Universidade de Brasília - UnB. School of Heath Sciences. Department of Dentistry. Brasília. DF. Brazil.
Braz Oral Res. 2020 Jun 24;34:e062. doi: 10.1590/1807-3107bor-2020.vol34.0062.
The aim of this study was to evaluate whether dentists and dental undergraduate students know the terminology of the International Caries Consensus Collaboration (ICCC), and make their restorative treatment decisions regarding carious tissue removal accordingly. Data collection was performed using an electronic questionnaire, considering: a) profile of the respondent; b) analysis of four clinical cases with respect to possible management strategies; and c) questions on cariology field terminology. Sample size consisted of 175 dentists and 66 last semester dental students. Statistical analyses were performed comparing profile, type of institution and dental specialty of the participants. Results showed students were less conservative and agreed less with the ICCC than dentists, and private schools, less than public institutions. Private institutions were 12% (95%CI = 0.833-0.949; p = 0.000) more likely to be less updated with the ICCC recommendations than public institutions, and dentists were 20% more likely to agree with them than students (95%CI = 1.118-1.302; p = 0.000). Dentists were 66% more likely to be conservative than students (95%CI = 0.203-0.554; p = 0.000); dentists and students who graduated or were graduating from public universities were twice as likely to be conservative as those from private universities (95%CI = 1.336-3.333; p = 0.001). In conclusion, students in the last semester are less conservative than dentists, and respondents who graduated or were graduating from public dental schools were more aligned with the current concepts of the ICCC. Several answers were not aligned with ICCC directives, thus showing that management of deep carious lesions still causes restorative therapeutic insecurity.
本研究旨在评估牙医和牙科学本科学生是否了解国际龋病共识协作 (ICCC) 的术语，并据此做出有关龋齿组织去除的修复治疗决策。通过电子问卷进行数据收集，考虑以下方面：a）受访者概况；b）针对可能的管理策略对四个临床病例进行分析；c）龋病学领域术语问题。样本量由 175 名牙医和 66 名最后一学期的牙科学学生组成。统计分析比较了参与者的概况、机构类型和牙科专业。结果表明，学生比牙医更不保守，与 ICCC 的一致性也较低，私立学校比公立机构更少。私立机构比公立机构更新 ICCC 推荐的可能性低 12%（95%CI = 0.833-0.949；p = 0.000），牙医比学生更有可能同意这些推荐（95%CI = 1.118-1.302；p = 0.000）。牙医比学生更有可能保守（95%CI = 0.203-0.554；p = 0.000）；公立大学毕业或即将毕业的牙医和学生比私立大学毕业的牙医和学生更保守，可能性是后者的两倍（95%CI = 1.336-3.333；p = 0.001）。结论是，最后一学期的学生比牙医更不保守，公立牙科学院毕业或即将毕业的受访者更符合 ICCC 的现行概念。一些答案与 ICCC 指令不一致，这表明对深龋病损的处理仍然存在修复治疗的不安全性。
