Decision-making for dental pulp exposure: a survey in graduate programs at Brazilian universities.

Autor:	Scalzilli PA; Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry , Department, Porto Alegre , RS , Brazil ., Jara CM; Universidad Nacional de Asunción - UNA, School of Dentistry , Clinical Department , Asunción , Paraguay., Flores D; Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, School of Dentistry , Porto Alegre , RS , Brazil ., Heinzmann D; Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, School of Dentistry , Porto Alegre , RS , Brazil ., Figueiredo JAP; Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry , Department, Porto Alegre , RS , Brazil ., Scarparo RK; Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry , Department, Porto Alegre , RS , Brazil .
Jazyk:	angličtina
Zdroj:	Brazilian oral research [Braz Oral Res] 2022 Jun 10; Vol. 36, pp. e087. Date of Electronic Publication: 2022 Jun 10 (Print Publication: 2022).
DOI:	10.1590/1807-3107bor-2022.vol36.0087
Abstrakt:	Clinical decision-making tends to be based on what clinicians have been taught during undergraduate and graduate programs. The aim of the present study was to assess the clinical approach and to identify the factors that influence the decision-making for dental pulp exposure among graduate students and coordinating professors in endodontics programs offered at Brazilian universities. The study used a mail-out survey developed in the Qualtrics platform, based on seven clinical reports in which dental pulp exposure was evidenced. Descriptive statistics showing vital pulp therapy (VPT) and root canal treatment (RCT) were calculated for each clinical report. Data on the participants' (n = 113) profile and variables related to clinical and radiographic characteristics of the cases were evaluated as to their potential to affect decision-making and analyzed by logistic regression (p < 0.05). VPT was likely to be indicated in cases of patients with immature teeth (OR = 0.017; 95%CI = 0.004 -0.073). RCT indications were related to the presence of symptoms (OR = 5.326; 95%CI = 1.429-19.852) and old age (OR = 21.057; 95%CI=6.809-65.120). In pulp exposure secondary to trauma, time of pulp exposure was significantly associated with RCT indication (OR=3.267; 95%CI=1.332-8.012). The present study demonstrated that patient age, root development, and symptom features were the main factors affecting participants' decision-making.
Databáze:	MEDLINE
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