Decision-making for dental pulp exposure: a survey in graduate programs at Brazilian universities
Braz. oral res. (Online)
;
36: e087, 2022. tab, graf
Article
in English
|
LILACS-Express
| LILACS, BBO
| ID: biblio-1384208
ABSTRACT
Abstract Clinical decision-making tends to be based on what clinicians have been taught during undergraduate and graduate programs. The aim of the present study was to assess the clinical approach and to identify the factors that influence the decision-making for dental pulp exposure among graduate students and coordinating professors in endodontics programs offered at Brazilian universities. The study used a mail-out survey developed in the Qualtrics platform, based on seven clinical reports in which dental pulp exposure was evidenced. Descriptive statistics showing vital pulp therapy (VPT) and root canal treatment (RCT) were calculated for each clinical report. Data on the participants' (n = 113) profile and variables related to clinical and radiographic characteristics of the cases were evaluated as to their potential to affect decision-making and analyzed by logistic regression (p < 0.05). VPT was likely to be indicated in cases of patients with immature teeth (OR = 0.017; 95%CI = 0.004 -0.073). RCT indications were related to the presence of symptoms (OR = 5.326; 95%CI = 1.429-19.852) and old age (OR = 21.057; 95%CI=6.809-65.120). In pulp exposure secondary to trauma, time of pulp exposure was significantly associated with RCT indication (OR=3.267; 95%CI=1.332-8.012). The present study demonstrated that patient age, root development, and symptom features were the main factors affecting participants' decision-making.
Full text:
Available
Index:
LILACS (Americas)
Type of study:
Prognostic study
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Braz. oral res. (Online)
Journal subject:
Dentistry
Year:
2022
Type:
Article
Affiliation country:
Brazil
/
Paraguay
Institution/Affiliation country:
Pontifícia Universidade Católica do Rio Grande do Sul/BR
/
Universidad Nacional de Asunción/PY
/
Universidade Federal do Rio Grande do Sul/BR
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