Psychosocial impacts, perceived stress, and learning effects during the transition from preclinical to clinical dental education: Validation and translation of a questionnaire

Sadeghipour, Maryam; Namdari, Mahshid; Mortazavi, Hamed; Malek-Mohammadi, Mahsa; Tohidi, Sajjad

doi:10.4103/1735-3327.340111

Cited by 5 publications

(18 citation statements)

References 15 publications

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“…At least two comparator dental treatments were assessed in all studies, except for two studies [32, 38]. The most common comparator procedure was restorative, which was assessed in 20 studies [8, 10, 12, 23, 24, 26–30, 33–42], followed by oral surgery in 17 studies [8, 10, 23–26, 30–37, 39–41], and finally cleaning in 13 studies [8, 10, 24, 31, 33–37, 39–42]. For the most popular comparator treatments, most studies did not subgroup the procedures, except for Collado et al.…”

Section: Resultsmentioning

confidence: 99%

“…Based on a critical appraisal of the information published, no included study qualified as having a low risk of bias because each study had a high risk of bias in at least one domain. Eleven studies involved an unclear risk of bias [8, 23–29, 31, 36, 42], and the remaining 12 studies had a high risk of bias [10, 12, 30, 32–35, 37–41]. The overall study quality ranged from moderate to very–low.…”

Section: Resultsmentioning

confidence: 99%

“…[28] found that root canal treatment had the highest proportion of students in each year level indicating high and moderate levels of stress over the other procedures tested, and finally, Roudsari et al. [29] demonstrated that RCT had the highest level of average stress as a first clinic treatment experience than other treatment groups.…”

Section: Resultsmentioning

confidence: 99%

“…The quality of evidence ranged from very‐low to low when using GRADE [21, 22]. Twelve studies were degraded to very‐low due to various confounders or to being vulnerable to a high risk of bias [10, 12, 30, 32–35, 37–41], whereas the remaining 11 studies were determined to be at a low level of certainty [8, 23–29, 31, 36, 42]. Bias in this review was minimized by examining a range of database registers and assessing both physiological and psychological outcome measures of stress.…”

Section: Discussionmentioning

confidence: 99%

“…Eight studies assessed the stress within providers of dental treatment, including two assessing general dental practitioners [23,24], one assessing dental specialist practitioners [12], and the remaining five examining dental students [25][26][27][28][29]. Meanwhile, all other inluded studies assessed stress within patient groups [8,10,[30][31][32][33][34][35][36][37][38][39][40][41][42].…”

Section: Included Studiesmentioning

confidence: 99%

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Evaluating the stress of root canal treatment in patients and dentists compared to other dental treatments: A systematic review and meta‐analysis

Huynh

Peters

Zafar

et al. 2023

European J Oral Sciences

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This systematic review aimed to investigate whether root canal treatment caused greater stress than other dental treatments for patients and dentists. All peerreviewed literature published in English between January 1990 and January 2023 was included. This included randomized/non-randomized control trials, cohort studies, case-control studies, and cross-sectional studies. An electronic search used PubMed, Scopus, Medline, Cochrane Collaboration, and Embase. Hand searching supplemented the screening pool. Studies examining physiological or psychological stress measures within patients or providers of dental treatment (dentists, dental specialists, and dental students) were eligible. The study must have reported on the stress outcome for root canal treatment and at least one other dental procedure. After screening 3639 eligible records, there were 23 studies included, varying from very-low to low certainty of evidence. This review found that root canal treatment was more psychologically stressful for patients than routine restorative or cleaning procedures.However, the stress of root canal treatment relative to other dental procedures, especially extractions, was inconclusive for both dental patients and providers. Since patients regard root canal treatment as more stress-evoking than other routine dental procedures, providers should endeavour to minimise their own bias toward root canal treatment when providing adequate information for an informed treatment choice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Included Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Evaluating the stress of root canal treatment in patients and dentists compared to other dental treatments: A systematic review and meta‐analysis

Huynh

Peters

Zafar

et al. 2023

European J Oral Sciences

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A bibliometric comparison of undergraduate and postgraduate endodontic education publications: The topics, trends, and challenges

