Abstract

BARZOTTO, Izabel  and  RIGO, Lilian. Clinical decision making for diagnosis and treatment of dental enamel injuries. J. Hum. Growth Dev. [online]. 2018, vol.28, n.2, pp. 189-198. ISSN 0104-1282.  http://dx.doi.org/10.7322/jhgd.125609.

INTRODUCTION: In general, there are difficulties in the decision making regarding the differential diagnosis and the most appropriate treatment in the lesions that affect the dental tissues by dentists, due to the fact that lesions in enamel have similar clinical characteristics OBJECTIVE: To evaluate the correct decision making for the diagnosis and treatment of dental enamel lesions by professors and students of the Dentistry course METHODS: Descriptive quantitative study, whose sample was composed by 98 students enrolled in the disciplines of Dental Clinics from IV to VIII level and by 23 professors. The instrument of data collection was a questionnaire composed of photographs of four clinical cases, whose teeth presented different lesions in dental enamel: dental enamel hypoplasia, dental fluorosis, amelogenesis imperfecta and dental caries RESULTS: Of the 98 students, the predominant success was dental fluorosis, where 93.9% answered the diagnosis. While the predominant treatment success was that of caries lesions, where 86.7% opted for direct restoration. Of the 23 professors, the predominant diagnosis was caries lesion, 100% correct the diagnosis, while the treatment was the direct restoration in the case of dental enamel hypoplasia, where 95.7% chose this treatment option CONCLUSION: Professors and students of the Dentistry course had difficulty in making treatment decisions on teeth with amelogenesis imperfecta, with mild dental fluorosis and ease on teeth with hypoplasia and dental caries. In addition, the students reported having difficulties in the differential diagnosis of dental enamel lesions presented in the cases because they had still little knowledge for such

Keywords : fluorosis dental; dental enamel hypoplasia; diagnosis differential; students dental; faculty dental.

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