Student‐to‐Student Local Anesthesia Injections in Dental Education: Moral, Ethical, and Legal Issues

Rosenberg, Morton; Orr, Daniel L.; Starley, Eric D.; Jensen, Dayne

doi:10.1002/j.0022-0337.2009.73.1.tb04645.x

Cited by 30 publications

(39 citation statements)

References 4 publications

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“…A similar trend has been reported from dental schools in the United States . Universities around the world use different teaching and training models in order to allow the participants gain competency in LA administration . However, there is a wide variety of approaches to teaching LA, and learning how to carry out these techniques on humans can be challenging for the participants though they do facilitate the transition from the model to the patient …”

Section: Discussionsupporting

confidence: 55%

“…However, the majority of the participants in Europe coincide in that their first injection of local anaesthesia is done on their peers . A similar trend has been reported from dental schools in the United States . Universities around the world use different teaching and training models in order to allow the participants gain competency in LA administration .…”

Section: Discussionmentioning

confidence: 63%

“…This practicum can generate great anxiety and stress for the recipient and the surgeon but in our study, most of the student samples were calm or slightly nervous before and during administration of LA and only one participant out of the 71 was terrified. Instead, after the local anaesthetic was injected, the majority of the participants were calm and relaxed.…”

Section: Discussionmentioning

confidence: 69%

“…Practice on cadaveric models had been proposed but it is not usually done in the European universities due to ethical concerns and logistical problems . However, it seems that virtual technologies will play an important role in teaching dentistry in the future, but student‐to‐student injection continues to be the most common training method …”

Section: Introductionmentioning

confidence: 99%

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Evaluation of student‐to‐student local anaesthesia administration at the University of Barcelona: A cross‐sectional study

Sánchez-Garcés

Arnabat-Domínguez

Camps‐Font

et al. 2020

Eur J Dental Education

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Introduction:To determine changes in anxiety perceived in students during their first experience injecting local anaesthetic and assess the variability in the perception in the teaching/learning experience as surgeons and patients in relation to gender. Material and methods:This cross-sectional study was carried out on students enrolled in the Anaesthesia and Resuscitation course at the University of Barcelona. A descriptive and bivariate analysis was carried out using McNemar and Fisher tests.The level of significance was set at a P-value of <.05.Results: Out of 85 students, a total of 71 responses were obtained. Overall, significant anxiety changes associated with the inferior alveolar nerve block were observed, specifically, before and during (P = .003), before and after (P < .001), and during and after (P < .001) the injection. The calm/relaxed category showed significant differences between before and after (P < .001) and during and after (P < .001) the procedure. Opinions and responses from male and female students differed statistically in relation to the injection on each other as preparation for real work situations (P < .023), recognition of landmarks (P < .001), determination of the insertion points (P = .032) and the need for supervision (P = .043). Conclusions:This study showed that the overall, students felt more anxious before being injecting with the anaesthetic and the students learning to give the local anaesthetic to each other is an appropriate learning method. No gender-related differences were observed in the participants. K E Y W O R D Sanxiety, clinical skills, dental education, local anaesthesia, student-to-student injection | 329 SÁNCHEZ-GARCÉS Et Al.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

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Evaluation of student‐to‐student local anaesthesia administration at the University of Barcelona: A cross‐sectional study

Sánchez-Garcés

Arnabat-Domínguez

Camps‐Font

et al. 2020

Eur J Dental Education

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“…There are studies interfering with the administration and receipt of a local anesthetic injection in current dental educational systems ( 15 - 21 ). However, there is a limited number of studies regarding dental education on serving pain-free local analgesia ( 4 , 22 ).…”

Section: Discussionmentioning

confidence: 99%

Role of “Video Assisted Lecture” on Changing Albanian Undergraduate Students’ Opinion Regarding Pain-free Dental Injections in Children

Hysi

Çağlar²,

Droboniku

et al. 2018

Acta Stomatol Croat

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AimTo evaluate the effectiveness of video assisted lecture in changing the opinions of dental students toward pain-free dental injections in children.MethodsThe fifth-year students (n:62) of University of Medicine of Tirana, Faculty of Dental Medicine participated in the study. The study was conducted in two stages: first a Theoretical lecture (Stage 1), “Pain-free Local Analgesia Techniques in Children” was provided, and was followed by a second lecture supported by video recordings of real clinical cases (Stage 2). Students’ opinions were evaluated by means of a short survey administered before the lectures, after the theoretical lecture, and after the video assisted lecture.ResultsBefore the study, only 47.9% of students believed in the possibility (agree and definitely agree) of pain-free local anesthesia in children, whereas after the study, the percentage had risen to 67.7% (p=0.0001). Baseline opinions of students changed significantly after the video-assisted lecture (p=0.0001). However, there is no statistical difference between mean scores of theoretical lecture (Stage 1) and video-assisted lecture (Stage 2).ConclusionsTheoretical lecture (Stage 1) was found to be significantly effective in changing the opinions regarding “Pain-free dental injections in children,” however, a video based dental education (Stage 2) was found to be relatively effective in supporting the change in dental students’ opinion.

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Effect of a Training Model in Local Anesthesia Teaching

Brand

Baart

Maas

et al. 2010

Journal of Dental Education

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The aim of this study was to evaluate the preclinical use of a training model in local anesthesia teaching on the subsequent clinical administration of a local anesthetic. Sixty-five dental students gave their first injection to a fellow dental student: twenty-two students after previous experience on a training model and forty-three without this training. After the injection, the opinions of both the student who performed the injection and the recipient were explored by questionnaires. Use of a training model did not affect the self-reported opinion of the students who performed the injection. However, the recipients of the injection considered students who exercised on the training model significantly more confident and calm, and reported a nearsignificant decrease in level of pain during insertion of the needle and feeling of a tingling lip. These results suggest that use of preclinical training models in local anesthesia teaching may have beneficial effects.

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Student‐to‐Student Local Anesthesia Injections in Dental Education: Moral, Ethical, and Legal Issues

Cited by 30 publications

References 4 publications

Evaluation of student‐to‐student local anaesthesia administration at the University of Barcelona: A cross‐sectional study

Evaluation of student‐to‐student local anaesthesia administration at the University of Barcelona: A cross‐sectional study

Role of “Video Assisted Lecture” on Changing Albanian Undergraduate Students’ Opinion Regarding Pain-free Dental Injections in Children

Effect of a Training Model in Local Anesthesia Teaching

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