Conocimiento, actitudes y prácticas de los endodoncistas egresados de la Universidad Santo Tomás extensión Bogotá en la atención de pacientes en condición de discapacidad.

Abstract

The aim of this study was to evaluate the level of knowledge, attitudes, and practices of endodontists graduated from the Universidad Santo Tomás, Bogotá extension, regarding the care of people with disabilities (PWD), as well as to identify educational gaps and factors associated with their clinical preparedness. The study content addresses the conceptual foundations of disability, clinical implications for endodontic care, the components of the CAPS instrument, and the relevance of inclusive professional training. A quantitative, observational, cross-sectional study was conducted. The population consisted of 650 graduates from the Endodontics postgraduate program at USTA, of whom 330 responded. The CAPS survey, a previously validated instrument for assessing knowledge, attitudes, and practices among health professionals, was applied. Sociodemographic, academic, and clinical variables were collected, along with information on clinical experience, perceived preparedness, communication strategies, and adaptations used during dental care. Results showed that most participants demonstrated basic knowledge, though insufficient for comprehensive management of PWD. Attitudes were generally favorable but accompanied by clinical insecurity and indeterminate perceptions. Regarding practices, participants reported the use of patient-centered communication strategies and involvement of caregivers; however, there were persistent limitations related to adapted infrastructure, inclusive resources, and the application of protocols such as desensitization, sedation, and general anesthesia. Clinical self-perception of preparedness was predominantly low or uncertain. The discussion highlights the consistency between these findings and the existing literature, which describes educational gaps, limited specialized training, and structural barriers that hinder adequate care for PWD. The need to strengthen clinical, communicative, and attitudinal competencies during postgraduate education is emphasized. In conclusion, the current level of preparation among endodontists is insufficient to ensure comprehensive, equitable, and quality care for PWD. These findings underscore the need for curricular adjustments, continuous training, and institutional adaptations to support inclusive and competent dental practice.