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Avaliação técnica da qualidade do tratamento endodôntico realizado por alunos do 4º e 5º ano do mestrado integrado em medicina dentária do IUEM
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Abstract(s)
Objetivo: Avaliar tecnicamente a qualidade do tratamento endodôntico realizado por alunos do 4º e 5º ano do Mestrado Integrado em Medicina Dentária do IUEM na consulta de Endodontia durante o período compreendido entre Setembro de 2017 e Março de 2019.
Materiais e métodos: Avaliou-se o relatório clínico e radiográfico de 292 pacientes, num total de 318 dentes com tratamento endodôntico destacando-se, a qualidade técnica do tratamento endodôntico pelos parâmetros, comprimento e densidade de obturação, a ocorrência de erros de procedimento e a qualidade geral do tratamento endodôntico. Para a avaliação destes parâmetros foram observadas radiografias, fichas de endodontia e respetivos diários clínicos. Outros fatores avaliados incluíram o tipo de dente, a técnica de instrumentação utilizada, o número de sessões e o género e idade do paciente. Foi efetuada uma análise descritiva e inferencial, para esta última foi considerado um nível de significância de 5%.
Resultados: Nos critérios de avaliação da qualidade técnica, observou-se que a proporção de dentes com comprimento de obturação adequado é de 77,7% e da densidade de obturação é de 69,2%, consoante a amostra em estudo. Identificou-se apenas 3,8% de erros de procedimento. A qualidade geral do tratamento endodôntico aceitável sem erros de procedimento foi de 57,2%. Houve uma associação entre as variáveis, comprimento de obturação e tipo de dente (p= 0,001) e, entre a densidade de obturação e tipo dente (p= 0,001), tipo e localização do dente (p= 0,001) e número de sessões (p= 0,023).
Conclusões: A prevalência de qualidade geral do tratamento endodôntico aceitável sem erros de procedimento, na Clínica Dentária Egas Moniz foi de 182 em 318 dentes de 292 indivíduos avaliados. O erro mais comum foi a perfuração e de seguida foi o degrau. A qualidade radiográfica das obturações realizadas pelos alunos diminuiu quando os dentes se localizavam mais posteriormente na arcada dentária.
Objective: To evaluate technically the quality of endodontic treatment performed by 4th and 5th grade students of the IUEM Integrated Master's Degree in Dentistry during the endodontic appointments, within the period between September 2017 and March 2019. Materials and Methods: Clinical and radiographic reports of 292 patients, attending endodontic appointments, were evaluated, totalizing 318 teeth submitted to endodontic treatment. The evaluation underlined, mainly the technical quality of the endodontic treatment through parameters such as length and density of obturation, occurrence of procedure errors and the overall quality of the endodontic treatment. For the evaluation of these parameters radiographs, endodontic registers and clinical diaries were analyzed. Other factors under evaluation included the type of tooth, the applied instrumental technic, the number of sessions and the patient’s gender and age. A descriptive and inferential statistical analysis was performed for the last one at a significance level of 5%. Results: Regarding the evaluation of technical quality criteria, it was observed that 77,7% teeth had a convenient length obturation, while a correct obturation density was observed in 69,2% of all teeth, according to the sample in study. Only 3,8% of procedure errors were identified. The overall quality of endodontic treatment without procedure errors was in 57,2%. There was an association between the variables, length of obturation and type of tooth (p= 0,001) and between obturation density and type of teeth (p= 0,001), type and localization of teeth (p= 0,001) and number of sessions (p= 0,023). Conclusions: The prevalence of an acceptable overall quality of endodontic treatment, without procedure errors, in Egas Moniz Dental Clinic was 182 in 318 teeth of 292 evaluated individuals. The most common error was the perforation and then the ledge. The radiographic quality of obturations done by students decreased when teeth were located posteriorly in the teeth arcade.
Objective: To evaluate technically the quality of endodontic treatment performed by 4th and 5th grade students of the IUEM Integrated Master's Degree in Dentistry during the endodontic appointments, within the period between September 2017 and March 2019. Materials and Methods: Clinical and radiographic reports of 292 patients, attending endodontic appointments, were evaluated, totalizing 318 teeth submitted to endodontic treatment. The evaluation underlined, mainly the technical quality of the endodontic treatment through parameters such as length and density of obturation, occurrence of procedure errors and the overall quality of the endodontic treatment. For the evaluation of these parameters radiographs, endodontic registers and clinical diaries were analyzed. Other factors under evaluation included the type of tooth, the applied instrumental technic, the number of sessions and the patient’s gender and age. A descriptive and inferential statistical analysis was performed for the last one at a significance level of 5%. Results: Regarding the evaluation of technical quality criteria, it was observed that 77,7% teeth had a convenient length obturation, while a correct obturation density was observed in 69,2% of all teeth, according to the sample in study. Only 3,8% of procedure errors were identified. The overall quality of endodontic treatment without procedure errors was in 57,2%. There was an association between the variables, length of obturation and type of tooth (p= 0,001) and between obturation density and type of teeth (p= 0,001), type and localization of teeth (p= 0,001) and number of sessions (p= 0,023). Conclusions: The prevalence of an acceptable overall quality of endodontic treatment, without procedure errors, in Egas Moniz Dental Clinic was 182 in 318 teeth of 292 evaluated individuals. The most common error was the perforation and then the ledge. The radiographic quality of obturations done by students decreased when teeth were located posteriorly in the teeth arcade.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Tratamento endodôntico Estudantes pré-graduação Qualidade técnica Avaliação radiográfica