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Authors
Abstract(s)
Introdução: A periodontite está entre as doenças mais comuns e representa um importante
problema de saúde pública, devido à sua prevalência e alto impacto socioeconómico que
constitui nas sociedades atuais.
Esta nova classificação baseia-se em vários parâmetros clínicos, mas considera também a
anotação de vários fatores de risco, nomeadamente: tabagismo, diabetes não controlada,
gravidez, stress, fatores genéticos, etc.
A verificação dessas causas e consequências decorrentes da doença permite que os
médicos sugiram mudanças no estilo de vida do paciente, conseguindo assim um maior
controle da sua progressão. No entanto, a ficha clínica atualmente utilizada nas clínicas
dentárias não contempla a recolha de toda a informação necessária à aplicação da nova
classificação em toda a sua plenitude, embora este tipo de dados constitua a base para
uma verdadeira Medicina Dentária de Precisão (MDP), proporcionando aos dentistas
informações que lhes permitirão melhorar o planeamento do tratamento e a resposta do
paciente a esse tratamento.
Objetivos: O objetivo principal deste trabalho é fazer uma proposta de adaptação da ficha
Clínica Dentária Universitária (CDU) da UCP à nova classificação das doenças periodontais
que tenha em conta os dados mais relevantes para a aplicação da Periodontologia de
Precisão.
Os objetivos específicos são:
• Identificação e organização dos dados clínicos necessários à implementação da nova
classificação das doenças periodontais;
• Identificação dos fatores de risco necessários à implementação da nova classificação das
doenças periodontais;
• Proposta de um dossier clínico integrado e posterior candidatura à consulta de Periodontia
CDU-UCP.
Materiais e métodos: Para atingir os objetivos propostos, foi realizada uma pesquisa ou
revisão da literatura científica nesta área, foram consultadas diferentes fichas clínicas e
consultados especialistas na área da Periodontologia, a fim de melhor identificar os dados
clínicos e os fatores de risco subjacentes a esta doença.
Resultados: A aplicação das metodologias propostas permitiu identificar os principais
dados essenciais à aplicação da Periodontologia de Precisão e o consequente
desenvolvimento através de um modelo de ficha clínica periodontal em que é possível
recolher o conjunto de informação sobre a história clínica do paciente até ao momento do
exame. Isso inclui os históricos: histórico médico e odontológico, a queixa principal ou
motivo da consulta atual e o curso da doença atual. A história clínica é dividida em 3 seções:
dados pessoais; Anamnese geral e anamnese ligada a fatores de risco periodontais.
Foi realizada uma pré-validação das informações a serem incluídas na ficha clínica por
meio de discussão com especialistas em Periodontologia.
Conclusões: A longo prazo, os benefícios da Medicina de Precisão são inúmeros. Estes
incluem a delimitação e estratificação da doença, deteção e monitorização dos sintomas da
doença, identificação de indivíduos pré-sintomáticos, modelação da dinâmica da evolução
da doença, vigilância e gestão das causas. Mas nem tudo é uma vantagem porque estes
tipos de abordagens exigem muito tempo, pois torna-se necessário recolher e gerar muitos
dados para que seja possível implementar a periodontologia de precisão. São trabalhos
como o nosso que permitem que isso aconteça. É necessário mudar as mentalidades dos
Médicos Dentistas para que recolham maior quantidade possível de dados, com a maior
qualidade possível. E de uma perspetiva mais macropolítica, o problema do investimento
económico, em programas para esse fim, e implementação de toda a logística, para que
esse problema de saúde possa ser normalizado e implementado a nível global.
