Evaluation of the suturing technique and its relationship with suture iatrogenesis and the level of theoretical-practical knowledge in surgical procedures performed by dental students
Description
The aim of this study, carried out at the Dr René Puig Bentz Dental Clinic of the Universidad Nacional Pedro Henríquez Ureña, was to evaluate the relationship between the suturing technique used, the incidence of suture iatrogenesis and the level of theoretical and practical knowledge of surgical procedures among dental students. A total of 278 surgical procedures performed by students at different clinical levels were analysed. The results showed that the most commonly used suturing technique was the simple suture (89.93%). Regarding sutural iatrogenies, the most common errors were tissue tearing, compression ischemia and perforation of anatomical structures. In terms of theoretical knowledge, most students presented a level classified as "fair" or "poor", suggesting deficiencies in their theoretical and practical training. Although no statistically significant correlation was found between the level of theoretical knowledge and the incidence of errors, the results suggest that knowledge and motor skills are crucial factors in the prevention of iatrogenic errors. The prevalence of errors such as tissue tears and perforations may be related to a lack of practical experience and the need for more intensive supervision in suturing. This study highlights the importance of improving the theoretical and practical training of students and the need to reinforce suturing techniques in dental education programs. It also highlights the importance of adequate clinical supervision in reducing surgical errors. The data suggests that although theoretical knowledge is essential, skill in technique and supervision are equally important in minimizing postoperative complications in patients.
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Steps to reproduce
A three-step process was used to collect the data for this study. First, both patients and students were screened for compliance and informed consent was obtained from the patients. Then, a digital form in Google Forms was used to record information about the surgical procedure, the suturing technique used, and any errors observed during the surgical procedure. In the second phase, at the end of the surgery, the students' theoretical knowledge of iatrogenesis, suturing techniques and anatomy was assessed using closed-ended questions. Finally, photographs were taken before and after 7 days to document the state of the tissues and to detect possible complications. The data were organized and analyzed in Microsoft Excel using tables and graphs to facilitate interpretation of the results. This approach can be replicated by other investigators using similar tools.
Institutions
- Universidad Nacional Pedro Henriquez Urena