istihdam edilmekte ve bu bireyler sekreterya, sterilizasyon veya cerrahi asistanlık gibi pek çok kritik alanda temel bir eğitimden geçmeksizin hizmet vermektedir. Bu çalışmanın amacı, özel sektörde hizmet veren yardımcı personelin, diş hekimliğinin çağdaş uygulamalarından olan dental implant ve biyomateryal kullanımı ile ilgili bilgi düzeylerini ölçmek, ilgili konuda verilen eğitim sonrası bilgi düzeylerindeki değişimi ve eğitimle ilgili görüş ve önerilerini belirlemekti YÖNTEMLER: Çeşitli seviyelerde iş tecrübesine sahip, özel sektörde çalışan 72 yardımcı personel bireye bir günlük eğitim çerçevesinde ‘dental implant ve biyomateryaller’ konulu temel teorik bilgiler verildi ve uygulama örnekleri ile verilen bilgilerin pekiştirilmesi amaçlandı. Günün başlangıcında teorik bilgilere yönelik 10 soru içeren bir sınav yapıldı ve eğitimin sonunda bu sınav tekrarlandı. Gün sonunda demografik bilgilere ve eğitimin değerlendirilmesine yönelik 10 soruluk anket yapıldı. BULGULAR: Katılımcıların 98%’i kadın, 62.5%’i 20-29 yaş aralığında, 65.2%’si ortaöğretim mezunu, 37.5%’i 5 yıldan fazla mesleki tecrübeye sahipti. Eğitim öncesi yapılan sınavda doğru cevap oranı 31%, sonrası yapılan sınavda ise %98,2 idi. Katılımcıların 58,3%’ü anlatılan konuları yeterli bulurken, 82%’si verilen bilgilerin çalışmalarında katkı sağlayacağını belirtti. Tüm katılımcılar, bu tip eğitim programlarının tekrarlanması gerektiğini ifade etti. SONUÇ: Diş hekimliğinde yardımcı personel olarak görev alan bireylerin yasal olarak tanınması, görev ve sorumluluklarının tanımlanması, özdeş bir temel eğitimden geçirilmeleri ve sürekli mesleki eğitimler ile desteklenmeleri gereklidir.

Anahtar Kelimeler:

Dental asistan, implant, biyomateryal

ASSISTANT STAFF TRAINING IN DENTISTRY:A PILOT STUDY ON DENTAL IMPLANTS AND BIOMATERIALS

OBJECTIVE: The importance of assistant staff service in dentistry rises in parallel to varying treatment options and expanding clinical practice fields. However, legal regulations regarding the occupational definition and responsibility matters of the dental assistant staff are very recent and practical drawbacks are yet unknown. On the other side, many people are being recruited as assistant staff in state hospitals and private clinics and serving for several critical aspects such as secretariat, sterilization and surgical assistance without receiving a fundamental education. The aim of this study was to measure the level of knowledge of assistant staff employed in private clinics about dental implants and biomaterial utilization as modern dental topics, to determine the shift in their knowledge after the training performed and their opinions and suggestions about the training program. METHODS: 72 assistant staff recruited in private clinics with different levels of occupational experience were given basic theoretical knowledge through the one-day training frame and examples of practice were utilized in order to reinforce the basics. An examination consisting 10 questions related to the theoretical aspect was performed in the beginning of the day and repeated at the end. A survey consisting 10 questions in regard to demographic information and evaluation of the training was also performed in the end of the day. RESULTS: 98% were female, 62.5% were aged 20-29, 65.2% were mid-school graduate, 37.5% had >5 years of experience among participants. Correct answer ratio was 31% before and 98.2% after the training sessions. 58.3% rated the lectured issues as sufficient where 82% indicated a positive contribution to their practice. All participants stated the necessity of rehearsal of such training programs. CONCLUSION: Legal recognition, definition of occupational responsibilities, participation in an identical education program and supportive occupational training are crucial for individuals recruited as assistant staff in dentistry.

