Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.20396/BJOS.V20I00.8661168 http://hdl.handle.net/11449/207838 |
Resumo: | 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. |
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Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-makingDental cariesDiagnosisEducationAim: 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.Department of Morphology Genetics Orthodontic and Pediatric Dentistry Araraquara School of Dentistry São Paulo State University (UNESP)CES University Faculty of DentistryDepartment of Morphology Genetics Orthodontic and Pediatric Dentistry Araraquara School of Dentistry São Paulo State University (UNESP)Universidade Estadual Paulista (Unesp)Faculty of DentistryCosta, Silas Alves [UNESP]Nogueira, Vinicius Krieger Costa [UNESP]Bussanelli, Diego Girotto [UNESP]Restrepo, ManuelEscobar, Alfonsode Cássia Loiola Cordeiro, Rita [UNESP]2021-06-25T11:01:55Z2021-06-25T11:01:55Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1-13http://dx.doi.org/10.20396/BJOS.V20I00.8661168Brazilian Journal of Oral Sciences, v. 20, p. 1-13.1677-32251677-3217http://hdl.handle.net/11449/20783810.20396/BJOS.V20I00.86611682-s2.0-85107430365Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBrazilian Journal of Oral Sciencesinfo:eu-repo/semantics/openAccess2021-10-23T17:46:00Zoai:repositorio.unesp.br:11449/207838Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T17:46Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making |
title |
Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making |
spellingShingle |
Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making Costa, Silas Alves [UNESP] Dental caries Diagnosis Education |
title_short |
Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making |
title_full |
Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making |
title_fullStr |
Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making |
title_full_unstemmed |
Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making |
title_sort |
Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making |
author |
Costa, Silas Alves [UNESP] |
author_facet |
Costa, Silas Alves [UNESP] Nogueira, Vinicius Krieger Costa [UNESP] Bussanelli, Diego Girotto [UNESP] Restrepo, Manuel Escobar, Alfonso de Cássia Loiola Cordeiro, Rita [UNESP] |
author_role |
author |
author2 |
Nogueira, Vinicius Krieger Costa [UNESP] Bussanelli, Diego Girotto [UNESP] Restrepo, Manuel Escobar, Alfonso de Cássia Loiola Cordeiro, Rita [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Faculty of Dentistry |
dc.contributor.author.fl_str_mv |
Costa, Silas Alves [UNESP] Nogueira, Vinicius Krieger Costa [UNESP] Bussanelli, Diego Girotto [UNESP] Restrepo, Manuel Escobar, Alfonso de Cássia Loiola Cordeiro, Rita [UNESP] |
dc.subject.por.fl_str_mv |
Dental caries Diagnosis Education |
topic |
Dental caries Diagnosis Education |
description |
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. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-25T11:01:55Z 2021-06-25T11:01:55Z 2021-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.20396/BJOS.V20I00.8661168 Brazilian Journal of Oral Sciences, v. 20, p. 1-13. 1677-3225 1677-3217 http://hdl.handle.net/11449/207838 10.20396/BJOS.V20I00.8661168 2-s2.0-85107430365 |
url |
http://dx.doi.org/10.20396/BJOS.V20I00.8661168 http://hdl.handle.net/11449/207838 |
identifier_str_mv |
Brazilian Journal of Oral Sciences, v. 20, p. 1-13. 1677-3225 1677-3217 10.20396/BJOS.V20I00.8661168 2-s2.0-85107430365 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Brazilian Journal of Oral Sciences |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1-13 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1803046348414517248 |