Descripción de la implementación de mejores prácticas para el manejo de caries dental en odontólogos de la práctica clínica y docentes en Colombia

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dc.contributor.advisorMartignon, Stefania
dc.contributor.advisorNewton, Tim
dc.contributor.advisorPitts, Nigel
dc.contributor.advisorEkstrand, Kim
dc.contributor.advisorAvila, Viviana
dc.contributor.authorAbreu Placeres, Ninoska
dc.date.accessioned2021-09-27T21:02:59Z
dc.date.available2021-09-27T21:02:59Z
dc.date.issued2017
dc.description.abstractEl Sistema Internacional de Clasificación y Manejo de Caries (ICCMS™) presenta recomendaciones sobre salud oral que tienen el fin de mantener y preservar la estructura dental. Está conformado por 4 elementos 4D): D1-Determinar (Riesgo de caries a nivel del paciente); D2-Detectar y valorar (Clasificación de lesiones y valoración de su actividad, valoración de riesgo a nivel intraoral); D3Decida (Toma de decisiones: Plan personalizado de atención (a nivel del paciente y del diente) y D4Desarrolle las acciones (Intervenciones apropiadas a nivel dental y del paciente para la prevención, control y manejo).
 Estos elementos representan la mejor evidencia al momento. Adicionalmente, cuando se tratan de comprender los comportamientos de los dentistas, el modelo COM-B permite identificar la Capacidad, Oportunidad y Motivación para llevar a cabo comportamientos de diagnóstico y manejo de caries dental. Identificar los determinantes que influyen en la adopción e implementación de las mejores prácticas de caries dental en los odontólogos de la práctica clínica y en los docentes de Facultades de Odontología de Colombia. Con el aval ético, académicos expertos en Cariología moderna y miembros de ICDAS diseñaron una encuesta para odontólogos de la práctica clínica y de la docencia clínica basado en el modelo COM-B, con preguntas para identificar la Capacidad, Oportunidad y Motivación para realizar los comportamientos de diagnóstico y manejo de caries dental. La encuesta, luego de ser sujeta a un proceso de validación aparente y de contenido, y de análisis de consistencia interna de las escalas a partir de un estudio piloto, fue enviada para ser respondida a clínicos y docentes en Colombia. El banco de ítems estuvo compuesto por 79 preguntas, 34 para diagnóstico y 45 para manejo. A partir de los análisis de correlación de Spearman se encontró que los comportamientos de diagnóstico correlacionaron más con la escala de Oportunidad referida a recursos, mientras que los de manejo estuvieron más relacionados con la Capacidad y la Oportunidad relativa a la importancia. Los hallazgos enseñan que el modelo COM-B es ventajoso para explicar la implementación de los comportamientos de diagnóstico y manejo de caries dental de acuerdo al ICCMS™. La Oportunidad con el acceso a recursos ayuda a explicar los comportamientos de diagnóstico, mientras que la Capacidad es la que más explica la variabilidad en el manejo de caries dental. La motivación en términos de la remuneración debería mejorarse.spa
dc.description.abstractenglishThe International Caries Classification and Management System (ICCMS™) delivers recommendations for dental health with the aim of maintaining and preserving tooth structure. It is comprised of four elements (4Ds): D1-Determine (caries risk at patient level); Detect and assess (lesion classification and activity assessment, risk assessment at intraoral level); D3-Decide (decision making: personalized care plan (patient and tooth level) and D4-Do (appropriate interventions at dental and patient level for prevention, control and management). These elements represent the best evidence recommendations at the moment. In addition, when trying to understand dentists’ behaviors, the COM-B model is a useful framework that allows the identification of the Capability, Opportunity and Motivation to conduct dental caries diagnosis and management Behaviours. To identify the determinants that may be influencing the adoption and implementation of the best practices of dental caries in clinical practice by dentists and teachers from dental faculties in Colombia. With ethics approval, modern Cariology academic experts and ICDAS members designed a survey for clinicians and teachers based on the COM-B model with questions that identified the Capability, Opportunity, and Motivation to perform caries diagnosis and management behaviours. After the questionnaire items were subjected to face and content validation, and a pilot study was performed to evaluate the internal consistency reliability of the scales, the survey was sent to be completed by clinicians and teachers from Colombia. The item pool was composed of 79 questions, with 34 belonging to the caries diagnosis dimension and the other 45 to the caries management dimension. Spearman correlation analysis showed that the diagnosis behaviours correlated the most with Opportunity in terms of resources, while caries had the highest correlations with Capability and Opportunity related to importance. The findings show that the COM-B model is an advantageous framework in explaining caries diagnosis and management behaviours aligned with ICCMS™ recommendations. Opportunity related to the access of resources was the highest explanatory variable of diagnosis behaviours while Capability explained the most variability in management behaviours. Additionally, motivation in terms of remuneration needs to be improved.eng
dc.description.degreelevelMaestríaspa
dc.description.degreenameMagíster en Ciencias Odontológicasspa
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/6107
dc.language.isospa
dc.publisher.facultyFacultad de Odontologíaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programMaestría en Ciencias Odontológicasspa
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dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.creativecommons2017-08
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subjectCaries dentalspa
dc.subjectValidación de cuestionariosspa
dc.subjectComportamientospa
dc.subject.decsCaries dental -- Manejo de casospa
dc.subject.decsPautas de la práctica en odontologíaspa
dc.subject.decsFormación del profesoradospa
dc.subject.keywordsDental cariesspa
dc.subject.keywordsQuestionnairespa
dc.subject.keywordsBehaviourspa
dc.subject.nlmWU 100
dc.titleDescripción de la implementación de mejores prácticas para el manejo de caries dental en odontólogos de la práctica clínica y docentes en Colombiaspa
dc.title.translatedDescription of the implementation of best practices for caries management in Colombiaspa
dc.type.coarhttps://purl.org/coar/resource_type/c_bdcc
dc.type.coarversionhttps://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Maestríaspa

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