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Avaliação clínica do desgaste oclusal: estudo piloto
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_39576 | 1.19 MB | Adobe PDF |
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Abstract(s)
Introdução: O desgaste dentário é definido como um processo fisiológico natural que evolui ao longo do tempo e que está relacionado com múltiplos fatores associados aos estilos de vida, podendo tornar-se patológico. A presente introdução explora os diversos mecanismos de desgaste dentário, assim como os conceitos a eles associados.
Objetivo: Propor um método padronizado e acessível para a quantificação do desgaste dentário.
Materiais e Métodos: A metodologia foi desenvolvida para ser acessível, adaptável a diversos contextos clínicos e tipos de pacientes, e garantir uma alta reprodutibilidade. Utilizou instrumentos facilmente disponíveis, foi rápido, simples de executar, seguro e de baixo custo. Para uma determinação objetiva dos pontos dentários, foram realizados vários pré-testes. As metodologias fotográficas iniciais, baseadas na análise de imagens dentárias, não atingiram o índice de confiança desejado de 95%, devido à imprecisão dos pontos de contacto e à incapacidade das fotografias de fornecer uma visualização 3D. Medidas diretas foram então realizadas na boca dos participantes para maior precisão. Estes testes, utilizando fios dentários e dispositivos de aspiração para um campo de trabalho seco, aproximaram-se dos 95% de confiança, mas permaneceram insuficientes devido à determinação aproximada dos pontos de contacto. Forneceram instruções claras e detalhadas, necessitando de uma formação mínima. O método foi não invasivo, assegurando o conforto do paciente e minimizando os riscos. O estudo foi aprovado pela Comissão de Ética da Universidade Fernando Pessoa.
Conclusão: Os resultados revelaram limitações significativas em termos de precisão e reprodutibilidade, além de enfrentar desafios consideráveis no recrutamento de participantes. São necessárias pesquisas complementares para estabelecer uma metodologia clínica facilmente reprodutível, fiável, acessível e adequada a diferentes morfologias dentárias.
Introduction: Dental wear is defined as a natural physiological process that evolves over time and is related to multiple lifestyle-associated factors, which can become pathological. This introduction explores the various mechanisms of dental wear, as well as the concepts associated with it. Objective: To propose a standardized and accessible method for the quantification of dental wear. Materials and Methods: The methodology was developed to be accessible, adaptable to various clinical contexts and patient types, and to ensure high reproducibility. It used easily available instruments, was quick, simple to execute, safe, and low-cost. For an objective determination of dental points, several pre-tests were conducted. The initial photographic methodologies, based on the analysis of dental images, did not achieve the desired 95% confidence index due to the imprecision of contact points and the inability of photographs to provide a 3D visualization. Direct measurements were then performed in the participants' mouths for greater accuracy. These tests, using dental floss and suction devices for a dry working field, approached 95% confidence but remained insufficient due to the approximate determination of contact points. They provided clear and detailed instructions, requiring minimal training. The method was non-invasive, ensuring patient comfort and minimizing risks. The study was approved by the Ethics Committee of Fernando Pessoa University. Conclusion: The results revealed significant limitations in terms of precision and reproducibility, as well as considerable challenges in recruiting participants. Additional research is needed to establish a clinical methodology that is easily reproducible, reliable, accessible, and suitable for different dental morphologies.
Introduction: Dental wear is defined as a natural physiological process that evolves over time and is related to multiple lifestyle-associated factors, which can become pathological. This introduction explores the various mechanisms of dental wear, as well as the concepts associated with it. Objective: To propose a standardized and accessible method for the quantification of dental wear. Materials and Methods: The methodology was developed to be accessible, adaptable to various clinical contexts and patient types, and to ensure high reproducibility. It used easily available instruments, was quick, simple to execute, safe, and low-cost. For an objective determination of dental points, several pre-tests were conducted. The initial photographic methodologies, based on the analysis of dental images, did not achieve the desired 95% confidence index due to the imprecision of contact points and the inability of photographs to provide a 3D visualization. Direct measurements were then performed in the participants' mouths for greater accuracy. These tests, using dental floss and suction devices for a dry working field, approached 95% confidence but remained insufficient due to the approximate determination of contact points. They provided clear and detailed instructions, requiring minimal training. The method was non-invasive, ensuring patient comfort and minimizing risks. The study was approved by the Ethics Committee of Fernando Pessoa University. Conclusion: The results revealed significant limitations in terms of precision and reproducibility, as well as considerable challenges in recruiting participants. Additional research is needed to establish a clinical methodology that is easily reproducible, reliable, accessible, and suitable for different dental morphologies.
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Keywords
Técnica de avaliação Desgaste dentário erosivo Desgaste dentário natural Desgaste dentário Índice desgaste dentário Assessment technique Erosive dental wear Natural tooth wear Tooth wear Tooth wear index