Thresholds of restorative decision in dental caries treatment among dentists from small Brazilian cities.
Oral Health Prev Dent
; 5(2): 131-5, 2007.
Article
em En
| MEDLINE
| ID: mdl-17722440
ABSTRACT
PURPOSE:
To investigate the thresholds of restorative intervention in dental caries treatment, based upon the lesion depth seen in radiographs, among Brazilian dentists working in small cities. In addition, the threshold of restorative intervention was compared with demographic and work-related characteristics. MATERIAL ANDMETHODS:
The studied population comprised dentists (n = 89) who were working in 2000 in 20 small cities of the Midwest region of the Southern Brazilian State of Santa Catarina. Four different radiographs were shown of extracted premolars fixed upon a plaster base. The criteria for the radiograph analyses were proposed by Nuttall et al (1993).RESULTS:
Of investigated dentists, 16.7% would restore a carious lesion confined to the outer half of the enamel and 33.3% would restore a carious lesion in the outer and inner half of the enamel, but without involving the enamel-dentine junction. The percentage that would restore lesions in the outer half of dentine was 91.7%. Dentists who had attended postgraduate courses in areas of interest of this study tended to adopt a more conservative treatment when compared with dentists who had not attended (p < 0.01).CONCLUSIONS:
There was a great variation in the thresholds of intervention based upon lesion depth seen in radiographic images amongthe investigated Brazilian dentists. An interventionist attitude was observed, which could result in over-treatment. It is highly recommended to educate general practitioners from the studied region in performing early diagnosis of lesions and non-invasive care in order to treat initial carious lesions with only remineralisation and monitoring.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Assistência Odontológica
/
Padrões de Prática Odontológica
/
Cárie Dentária
/
Restauração Dentária Permanente
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article