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Evaluation of Diagnostic process in Oral Surgery Department A cross-sectional Study for 5th Year Dental Students at Mustansiriya University | ||
| Journal of Oral and Dental Research | ||
| Article 1, Volume 2, Issue 1, 2015, Pages 10-15 | ||
| Authors | ||
| Haider Ali; Noor Sabhan; Faaiz Alhamdani | ||
| Abstract | ||
| Introduction: Diagnosis is one of the important skills for dental students. During their clinical training dental students make diagnostic mistakes, which are expected because of limited knowledge and experience. Despite the fact that these diagnostic problems are usually addressed during the clinical training in the final two years, the exact reasons for diagnostic inaccuracies made by students have not been investigated thoroughly in Iraqi dental schools. Aim: The aim of the study is to identify factors influencing the appropriateness of diagnostic procedure by students performing dental extraction. Material and methods: Eight Selected items from the case sheet of the Department of Oral Surgery were used to evaluate the student’s accuracy of surgical diagnosis. Seventy eight dental students were included in the study. After completion of surgical (dental extraction) procedure, each student was asked about the reason behind the diagnosis. Results: Documentation of selected items reported as follows: chief Complaint (CC) field was neglected in 9%; history of present illness has been neglected in 73 case sheets (93.6%). Chi square test, however, showed no significant relationship between history taking (CC and HPI) and the accuracy of diagnosis. Extraoral clinical examination included lymph node (LN) examination, which was reported in 42 cases (53.8%); and facial swelling, which has been reported in 45 (57.7) cases. Intra oral examination items reported as follows: cavity probing was documented in 33 (42.3%) cases; tooth percussion for tenderness documented in 50 (64.1%) cases; examination for tooth supporting structure reported in 46 (59%) cases. Chi Square Test did not show significant relationship between both extra and intra oral examination and the accuracy of diagnosis (p>0.05, df=12). 56 students, however, made their diagnosis by guess rather than accurate diagnosis process. How about the differences you observed by gender? Conclusion: There is an obvious lack of documentation in both history taking and clinical examination. This might negatively influence proper diagnostic procedure. | ||
| Keywords | ||
| Dental Students; Diagnostic Procedure; History Taking; Intra; Oral Examination and extra; oral examination | ||
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