Fatores clínico-radiográficos e da formação profissional associados à tomada de decisão em endodontia

Detalhes bibliográficos
Autor(a) principal: Peserico, Luahra
Data de Publicação: 2023
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Manancial - Repositório Digital da UFSM
dARK ID: ark:/26339/001300000t2dz
Texto Completo: http://repositorio.ufsm.br/handle/1/30283
Resumo: The present “before and after” study aimed to evaluate the association of clinical/radiographic and professional qualification factors with clinical decision making regarding the management of root-canal treated teeth. It also investigated whether clinical information changes the treatment options of students and professionals in relation to isolated radiographic analysis. Electronic questionnaires were sent to 56 participants with different levels of professional qualification: undergraduate students, general practitioners, endodontics postgraduate students and endodontists. Thirty clinical cases were evaluated at two different moments. In the first questionnaire (Q1), periapical radiographs were provided. After one month, a second questionnaire (Q2) was answered, additionally containing clinical information. In both moments, participants chose the best treatment option for each case: wait-and-see, nonsurgical retreatment, apical surgery, nonsurgical retreatment + apical surgery or extraction. Changes in treatment options from Q1 to Q2 were analysed by the McNemar test. Multilevel binary logistic regression models were used to assess the association of examiner-related and clinical case-related factors with decision making (wait-and-see or reintervention) (α=0,05). Participants were more likely to indicate the wait-and-see and nonsurgical retreatment options at both moments. Endodontists more frequently recommended reintervention in Q2 compared to Q1. In Q1, the following variables were significantly associated with the decision to indicate a tooth to reintervention: examiner’s age, dental group, iatrogenic errors, root filling quality, periapical status and quality of coronal restoration/prosthetic crown. In Q2, specialty training in endodontics and the treatment option in Q1 were significantly associated with reintervention. Furthermore, the outcome was associated with the variables dental arch, post and/or prosthetic crown, time since the end of endodontic treatment (ET), iatrogenic errors, signs and/or symptoms and root filling quality. In conclusion, conservative approaches were preferred by all participants. Endodontists more frequently chose reintervention in Q2 than in Q1. In both questionnaires, the presence of iatrogenic errors and root filling quality were associated with reintervention. Additional variables in Q1 (examiner’s age, dental group, periapical status and quality of coronal restoration/prosthetic crown) and Q2 (specialty training in endodontics, treatment option in Q1, dental arch, post and/or prosthetic crown, time since the end of ET and signs and/or symptoms) were also associated with the outcome.
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spelling Fatores clínico-radiográficos e da formação profissional associados à tomada de decisão em endodontiaClinical-radiographic and professional qualification factors associated with decision-making in endodonticsEndodontiaRetratamentoTomada de decisão clínicaEndodonticsRetreatmentClinical decision-makingCNPQ::CIENCIAS DA SAUDE::ODONTOLOGIAThe present “before and after” study aimed to evaluate the association of clinical/radiographic and professional qualification factors with clinical decision making regarding the management of root-canal treated teeth. It also investigated whether clinical information changes the treatment options of students and professionals in relation to isolated radiographic analysis. Electronic questionnaires were sent to 56 participants with different levels of professional qualification: undergraduate students, general practitioners, endodontics postgraduate students and endodontists. Thirty clinical cases were evaluated at two different moments. In the first questionnaire (Q1), periapical radiographs were provided. After one month, a second questionnaire (Q2) was answered, additionally containing clinical information. In both moments, participants chose the best treatment option for each case: wait-and-see, nonsurgical retreatment, apical surgery, nonsurgical retreatment + apical surgery or extraction. Changes in treatment options from Q1 to Q2 were analysed by the McNemar test. Multilevel binary logistic regression models were used to assess the association of examiner-related and clinical case-related factors with decision making (wait-and-see or reintervention) (α=0,05). Participants were more likely to indicate the wait-and-see and nonsurgical retreatment options at both moments. Endodontists more frequently recommended reintervention in Q2 compared to Q1. In Q1, the following variables were significantly associated with the decision to indicate a tooth to reintervention: examiner’s age, dental