Keywords:

Dental assistant, implant, biomaterial,

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1. Morison S, Marley J, Machniewski S. Educating the dental team: exploring perceptions of roles and identities. Br Dent J. 2011 Nov 25;211(10):477-83.
2. Sheridan C, Gorman T, Claffey N. Dental nursing education and the introduction of technology-assisted learning. Eur J Dent Educ. 2008 Nov;12(4):225-32.
3. Alfano MC. Connecting dental education to other health professions. J Dent Educ. 2012 Jan;76(1):46-50.
4. Sloat FD. Education and career enhancement. Dent Assist. 2011 May-Jun;80(3):18-9.
5. Edelstein BL. Training new dental health providers in the United States. J Public Health Dent. 2011 Spring;71 Suppl 2:S3-8.
6. Hartridge S. Dental care professionals: their training and clinical practice in the UK. Dent Update. 2010 Dec;37(10):696-9.
7. Lynch CD, O'Byrne MT, McConnell RJ, Neville K. Duties and training of dental nurses: how do Irish practices conform to European standards? Community Dent Health. 2008 Jun;25(2):98-102.
8. Boynes SG, Zovko J, Bastin MR, Grillo MA, Shingledecker BD. Dental hygienists' evaluation of local anesthesia education and administration in the United States. J Dent Hyg. 2011 Winter;85(1):67-74. Epub 2011 Jan 1.
9. Yellowitz JA. Training health professionals to address the oral health care of older adults. J Mass Dent Soc. 2008 Fall;57(3):20-3.
10. Kloetzel MK, Huebner CE, Milgrom P, Littell CT, Eggertsson H. Oral health in pregnancy: educational needs of dental professionals and office staff. J Public Health Dent. 2012 Apr 16. [Epub ahead of print].
11. Rosseel JP, Jacobs JE, Plasschaert AJ, Grol RP. A review of strategies to stimulate dental professionals to integrate smoking cessation interventions into primary care. Community Dent Health. 2012 Jun;29(2):154-61.
12. Cohenca N, Forrest JL, Rotstein I. Knowledge of oral health professionals of treatment of avulsed teeth. Dent Traumatol. 2006 Dec;22(6):296-301.
13. Luciak-Donsberger C. Origins and benefits of dental hygiene practice in Europe. Int J Dent Hyg. 2003 Feb;1(1):29-42.
14. Luciak-Donsberger C, Krizanová M. Dental hygiene in Slovakia. Int J Dent Hyg. 2004 Aug;2(3):127-31.
15. Luciak-Donsberger C, Aldenhoven S. Dental hygiene in Australia: a global perspective. Int J Dent Hyg. 2004 Nov;2(4):165-71.
16. Luciak-Donsberger C, Chan C. Dental hygiene in Hong Kong: a global perspective. Int J Dent Hyg. 2003 May;1(2):84-8.
17. Anderson JM. Use of local anesthesia by dental hygienists who completed a Minnesota CE course. J Dent Hyg. 2002 Winter;76(1):35-46.
18. Folke BD, Walton JL, Feigal RJ. Occlusal sealant success over ten years in a private practice: comparing longevity of sealants placed by dentists, hygienists, and assistants. Pediatr Dent. 2004 Sep-Oct;26(5):426-32.
19. Lang NP, De Bruyn H; 1st European Consensus Workshop in Implant Dentistry University Education. The rationale for the introduction of implant dentistry into the dental curriculum. Eur J Dent Educ. 2009 Feb;13 Suppl 1:19-23.
20. Mattheos N, Albrektsson T, Buser D, De Bruyn H, Donos N, Hjørting Hansen E, Lang NP, Sanz M, Nattestad A; 1st European Consensus Workshop in Implant Dentistry University Education. Teaching and assessment of implant dentistry in undergraduate and postgraduate education: a European consensus. Eur J Dent Educ. 2009 Feb;13 Suppl 1:11-7.
21. Perel ML. Our right hand. Implant Dent. 2009 Dec;18(6):455.
22. Farrington S. Pathways to a dental assisting career. Dent Assist. 2002 Nov-Dec;71(6):44-50.
23. Ward ST, Czuszak CA, Thompson AL, Downey MC, Collins MA. Assessment and maintenance of dental implants: clinical and knowledge-seeking practices of dental hygienists. J Dent Hyg. 2012;86(2):104-10. Epub 2012 May 1.