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Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making
Costa, Silas Alves; Nogueira, Vinicius Krieger Costa; Bussanelli, Diego Girotto; Restrepo, Manuel; Escobar, Alfonso; Cordeiro, Rita de Cássia Loiola.
Afiliação
  • Costa, Silas Alves; São Paulo State University. Araraquara School of Dentistry. Department of Morphology, Genetics, Orthodontic and Pediatric Dentistry. Araraquara. BR
  • Nogueira, Vinicius Krieger Costa; São Paulo State University. Araraquara School of Dentistry. Department of Morphology, Genetics, Orthodontic and Pediatric Dentistry. Araraquara. BR
  • Bussanelli, Diego Girotto; São Paulo State University. Araraquara School of Dentistry. Department of Morphology, Genetics, Orthodontic and Pediatric Dentistry. Araraquara. BR
  • Restrepo, Manuel; CES University. Faculty of Dentistry. Medelin. CO
  • Escobar, Alfonso; CES University. Faculty of Dentistry. Medelin. CO
  • Cordeiro, Rita de Cássia Loiola; São Paulo State University. Araraquara School of Dentistry. Department of Morphology, Genetics, Orthodontic and Pediatric Dentistry. Araraquara. BR
Braz. j. oral sci ; 20: e211168, jan.-dez. 2021. ilus
Artigo em Inglês | BBO - Odontologia, LILACS | ID: biblio-1254279
Biblioteca responsável: BR218.1
ABSTRACT

Aim:

The aim of this study was to evaluate caries diagnosis and treatment decisions made by undergraduate dental students based on ICDAS or Nyvad criteria.

Methods:

Twelve students analyzed 90 digital photographs of permanent teeth at different clinical stages of carious lesion development and chose among different treatments in three different assessments when there was no knowledge of the criteria (described as "No knowledge (N)"; when there was theoretical knowledge of the criteria (described as "Theoretical knowledge (T)" and when there was theoretical knowledge, clinical experience about dental caries and the criteria (described as "Theoretical and clinical knowledge (TC)". For "T" and "TC" the students were randomized into two experimental groups ­ ICDAS or Nyvad (experimental units 6 students/group). The reference standard was established cooperatively by two experienced researchers. Criteria performance was evaluated by sensitivity, specificity, AUC, and Kappa statistics. Treatment decision was described in percentage by contingency tables and Spearman's correlation with the reference standard.

Results:

The first assessment demonstrated a high percentage of operative treatment even for initial enamel lesions based on ICDAS criteria and treatment was proposed for both active and inactive lesions, according to the Nyvad criteria. In the second assessment, the students continued recommending treatments for initial or inactive lesions, but less frequently. In the third assessment, treatment decisions presented greater cohesion in relation to the assigned classification criterion. The criteria presented no differences between them in terms of diagnostic in the third assessment.

Conclusion:

Clinical experience may improve caries detection and treatment decisions with the use of ICDAS and Nyvad criteria
Assuntos


Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: BBO - Odontologia / LILACS Assunto principal: Ensino / Cárie Dentária Tipo de estudo: Ensaio clínico controlado / Estudo diagnóstico / Estudo prognóstico Idioma: Inglês Revista: Braz. j. oral sci Assunto da revista: Odontologia Ano de publicação: 2021 Tipo de documento: Artigo País de afiliação: Brasil / Colômbia Instituição/País de afiliação: CES University/CO / São Paulo State University/BR

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: BBO - Odontologia / LILACS Assunto principal: Ensino / Cárie Dentária Tipo de estudo: Ensaio clínico controlado / Estudo diagnóstico / Estudo prognóstico Idioma: Inglês Revista: Braz. j. oral sci Assunto da revista: Odontologia Ano de publicação: 2021 Tipo de documento: Artigo País de afiliação: Brasil / Colômbia Instituição/País de afiliação: CES University/CO / São Paulo State University/BR
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