group, iatrogenic errors, root filling quality, periapical status and quality of coronal restoration/prosthetic crown. In Q2, specialty training in endodontics and the treatment option in Q1 were significantly associated with reintervention. Furthermore, the outcome was associated with the variables dental arch, post and/or prosthetic crown, time since the end of endodontic treatment (ET), iatrogenic errors, signs and/or symptoms and root filling quality. In conclusion, conservative approaches were preferred by all participants. Endodontists more frequently chose reintervention in Q2 than in Q1. In both questionnaires, the presence of iatrogenic errors and root filling quality were associated with reintervention. Additional variables in Q1 (examiner’s age, dental group, periapical status and quality of coronal restoration/prosthetic crown) and Q2 (specialty training in endodontics, treatment option in Q1, dental arch, post and/or prosthetic crown, time since the end of ET and signs and/or symptoms) were also associated with the outcome.O presente estudo “antes e depois” teve como objetivo avaliar a associação de fatores clínicos/radiográficos e de formação profissional com a tomada de decisão clínica quanto ao manejo de dentes tratados endodonticamente. Também foi investigado se as informações clínicas alteram as opções de tratamento de estudantes e profissionais em relação ao exame radiográfico isolado. Questionários eletrônicos foram enviados a 56 participantes com diferentes níveis de formação profissional: alunos de graduação, dentistas generalistas, alunos de pós-graduação em Endodontia e endodontistas. Trinta casos clínicos foram avaliados em dois momentos distintos. No primeiro questionário (Q1), foram fornecidas radiografias periapicais. Após um mês, um segundo questionário (Q2) foi respondido, contendo adicionalmente as informações clínicas. Em ambos os momentos, os participantes escolheram a melhor opção de tratamento para cada caso: proservar, retratamento não cirúrgico, cirurgia apical, retratamento não cirúrgico + cirurgia apical ou extração. Mudanças nas opções de tratamento de Q1 para Q2 foram analisadas pelo teste de McNemar. Modelos de regressão logística binária multinível foram utilizados para avaliar a associação de fatores relacionados ao examinador e ao caso clínico com a tomada de decisão (proservar ou reintervir) (α=0,05). Os participantes foram mais propensos a indicar as opções proservar e retratamento não cirúrgico em ambos os momentos. Os endodontistas recomendaram a reintervenção mais frequentemente em Q2 do que em Q1. Em Q1, as seguintes variáveis foram significativamente associadas com a decisão de indicar um dente para a reintervenção: idade do examinador, grupo dentário, presença de iatrogenias, qualidade da obturação endodôntica, status periapical e qualidade da restauração/coroa protética. Em Q2, o treinamento especializado em Endodontia e a opção de tratamento em Q1 foram significativamente associados à reintervenção. Além disso, o desfecho foi associado às variáveis arcada dentária, pino e/ou coroa protética, tempo de conclusão do tratamento endodôntico (TE), presença de iatrogenias, sinais e/ou sintomas e qualidade da obturação endodôntica. Concluindo, abordagens conservadoras foram preferidas por todos os participantes. Os endodontistas escolheram reintervir com mais frequência em Q2 do que Q1. Em ambos os questionários, a presença de iatrogenias e a qualidade da obturação endodôntica foram associadas à reintervenção. Variáveis adicionais em Q1 (idade do examinador, grupo dentário, status periapical e qualidade da restauração/coroa protética) e Q2 (especialização em Endodontia, opção de tratamento em Q1, arcada dentária, pino e/ou coroa protética, tempo de conclusão do TE e sinais e/ou sintomas) também foram associadas ao desfecho.Universidade Federal de Santa MariaBrasilOdontologiaUFSMPrograma de Pós-Graduação em Ciências OdontológicasCentro de Ciências da SaúdeMorgental, Renata Dornelleshttp://lattes.cnpq.br/3833226179501044Scarparo, Roberta KochenborgerBier, Carlos Alexandre SouzaPeserico, Luahra2023-09-29T11:22:54Z2023-09-29T11:22:54Z2023-07-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://repositorio.ufsm.br/handle/1/30283ark:/26339/001300000t2dzporAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2023-09-29T11:22:54Zoai:repositorio.ufsm.br:1/30283Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2023-09-29T11:22:54Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.none.fl_str_mv Fatores clínico-radiográficos e da formação profissional associados à tomada de decisão em endodontia
Clinical-radiographic and professional qualification factors associated with decision-making in endodontics
title Fatores clínico-radiográficos e da formação profissional associados à tomada de decisão em endodontia
spellingShingle Fatores clínico-radiográficos e da formação profissional associados à tomada de decisão em endodontia
Peserico, Luahra
Endodontia
Retratamento
Tomada de decisão clínica
Endodontics
Retreatment
Clinical decision-making
CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
title_short Fatores clínico-radiográficos e da formação profissional associados à tomada de decisão em endodontia
title_full Fatores clínico-radiográficos e da formação profissional associados à tomada de decisão em endodontia
title_fullStr Fatores clínico-radiográficos e da formação profissional associados à tomada de decisão em endodontia
title_full_unstemmed Fatores clínico-radiográficos e da formação profissional associados à tomada de decisão em endodontia
title_sort Fatores clínico-radiográficos e da formação profissional associados à tomada de decisão em endodontia
author Peserico, Luahra
author_facet Peserico, Luahra
author_role author
dc.contributor.none.fl_str_mv Morgental, Renata Dornelles
http://lattes.cnpq.br/3833226179501044
Scarparo, Roberta Kochenborger
Bier, Carlos Alexandre Souza
dc.contributor.author.fl_str_mv Peserico, Luahra
dc.subject.por.fl_str_mv Endodontia
Retratamento
Tomada de decisão clínica
Endodontics
Retreatment
Clinical decision-making
CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
topic Endodontia
Retratamento
Tomada de decisão clínica
Endodontics
Retreatment
Clinical decision-making
CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
description The present “before and after” study aimed to evaluate the association of clinical/radiographic and professional qualification factors with clinical decision making regarding the management of root-canal treated teeth. It also investigated whether clinical information changes the treatment options of students and professionals in relation to isolated radiographic analysis. Electronic questionnaires were sent to 56 participants with different levels of professional qualification: undergraduate students, general practitioners, endodontics postgraduate students and endodontists. Thirty clinical cases were evaluated at two different moments. In the first questionnaire (Q1), periapical radiographs were provided. After one month, a second questionnaire (Q2) was answered, additionally containing clinical information. In both moments, participants chose the best treatment option for each case: wait-and-see, nonsurgical retreatment, apical surgery, nonsurgical retreatment + apical surgery or extraction. Changes in treatment options from Q1 to Q2 were analysed by the McNemar test. Multilevel binary logistic regression models were used to assess the association of examiner-related and clinical case-related factors with decision making (wait-and-see or reintervention) (α=0,05). Participants were more likely to indicate the wait-and-see and nonsurgical retreatment options at both moments. Endodontists more frequently recommended reintervention in Q2 compared to Q1. In Q1, the following variables were significantly associated with the decision to indicate a tooth to reintervention: examiner’s age, dental group, iatrogenic errors, root filling quality, periapical status and quality of coronal restoration/prosthetic crown. In Q2, specialty training in endodontics and the treatment option in Q1 were significantly associated with reintervention. Furthermore, the outcome was associated with the variables dental arch, post and/or prosthetic crown, time since the end of endodontic treatment (ET), iatrogenic errors, signs and/or symptoms and root filling quality. In conclusion, conservative approaches were preferred by all participants. Endodontists more frequently chose reintervention in Q2 than in Q1. In both questionnaires, the presence of iatrogenic errors and root filling quality were associated with reintervention. Additional variables in Q1 (examiner’s age, dental group, periapical status and quality of coronal restoration/prosthetic crown) and Q2 (specialty training in endodontics, treatment option in Q1, dental arch, post and/or prosthetic crown, time since the end of ET and signs and/or symptoms) were also associated with the outcome.
publishDate 2023
dc.date.none.fl_str_mv 2023-09-29T11:22:54Z
2023-09-29T11:22:54Z
2023-07-31
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufsm.br/handle/1/30283
dc.identifier.dark.fl_str_mv ark:/26339/001300000t2dz
url http://repositorio.ufsm.br/handle/1/30283
identifier_str_mv ark:/26339/001300000t2dz
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Odontologia
UFSM
Programa de Pós-Graduação em Ciências Odontológicas
Centro de Ciências da Saúde
publisher.none.fl_str_mv Universidade Federal de Santa Maria
Brasil
Odontologia
UFSM
Programa de Pós-Graduação em Ciências Odontológicas
Centro de Ciências da Saúde
dc.source.none.fl_str_mv reponame:Manancial - Repositório Digital da UFSM
instname:Universidade Federal de Santa Maria (UFSM)
instacron:UFSM
instname_str Universidade Federal de Santa Maria (UFSM)
instacron_str UFSM
institution UFSM
reponame_str Manancial - Repositório Digital da UFSM
collection Manancial - Repositório Digital da UFSM
repository.name.fl_str_mv Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv atendimento.sib@ufsm.br||tedebc@gmail.com
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