Introduction: Periodontitis is among the most common diseases and represents an important public health problem, due to its prevalence and high socioeconomic impact that it constitutes in today's societies. This new classification is based on several clinical parameters, but also considers the annotation of several risk factors, namely: smoking, uncontrolled diabetes, pregnancy, stress, genetic factors, etc. The verification of these causes and consequences derived from the disease allow doctors to suggest changes to the patient's lifestyle, thus achieving greater control of its progression. However, the clinical record currently used in dental clinics does not consider the collection of all the information necessary for the application of the new classification in all its fullness, although this type of data constitutes the basis for a true Precision Dentistry (MDP). ), providing dentists with information that will enable them to improve treatment planning and patient response to that treatment. Objectives: The main objective of this work is to adapt the electronic clinical record of the University Dental Clinic (CDU) of the UCP to the new classification of periodontal diseases. The specific objectives are: • Identification and organization of clinical data necessary for the implementation of the new classification of periodontal diseases; • Identification of risk factors necessary for the implementation of the new classification of periodontal diseases; • Proposal of an integrated clinical file and subsequent application to the CDU-UCP Periodontology consultation. Materials and methods: To achieve the proposed objectives, a research or review of the scientific literature in this area was carried out, and specialists in the field of Periodontology were consulted, in order to better identify the clinical data and risk factors underlying this disease. Results: The application of the proposed methodologies made it possible to identify the main data essential to the application of Precision Periodontology and the consequent development through a model of a periodontal clinical record in which it is possible to collect the set of information about the patient's clinical history until the moment of the examination. This includes the histories: medical and dental history, the chief complaint or reason for the current consultation, and the course of the current illness. The clinical history is divided into 3 sections: personal data; General anamnesis and anamnesis linked to periodontal risk factors. A pre-validation of the information to be included in the clinical file was carried out through discussion with specialists in Periodontology. Conclusions: In the long term, the benefits of Precision Medicine are numerous. These include disease delineation and stratification, detection and monitoring of disease symptoms, identifying presymptomatic individuals, modeling the dynamics of disease evolution, surveillance and management of causes. But not everything is an advantage because these types of approaches require a lot of time since it becomes necessary to collect and generate a lot of data so that it is possible to implement precision periodontology, and there is still a lack of organized collection and storage of the same. It is works like ours that allow this to happen. It is necessary to change the mentalities of dentists so that they apply as completely as possible the largest possible amount of data, with the highest possible quality. And from a more macro political perspective, the problem of economic investment, in programs for this purpose, and implementation of all the logistics, so that this health problem can be normalized and implemented at a global level.
Introduction: Periodontitis is among the most common diseases and represents an important public health problem, due to its prevalence and high socioeconomic impact that it constitutes in today's societies. This new classification is based on several clinical parameters, but also considers the annotation of several risk factors, namely: smoking, uncontrolled diabetes, pregnancy, stress, genetic factors, etc. The verification of these causes and consequences derived from the disease allow doctors to suggest changes to the patient's lifestyle, thus achieving greater control of its progression. However, the clinical record currently used in dental clinics does not consider the collection of all the information necessary for the application of the new classification in all its fullness, although this type of data constitutes the basis for a true Precision Dentistry (MDP). ), providing dentists with information that will enable them to improve treatment planning and patient response to that treatment. Objectives: The main objective of this work is to adapt the electronic clinical record of the University Dental Clinic (CDU) of the UCP to the new classification of periodontal diseases. The specific objectives are: • Identification and organization of clinical data necessary for the implementation of the new classification of periodontal diseases; • Identification of risk factors necessary for the implementation of the new classification of periodontal diseases; • Proposal of an integrated clinical file and subsequent application to the CDU-UCP Periodontology consultation. Materials and methods: To achieve the proposed objectives, a research or review of the scientific literature in this area was carried out, and specialists in the field of Periodontology were consulted, in order to better identify the clinical data and risk factors underlying this disease. Results: The application of the proposed methodologies made it possible to identify the main data essential to the application of Precision Periodontology and the consequent development through a model of a periodontal clinical record in which it is possible to collect the set of information about the patient's clinical history until the moment of the examination. This includes the histories: medical and dental history, the chief complaint or reason for the current consultation, and the course of the current illness. The clinical history is divided into 3 sections: personal data; General anamnesis and anamnesis linked to periodontal risk factors. A pre-validation of the information to be included in the clinical file was carried out through discussion with specialists in Periodontology. Conclusions: In the long term, the benefits of Precision Medicine are numerous. These include disease delineation and stratification, detection and monitoring of disease symptoms, identifying presymptomatic individuals, modeling the dynamics of disease evolution, surveillance and management of causes. But not everything is an advantage because these types of approaches require a lot of time since it becomes necessary to collect and generate a lot of data so that it is possible to implement precision periodontology, and there is still a lack of organized collection and storage of the same. It is works like ours that allow this to happen. It is necessary to change the mentalities of dentists so that they apply as completely as possible the largest possible amount of data, with the highest possible quality. And from a more macro political perspective, the problem of economic investment, in programs for this purpose, and implementation of all the logistics, so that this health problem can be normalized and implemented at a global level.
Description
Keywords
Doenças periodontais Classificação Ficha clínica e periodontologia de precisão Periodontal diseases Classification Electronic clinical record and precision periodontology