Decisiones de tratamiento en caries oclusal y proximal en odontólogos docentes de las universidades Santo Tomás y Antonio Nariño y de odontólogos vinculados al instituto de salud de Bucaramanga

Abstract

Introduction: treatment decisions in relation to occlusal or proximal dental caries lesion has changed over the years due in part to the new way of identifying dental caries. In Colombia and more specifically in Bucaramanga there are no studies that analyze the variability when making decisions for the treatment of these carious lesions. Objective: to determine the restorative treatment decisions for proximal and occlusal caries used by dental teachers from Santo Tomas University, Antonio Nariño and dentists associated with Instituto de Salud de Bucaramanga (ISABU). Methods: the "Questionnaire about treatment decisions for occlusal and proximal caries" was originally designed by Espelid et al. In 1999 and modified in 2004 by Tubert-Jeannin et al. Results: from the institutions included on the study, it was observed that 31 (27.4%) dentists would treat the lesion if it was in the external half of the enamel and 51 (45.1%) would perform a strict class II cavity. Fifty-four (47.8%) would undergo an operative treatment from a microcavity lesion (criterion 3 of the International System for Evaluation and Detection of Dental Caries) and 72 (63.7%) would fill it with composite resin. Conclusion: We can see that there is no unification of criteria to diagnose and treat dental caries, it is clear that a training should be done to dentists in the management of dental detection and treatment systems.