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Authors
Abstract(s)
Introdução: A cárie é a principal doença crónica a afetar o ser humano. A avaliação do
risco de cárie é essencial para encontrar indivíduos mais propensos a desenvolver estas
lesões e assim individualizar o plano de tratamento, fornecendo medidas preventivas para
evitar o aparecimento ou progressão da doença.
Objetivos: Desenvolver um índice de avaliação do risco de cáries com base no CAMBRA
modificado pela adição e modificação dos fatores analisados. Iniciar a aplicação do índice
à população da CDU-UCP verificando a exequibilidade dos procedimentos e deixando
recomendações para a continuação do estudo.
Materiais e métodos: Foi modificado o índice de risco de cárie CAMBRA tendo sido
posteriormente aplicado num estudo observacional transversal que incluiu 80 pacientes que
frequentaram a Clínica Dentária da Universidade Católica Portuguesa de Viseu durante o
período de recolha de dados. Cada paciente que cumpriu os requisitos necessários para
participar neste estudo foi observado pelos investigadores que recolheram os dados do
paciente através de um questionário, de uma avaliação intraoral, e na recolha de amostras
de saliva e de biofilme.
Resultados: Nos 80 pacientes avaliados, classificamos como risco baixo 56,25% (n=45),
risco moderado 27,50% (n=22), risco elevado 13,75% (n=11) e risco severo 2,50% (n=2).
Foi verificada a exequibilidade dos procedimentos embora haja melhorias a fazer
nomeadamente nas análises microbiológicas a realizar.
Conclusão: Neste trabalho cumpriram-se os objetivos de verificar a exequibilidade de
aplicação do índice proposto, bem como de avaliar as alterações necessárias para aplicar
o índice de forma mais generalizada na CDU–UCP, nomeadamente em todas as primeiras
consultas. Desta forma o acompanhamento dos pacientes torna-se mais preciso e mais
personalizado e os futuros médicos dentistas são treinados neste tipo de avaliação que
podem depois levar para a sua prática clínica pós-graduada.
Introduction: Caries is the main chronic disease affecting humans. The assessment of the risk of caries is essential to find individuals more likely to develop these lesions and thus individualize the treatment plan, providing preventive measures to prevent the onset or progression of the disease. Goal: Develop an index of assessment of caries risk based on CAMBRA modified by the addition and modification of the analysed factors. Initiate the application of the index to the population of the CDU-UCP verifying the feasibility of the procedures and leaving recommendations for the continuation of the study. Materials and methods: The CAMBRA caries risk index was modified and then applied in a cross-sectional observational study including 80 patients who attended the CDU-UCP during the data collection period. Each patient who met the necessary requirements to participate in this study was observed by the investigators who collected patient data through a questionnaire, an intraoral evaluation, and the collection of saliva and biofilm samples. Results: In the 80 patients evaluated, we classified 56.25% as low risk (n=45), 27.50% as moderate risk (n=22), 13.75% as high risk (n=11) and 2.50 as very high risk. % (n=2). The feasibility of the procedures was verified, although there are improvements to be made, namely in the microbiological analysis to be carried out. Conclusion: In this work, the specific objectives of verifying the feasibility of applying the proposed index were fulfilled, as well as to evaluate the changes necessary to apply the index more generally in CDU-UCP, in all first appointments. In this way, patient follow-up becomes more accurate and personalized and future dentists are trained in this type of assessment that they can then take to their post-graduate clinical practice.
Introduction: Caries is the main chronic disease affecting humans. The assessment of the risk of caries is essential to find individuals more likely to develop these lesions and thus individualize the treatment plan, providing preventive measures to prevent the onset or progression of the disease. Goal: Develop an index of assessment of caries risk based on CAMBRA modified by the addition and modification of the analysed factors. Initiate the application of the index to the population of the CDU-UCP verifying the feasibility of the procedures and leaving recommendations for the continuation of the study. Materials and methods: The CAMBRA caries risk index was modified and then applied in a cross-sectional observational study including 80 patients who attended the CDU-UCP during the data collection period. Each patient who met the necessary requirements to participate in this study was observed by the investigators who collected patient data through a questionnaire, an intraoral evaluation, and the collection of saliva and biofilm samples. Results: In the 80 patients evaluated, we classified 56.25% as low risk (n=45), 27.50% as moderate risk (n=22), 13.75% as high risk (n=11) and 2.50 as very high risk. % (n=2). The feasibility of the procedures was verified, although there are improvements to be made, namely in the microbiological analysis to be carried out. Conclusion: In this work, the specific objectives of verifying the feasibility of applying the proposed index were fulfilled, as well as to evaluate the changes necessary to apply the index more generally in CDU-UCP, in all first appointments. In this way, patient follow-up becomes more accurate and personalized and future dentists are trained in this type of assessment that they can then take to their post-graduate clinical practice.
Description
Keywords
Cárie dentária Prevenção de cárie CAMBRA Risco de cárie Indicadores de doença Fatores de risco Fatores de proteção Dental caries Caries prevention Caries risk Disease indicators Risk factors Protective factors