Zhang,

Liu,

Yang

et al. 2023

Journal of Dental Education

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ObjectivesThis study employs bibliometric analysis to compare knowledge units and main topics in undergraduate and postgraduate endodontic education, aiming to identify similarities, differences, and connections. The insights gained are expected to inform the future of two‐stage education to enhance continuity, highlighting evolving trends, challenges, and development directions.MethodsCitation data were retrieved from the Web of Science Core Collections (WOSCC) database and non‐WOSCC databases with two separate search formulas. VOSviewer and CiteSpace were used to analyze the distribution of research by publication years, citation‐sources, co‐authorship network of authors and countries, and clusters of keywords.ResultsThe focus on undergraduate education preceded postgraduate education by nearly a decade. The United Kingdom has emerged as the most prominent contributor to endodontic literature at both levels, with the International Endodontic Journal representing the most voluminous and cited resource in this domain. Dummer is recognized as the most prolific author in undergraduate endodontic education, while Gulabivala spearheads the most extensive cluster of postgraduate education. Keywords clustering analysis reveals that undergraduate education places greater emphasis on fundamental knowledge, while postgraduate education concentrates more on clinical practice. Descriptive analyses from non‐WOSCC databases align with the topics and findings from WOSCC‐based bibliometric analysis.ConclusionThis bibliometric analysis revealed the emphasis on fundamental knowledge and teaching techniques at the undergraduate level versus advanced clinical knowledge and techniques at the postgraduate level, which originated from different learning aims and contexts. Updating the curriculum to meet the latest practices and innovations is crucial for aligning learning objectives with current and future needs, and the connection between the two levels remains a central challenge in endodontic education.

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Dental and endodontic‐related stress amongst undergraduate students before and during the COVID‐19 pandemic: A mixed‐methods study

Chevalier,

Bonnabesse,

Honari

et al. 2023

Int Endodontic J

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AimTo determine and explain the principal sources of stress among preclinical and clinical dental undergraduate students with a particular focus on the stressors linked to endodontics.MethodologyA mixed‐methods study, with an explanatory sequential design, was employed. Volunteer students of second, third and fourth years were asked to complete both the Dental Environment Stress (DES) questionnaire and a bespoke questionnaire for endodontic‐related stress assessment, which had 21 questions in common with the DES. The results were analysed by Kruskal–Wallis and Marginal Homogeneity tests. In the second part of the study, a qualitative phase was conducted through focus group interviews of students from each academic year included in the study. Interviews were analysed by inductive content analysis.ResultsThe DES questionnaire determined that for all years the most stressful domains were ‘performance pressure’, ‘workload’ and ‘clinical training’. According to the endodontic stress questionnaire, the most stressful domains were ‘self‐efficacy beliefs’, ‘endodontic clinical training’ and ‘faculty and administration’ in early years, while they were ‘endodontic patient treatment’, ‘performance pressure in endodontics’ and ‘clinical training’ in later years. Comparing questions common to both questionnaires revealed that the stress score was lower for the endodontic stress questionnaire than in the DES questionnaire for 17 questions, being significantly lower for 13 questions (p < 0.05) and significantly higher for no question. The qualitative study showed that students’ dental and endodontic‐related stress was linked to different domains: patient, clinical procedure, organization, staff, academic education, evaluation and COVID‐19‐related issues. Qualitative aspects highlighted the important role that patients and COVID‐19 have played in student stress. However, they suggested a possible explanation for the lower endodontic stress observed in this dental university hospital, which was based on: the nature of the teaching in endodontics, the consensus between endodontic supervisors, the use of a logical, progressive procedure and the considerable experience that students gain over the years.ConclusionStudents considered endodontics stressful; however, education can play a central role in reducing stress, particularly during the early parts of the undergraduate course.

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Psychosocial impacts, perceived stress, and learning effects during the transition from preclinical to clinical dental education: Validation and translation of a questionnaire

Cited by 5 publications

References 15 publications

Evaluating the stress of root canal treatment in patients and dentists compared to other dental treatments: A systematic review and meta‐analysis

Evaluating the stress of root canal treatment in patients and dentists compared to other dental treatments: A systematic review and meta‐analysis

A bibliometric comparison of undergraduate and postgraduate endodontic education publications: The topics, trends, and challenges

Dental and endodontic‐related stress amongst undergraduate students before and during the COVID‐19 pandemic: A mixed‐methods study

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