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Abstract

The third and final year dentistry represent a significant shift from classroom instruction to practical patient care. While gaining professional competences, students must juggle clinical posts, coursework, and exams. The purpose of this survey-based study is to determine the everyday academic, clinical, and psychological difficulties that third- and final-year dentistry students encounter. 200 participants were given a verified survey. The findings showed that the most commonly cited obstacles were theory-clinic balance difficulty and clinical workload, followed by patient management stress. According to the study's findings, time management seminars, balanced patient allocation, and good mentoring can all greatly boost students' self-esteem and lessen burnout.

Keywords

Daily Difficulties, Dental Students, patient management stress

Introduction

As students progress from preclinical labs to actual patient care throughout the clinical years, dental education gets more difficult.  While the final year necessitates thorough case management and clinical expertise, the third year introduces fundamental clinical courses like conservative dentistry, periodontics, and prosthodontics.  It can be very stressful to juggle theory classes, clinical posts, and case submissions.  Students also struggle with time limits, faculty monitoring, and patient participation.  It is essential to comprehend these difficulties in order to enhance clinical scheduling, teaching strategies, and student mental health support networks.

AIMS 

1. To evaluate third- and final-year dentistry students' everyday clinical, intellectual, and psychological challenges. 2. To compare the two groups' levels of burnout and stress.3. To offer methods for successfully striking a balance between theoretical and clinical elements.

MATERIALS AND PROCEDURES

Population of Study

Through random sampling, a total of 200 participants from our dental institution, 100 of whom were third-year students and 100 of whom were final-year students. 

Data Gathering Instrument

Theoretical preparation and assessment stress

Faculty interaction & peer support

Mental and physical fatigue

Clinical workload & patient management

Questions

How challenging do you find it to balance theory and clinical work?

How often do you find it hard to complete case requirements or quotas?

Do you get enough clinical exposure to different dental cases?

How often do you feel a lack of confidence before performing clinical procedures?

How satisfied are you with the level of supervision and guidance from faculty during clinics?

How often do you face difficulty in getting patients for clinical work?

How challenging is it to manage patient cooperation during treatment?

Do you feel confident in managing emergency situations during clinical practice?

How often do you experience difficulty completing record work or documentation?

How do you rate your time management between academics and clinics?

How often do you feel stressed due to academic or clinical workload?

How often do you experience burnout or fatigue from clinical duties?

How often do you feel anxious about your clinical performance or evaluations?

What are your main sources of stress?

How difficult is it for you to maintain a healthy study-life balance during clinical postings?

What is the biggest challenge you face in your daily dental student life?

RESULTS

Chi square

P value

265.00

.0000

26.20

.0001

265.00

.0000

9.95

.0413

8.47

.0372

118.70

.0000

265.00

.0000

6.67

.0355

18.09

.0012

265.00

.0000

1.41

.8430

47.06

.0000

104.05

.0000

262.04

.0000

247.61

.0000

DISCUSSION

The findings are consistent with earlier studies that highlight the substantial pressures associated with patient care, faculty assessment, and workload throughout the clinical components of dentistry education.  Students frequently find it difficult to retain academic quality while meeting case quotas.  Confidence and anxiety levels may be impacted while moving from supervised instruction to semi-independent clinical work.  A number of research support the idea that clinical obligations and impending professional exams cause more stress for dental students in their last year.  These problems can be reduced by implementing rotation-based workload management, systematic mentoring, and counseling.  Additionally, integrated learning sessions and flexible clinical hours can enhance the harmony between theoretical and practical elements.

