Avaliação quantitativa e qualitativa do conhecimento e da experiência de conduta ortodôntica em casos de traumatismos dentários

Abstract

The objective of this study was to evaluate the knowledge and experience (quantitative research) and the conduct (qualitative research) of orthodontists in the management of traumatized teeth during orthodontic treatment. The quantitative phase was divided into four stages: stage 1 - structured interview, stage 2 - facial validity, stage 3 - test-retest, and stage 4 - questionnaire administration. The first three stages aimed to develop the questionnaire, and stage 4 consisted of administering the instrument to a sample of 395 orthodontists duly registered with the CRO. The questionnaire was sent to these orthodontists via the social network Instagram®. This phase concluded that most participants had experienced this type of emergency in their practices, had fair or good knowledge of the subject, and had achieved success in their orthodontic treatments. Furthermore, almost all professionals recognized the importance of additional training, and only a small proportion were familiar with any treatment protocol for these cases. In the qualitative phase, interviews were conducted with nine orthodontists from the first phase of the research. The interviews were conducted virtually in dedicated environments. After the interviews, the lead researcher transcribed and organized them, forming a text corpus with all the interviews. The data were analyzed using IRAMUTEQ software, and the data were interpreted using the Descending Hierarchical Classification (DHC) proposed by Bardin. It was concluded at this stage that: Orthodontists perform the radiographic protocol for mild trauma every six months; in cases of moderate and severe trauma, Orthodontists make adjustments to the orthodontic mechanics, avoiding extensive movements with these teeth, such as rotation and space-closing movements; they always explain to the patient each course of action taken; many choose to use aligners, as the slow movement with this type of device occurs slowly, and its plate shape helps to stabilize the tooth during dental hand.