Avaliação do perfil do cirurgião-dentista e dos critérios adotados para manter, reparar ou substituir restaurações diretas de resina composta, baseada no sistema FDI
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2014-02-06
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Universidade Federal de Goiás
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The present study analyzed trends in clinical management of dental surgeons regarding the use of clinical criteria adopted by the World Dental Federation (FDI) for evaluation of restorations, the percentage of indications to maintain, repair or replace direct composite restorations and the influence of professional profile on these management. Data collection occurred through a questionnaire with content according to the criteria of the FDI, sent to professionals by electronic mode. Dentists who work in the city of Goiânia / Brazil in general practice (2068) and specialists in restorative dentistry (124) were sampled. The variables investigated in the use of FDI clinical criteria were related to esthetic properties (surface luster, staining, color match and translucency, esthetic anatomical form), functional properties (fracture of material and retention, marginal adaptation, occlusal contour and wear, approximal anatomical form, radiographic examination, patient's view) and biological properties (postoperative sensitivity, recurrence of caries, tooth integrity, periodontal response, adjacent mucosa, oral and general health). After reading the description of each criterion was indicated only one corresponding option to trends in clinical management: maintain, repair or replace the restorations. In characterizing the professional profile, it was evaluated the educational level (specialist or general practitioner), the type of degree and specialization (public or private institution), work experience (time undergraduate and specialization), the professional sector of activity (public, private or both) and the municipality region in which it operates ( socio- economic class of the population served). The descriptive statistical analysis was done by percentage distribution and associations between variables were tested using the chi-square (α = 0.05). After analyzing the data of 213 responses, it was observed that: the percentage of responses for the replacement of direct resin composite restorations is greater than the maintenance and repair; the criterion most frequently observed as the esthetic properties was staining (34,7%); and about the functional properties was fracture of the material and retention (51,1%). According to the criteria presented in the questionnaire, about 54,6% of respondents chose repair, 41,7% replace and 3,7% keep the
direct composite resin restoration described in clinical simulation. The professional profile of the dentist influenced trends ducts in the simulations presented, with lower response rates to replace in case of senior
professionals at public institution, specialists in dentistry, those who had higher graduation time and expertise and those working in the public sector.
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SILVA, C. O. Avaliação do perfil do cirurgião-dentista e dos critérios adotados para manter, reparar ou substituir restaurações diretas de resina composta, baseada no sistema FDI. 2014. 104 f. Dissertação (Mestrado em Odontologia) - Universidade Federal de Goiás, Goiânia, 2014.