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A SAC Assessment Tool é uma ferramenta informática lançada pelo International Team for Implantology em 2007 com o objetivo de auxiliar os Médicos Dentistas no diagnóstico e no plano de tratamento de uma reabilitação com implantes dentários. Neste estudo, foi utilizada a vertente de avaliação cirúrgica desta ferramenta informática, em pacientes eventualmente candidatos a uma reabilitação com implantes dentários, com os seguintes objetivos: analisar e caraterizar a desdentação parcial e validar esta ferramenta informática enquanto sistema de suporte à decisão clínica.
Numa primeira fase, efetuou-se uma análise descritiva das zonas desdentadas de pacientes desdentados parciais da Clínica Universitária, particularmente ao nível da classificação da desdentação parcial de Kennedy e do American College of Prosthodontics, utilizando a SAC Assessment Tool.
Numa segunda fase, foram selecionados de forma aleatória 30 casos clínicos, dos quais foram recolhidos dados da anamnese, modelos de estudo, fotografias intra-orais e radiografias panorâmicas. Todos os dados foram analisados, com e sem acesso à SAC Assessment Tool por um Médico Dentista que se considerou como “Gold-standard” para efeitos de análise comparativa, e por um grupo de três Médicos Dentistas com experiência clínica e formação pós-graduada inferior. Os dados foram analisados através dos testes de concordância estatística – teste estatístico K (Fleiss Kappa), coeficiente de inter-relação de classes (ICC) e proporção de concordância. Obtiveram-se então os seguintes resultados: maior prevalência de indivíduos na faixa etária dos 56-83 anos (63,32%) e medicamente comprometidos (53,00%); 51,66% dos casos são Classes III de Kennedy na arcada superior e 40,00% são Classes I de Kennedy na arcada inferior; a Classe IV de desdentação parcial é a mais prevalente (65,00%); apenas 22,00% dos pacientes apresentam uma boa higiene oral; 50,66% dos casos são de grau de complexidade elevado, 30,66% são de grau intermédio e 18,66% de grau baixo. Há um aumento significativo de concordância quando os Avaliadores comparados com um perito, utilizam a SAC para realizar o diagnóstico de diversas áreas desdentadas, mostrando que a SAC é uma ferramenta bastante útil e eficaz para utilização na prática clínica
The SAC Assessment Tool is an informatics software launched by the International Team for Implantology in 2007 aiming to help dentists in the diagnose and treatment plan in an oral rehabilitation with dental implants. The current study evaluated the surgical assessment of the SAC Assessment Tool with the main objective of analyse and characterize the partial edentulism and validate the informatics tool as a clinical decision support system. In the 1st phase, was performed a descriptive analysis of the partial edentulous patients at the University Clinic using the SAC Assessment Tool. In the 2nd phase, were random selected 30 clinical cases and clinical records, study models, intra and extra-oral photos and panoramic radiographies were obtained. All data were analysed with and without SAC Assessment Tool by a “Gold-standard” and compared with 3 reviewers with clinical experience and postgraduate qualification. All data were analysed using statically agreement tests (Fless Kappa), inter-class correlation (icc) and agreement rate. The following results were obtained: there was a major prevalence of individuals with higher age (56-83 years) – 63,32% and medical status compromised 53,00%; 51,66% of the clinical cases were superior Kennedy’s Class III and 40,00% were inferior Kennedy’s Class I; As regards the Classification of Partial Edentulism, Class IV were the most prevalent (65,00%); only 22,00% of the patients had a good oral hygiene; 50,66% were Complex cases, 30,66% were Advanced and 18,66% were Straightforward. There was a higher agreement when Reviewers and Gold standard use the SAC Assessment Tool and compared their evaluation. The results showed that the SAC Classification is a very useful informatics tool that helps in clinical practice.
The SAC Assessment Tool is an informatics software launched by the International Team for Implantology in 2007 aiming to help dentists in the diagnose and treatment plan in an oral rehabilitation with dental implants. The current study evaluated the surgical assessment of the SAC Assessment Tool with the main objective of analyse and characterize the partial edentulism and validate the informatics tool as a clinical decision support system. In the 1st phase, was performed a descriptive analysis of the partial edentulous patients at the University Clinic using the SAC Assessment Tool. In the 2nd phase, were random selected 30 clinical cases and clinical records, study models, intra and extra-oral photos and panoramic radiographies were obtained. All data were analysed with and without SAC Assessment Tool by a “Gold-standard” and compared with 3 reviewers with clinical experience and postgraduate qualification. All data were analysed using statically agreement tests (Fless Kappa), inter-class correlation (icc) and agreement rate. The following results were obtained: there was a major prevalence of individuals with higher age (56-83 years) – 63,32% and medical status compromised 53,00%; 51,66% of the clinical cases were superior Kennedy’s Class III and 40,00% were inferior Kennedy’s Class I; As regards the Classification of Partial Edentulism, Class IV were the most prevalent (65,00%); only 22,00% of the patients had a good oral hygiene; 50,66% were Complex cases, 30,66% were Advanced and 18,66% were Straightforward. There was a higher agreement when Reviewers and Gold standard use the SAC Assessment Tool and compared their evaluation. The results showed that the SAC Classification is a very useful informatics tool that helps in clinical practice.
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Informática médico-dentária Sistemas de suporte à decisão clínica Implantes dentários Educação em medicina dentária Fatores de risco Dental informatics Clinical decision support systems Dental implants Dental education Risk factors