CONCLUSION

According to this study, the biggest daily obstacles experienced by third and final-year dentistry students are clinical workload, patient management stress, and time balancing. Higher levels of total stress were reported by final-year students, suggesting the need for better academic planning and mental health assistance. Better clinical performance and mental stability can be achieved by delivering periodic stress management workshops, mentorship programs, and improved faculty-student communication.                                          

REFERENCE

  1. Lamis, D.R. (2001). Perceived sources of stress among dental students at University of Jordan. Journal of Dental Education. (65), 232-241.
  2. Alzahem AM, Schmidt HG, Van der Molen HT. Dental students' stress: A comprehensive review.  Dent Educ. Eur J. 2011;15(1):8–18. 
  3. A modified dental environment stress questionnaire was used by Pani SC, Al Askar AM, Al Mohrij M, and Al Ohali TA to assess stress in dentistry students.  2013;3(3):199–203; J Int Soc Prev Community Dent.
  4. Barlow PJ, Divaris K, et al. The academic environment: The viewpoint of the students.  Dental Education in Europe, 12(Suppl 1), 2008, 120–130.
  5. Sources of stress among dental students in Australia. J Dent Educ. 1999;63(9):688–697; Sanders AE, Lushington K. 
  6. A comprehensive evaluation of dentistry students' stress was conducted by Elani HW, Allison PJ, Kumar RA, et al.  2014, 78(2), J Dent Educ., 226–242.
  7. Acharya S. Stress-related factors among dental students in India. J. Dent Educ. 2003;67(10):1140–1148
  8. Morse, Z. & Dravo, U. (2007). Stress levels of dental students at the Fiji school of medicine. European Journal of Dental Education. (11), 99-103.
  9. Pau, A.K. Croucher, R. Sohanpal, R. Muirhead. & Seymour, K. (2004). Emotional intelligence and stress coping in dental undergraduates - A qualitative study. British Dental Journal. (197), 205-209.
  10. Yadav, S. & Rawal, G. (2016). The current status of dental graduates in India. Pan African Medical Journal. (16), 23-22.

Reference

  1. Lamis, D.R. (2001). Perceived sources of stress among dental students at University of Jordan. Journal of Dental Education. (65), 232-241.
  2. Alzahem AM, Schmidt HG, Van der Molen HT. Dental students' stress: A comprehensive review.  Dent Educ. Eur J. 2011;15(1):8–18. 
  3. A modified dental environment stress questionnaire was used by Pani SC, Al Askar AM, Al Mohrij M, and Al Ohali TA to assess stress in dentistry students.  2013;3(3):199–203; J Int Soc Prev Community Dent.
  4. Barlow PJ, Divaris K, et al. The academic environment: The viewpoint of the students.  Dental Education in Europe, 12(Suppl 1), 2008, 120–130.
  5. Sources of stress among dental students in Australia. J Dent Educ. 1999;63(9):688–697; Sanders AE, Lushington K. 
  6. A comprehensive evaluation of dentistry students' stress was conducted by Elani HW, Allison PJ, Kumar RA, et al.  2014, 78(2), J Dent Educ., 226–242.
  7. Acharya S. Stress-related factors among dental students in India. J. Dent Educ. 2003;67(10):1140–1148
  8. Morse, Z. & Dravo, U. (2007). Stress levels of dental students at the Fiji school of medicine. European Journal of Dental Education. (11), 99-103.
  9. Pau, A.K. Croucher, R. Sohanpal, R. Muirhead. & Seymour, K. (2004). Emotional intelligence and stress coping in dental undergraduates - A qualitative study. British Dental Journal. (197), 205-209.
  10. Yadav, S. & Rawal, G. (2016). The current status of dental graduates in India. Pan African Medical Journal. (16), 23-22.

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Dr. S. Gopi krishna
Corresponding author

JKKN Dental College and Hospital

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Dr. V. Karthika
Co-author

JKKN Dental College and Hospital

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Dr. M. Kathuri
Co-author

JKKN Dental College and Hospital

Photo
Dr. G. Hariprasath
Co-author

JKKN Dental College and Hospital

Photo
Dr. Selvakumar
Co-author

JKKN Dental College and Hospital

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Dr. Yoka
Co-author

JKKN Dental College and Hospital

Photo
Dr. M. Hariharan
Co-author

JKKN Dental College and Hospital

Dr. S. Gopi Krishna*, Dr. V. Karthika, Dr. M. Kathuri, Dr. G. Hariprasath, Dr. Selvakumar, Dr. Yoka, Dr. M. Hariharan, Perceived Daily Difficulties of Dental Students: A Questionnaire-Based Analysis, Int. J. Sci. R. Tech., 2025, 2 (11), 578-581. https://doi.org/10.5281/zenodo.17667857

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