Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Objetivos
Identificar elementos que integran la toma de decisiones Identificar aspectos de importancia en la toma de decisiones en odontologa Identificar tres elementos claves que mejoran la toma de decisiones en odontologa
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FP % 46 28 26 24
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sergiouribe@uach.cl
sergiouribe@uach.cl
Caries en Chile
% nios con caries ceo(d)-COP(D)
2,4 3,7
0,5
Edad (aos)
MINSAL, Ceballos M., Acevedo C., Corsini G.,Jans A.. 2007 MINSAL, Soto L., Tapia R., Jara G., Rodrguez G. 2007
sergiouribe@uach.cl
sergiouribe@uach.cl
Experimento de Ash
Experimento de Milgram
Asch S. E. ( 1956). "Studies of independence and conformity: I. A minority of one against a unanimous majority". Psychological Monographs, 70, 1-70.
Milgram, S. (1963). Behavioral study of obedience. Journal of Abnormal and Social Psychology, 67, 371-378.
Preguntas en Cariologa
Cules son los mejores mtodos para detectar caries?
sergio.uribe@uv.cl
22
Cules son los tratamientos ms efectivos para retrasar, detener o revertir lesiones avanzadas?
Anusavice, K., 2001. Clinical decision-making for coronal caries management in the permanent dentition. J Dent Educ 65, 1143 1146.
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CARIOLOGIA
Clnicamente permite
DIAGNSTICO
del diente, individuo y comunidades
CONTROL
Superficies sanas, con lesiones y cavitadas
TRATAMIENTO
No invasivo, minimamente invasivo e invasivo
PRONOSTICO
Terapias antimicrobianas
Diagnstico Estado
Toma de decisin
Tratamientos
no invasivos mnimamente invasivos invasivos (quirrgico-restauradores)
sergio.uribe@uv.cl 29
2. Informacin
qu es lo que se sabe y qu no fuentes de informacin anlisis (validez y relevancia)
sergio.uribe@uv.cl
30
Decisin en Cariologa
Disminuir riesgo cariognico Estabilizar actividad cariognica Reponer tejidos perdidos para asegurar higiene, funcin (+esttica) Control peridico
OBLIGATORIA Bader, J.D., Shugars, D.A., 1997. What do we know about how dentists make caries-related treatment decisions? Community Dent Oral Epidemiol 25, 97103. RECOMENDADA
Tyas MJ, Anusavice KJ, Frencken JE, Mount GJ. Minimal intervention dentistry--a review. FDI Commission Project 1-97. Int Dent J. 2000 Feb;50(1):1-12. Kidd E. The implications of the new paradigm of dental caries. J Dent. 2011 Dec;39 Suppl 2:S3-8. Epub 2011 Nov 10. Bader JD, Shugars DA. The evidence supporting alternative management strategies for early occlusal caries and suspected occlusal dentinal caries. J Evid Based Dent Pract. 2006 Mar;6(1):91-100.
AVANZADA
Balevi B. The management of incipient or suspicious occlusal caries: a decision-tree analysis. Community Dent Oral Epidemiol. 2008 Oct;36(5):392-400.
Baelum V. Caries management: technical solutions to biological problems or evidence-based care? J Oral Rehabil. 2008 Feb;35(2):135-51. Baelum V, Heidmann J, Nyvad B. Dental caries paradigms in diagnosis and diagnostic research. Eur J Oral Sci. 2006 Aug;114(4):263-77. Tinanoff N, Douglass JM. Clinical decision making for caries management in children. Pediatr Dent. 2002 Sep-Oct;24(5):386-92. Anusavice K. Clinical decision-making for coronal caries management in the permanent dentition. J Dent Educ. 2001 Oct;65(10):1143-6. Tinanoff N, Douglass JM. Clinical decision-making for caries management in primary teeth. J Dent Educ. 2001 Oct;65(10):1133-42.
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