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Authors
Abstract(s)
O presente documento diz respeito ao relatório de actividades clínicas
realizadas na clínica dentária universitária da Universidade Católica
Portuguesa, em Viseu, no período compreendido entre 16 de Setembro de
2013 e 30 de Maio de 2014.
A elaboração deste relatório visa a enumeração e exposição dos actos
clínicos concretizados durante o 5º ano, nas várias unidades clínicas que
dispomos, bem como a descrição detalhada de procedimentos e/ou condições
clínicas consideradas como diferenciadas, quer pela sua frequência quer pela
sua especificidade.
A importância da experiência clínica deve-se ao facto de nos tornarmos
totalmente capazes e autónomos após o término deste ciclo de estudos. As
unidades clínicas permitem a articulação entre os conhecimentos teóricos
adquiridos ao longo dos anos e a prática “ in situ” com pacientes, nas diversas
áreas de intervenção da Medicina Dentária.
Os pacientes são, segundo o motivo de consulta, estratificados e
encaminhados para as diversas áreas clínicas existentes, que decorrem em
diferentes dias da semana, permitindo uma abordagem mais efectiva dos
pacientes, desde o diagnóstico ao cumprimento do plano de tratamento e
follow-up.
No total foram observados 76 pacientes, dos quais 39 foram observados
como operadora. A área clínica com maior número de atendimentos foi a
Prótese Removível. Pelo contrário, áreas como a Odontopediatria e Ortodontia
revelaram-se áreas com maior escassez de pacientes.
Foram relatados e fundamentados procedimentos clínicos como a
extracção cirúrgica de um canino incluso transmigrado, tratamento pulpar de
dente decíduo com necrose pulpar, abordagem de dente extensamente
destruído em Dentisteria Operatória e abordagem cirúrgica de paciente
seropositivo.
A abordagem clínica de cada paciente deve permitir a adequação de
planos de tratamentos individuais que têm em conta a sua contextualização
económico-social. Deste modo, nem sempre o tratamento realizado tem em conta a melhor opção clínica, mas o tratamento que é possível o paciente
fazer. Variáveis como a idade, características anatómicas do paciente,
presença de doenças sistémicas, medicação, bem como tratamentos dentários
anteriores sem sucesso, influenciam o plano de tratamento
This document concerns the report of clinical activities implemented in the Dental Clinic of Universidade Católica Portuguesa in Viseu, in the period from 16th September 2013 to 30th May 2014. This report aims to describe the clinical acts carried out during the fifth year in various clinical units available, as well as to report in detail the procedures and/or clinical conditions considered differentiated, both for their frequency and specificity. The importance of clinical experience is due to the fact that we become fully capable and independent, following the end of this course of study. Clinical teaching units allow the articulation between the theoretical knowledge acquired over the years, and the practice "in situ" with patients in the various areas of intervention of dentistry. Patients are, according to the reason for consultation, stratified and forwarded to the different existing clinical areas, which are held on different days of the week, allowing a more effective approach to the patients, comprising the diagnosis, the treatment plan and the follow-up. In total 76 patients have been observed, of whom 39 were observed as operator. The clinical area with the largest number of attendances was the Removable Prosthesis. On the contrary, areas such as Pediatric Dentistry and Orthodontics are areas with greater shortage of patients. This may result from the current and biased demographic characterization of the Portuguese population, but also because of the greater availability of temporal older population. Clinical procedures such as surgical removal of an included transmigrated canine, pulp treatment of primary teeth with necrotic pulp, tooth approach widely destroyed in Operative Dentistry and surgical approach to HIV positive patient, were reported and substantiated The clinical approach of each patient allows the appropriateness of individual treatment plans, which take into account their socio-economic context and adapting the modalities of treatment. Therefore, not always the treatment takes into account the best clinical option but the treatment that the patient can do. variables such as age, anatomical characteristics of the patient, presence of systemic diseases, medication, as well as previous dental treatments without success, influence the treatment plan.
This document concerns the report of clinical activities implemented in the Dental Clinic of Universidade Católica Portuguesa in Viseu, in the period from 16th September 2013 to 30th May 2014. This report aims to describe the clinical acts carried out during the fifth year in various clinical units available, as well as to report in detail the procedures and/or clinical conditions considered differentiated, both for their frequency and specificity. The importance of clinical experience is due to the fact that we become fully capable and independent, following the end of this course of study. Clinical teaching units allow the articulation between the theoretical knowledge acquired over the years, and the practice "in situ" with patients in the various areas of intervention of dentistry. Patients are, according to the reason for consultation, stratified and forwarded to the different existing clinical areas, which are held on different days of the week, allowing a more effective approach to the patients, comprising the diagnosis, the treatment plan and the follow-up. In total 76 patients have been observed, of whom 39 were observed as operator. The clinical area with the largest number of attendances was the Removable Prosthesis. On the contrary, areas such as Pediatric Dentistry and Orthodontics are areas with greater shortage of patients. This may result from the current and biased demographic characterization of the Portuguese population, but also because of the greater availability of temporal older population. Clinical procedures such as surgical removal of an included transmigrated canine, pulp treatment of primary teeth with necrotic pulp, tooth approach widely destroyed in Operative Dentistry and surgical approach to HIV positive patient, were reported and substantiated The clinical approach of each patient allows the appropriateness of individual treatment plans, which take into account their socio-economic context and adapting the modalities of treatment. Therefore, not always the treatment takes into account the best clinical option but the treatment that the patient can do. variables such as age, anatomical characteristics of the patient, presence of systemic diseases, medication, as well as previous dental treatments without success, influence the treatment plan.
Description
Keywords
Actividades clínicas Canino incluso Manifestações orais em paciente com HIV Pulpectomia Espigão radicular Clinical activities Canine included Oral manifestations in patient with HIV Pulpectomy Root Spike