![]() ![]() A direct pulp capping is indicated in cases where an asymptomatic pulp exposure with a controllable bleeding is produced, and the tooth is restorable. When the pulp is reversibly affected, or an accidental pulp exposure is produced when removing affected tissue from deep carious lesions, the preservation of pulp vitality is preferable. Upon carious lesions with a greater extension, the therapeutic approach becomes varied depending on the extent of the lesion. Because the influence of the type of undergraduate formation influences the postgraduate therapeutic attitude. Thus, it is necessary to orient dental students into a less invasive approach, taking into account the natural progression of the disease, and treating lesions according to their extension and carioactivity. Available systematic reviews among the literature regarding the treatment for early carious lesions found a significative proportion of dentists who would propose restorative treatments upon carious lesions for which minimally invasive technique are indicated. It should be highlighted that up to 41.7% of the students would place a resin composite restoration, which in this case is considered as an “overtreatment”. However, a little more than half of the students selected this non-invasive therapeutic alternative. This difference may have been due to the fact that students who misdiagnosed scenario 1a as “healthy” or “early carious lesion” may have selected “oral health instructions and 6-month follow-up visit” as a therapeutic approach. Interestingly, the percentage of students who correctly answered the therapeutic approach in scenario 1c (51.2%) was higher than those who correctly answered the diagnosis in scenario 1a (48.8%). According to these criteria, an inactive carious lesion categorized as ICDAS II (clinical scenario 1c) should not receive any restorative treatment, but only require oral health instructions and control of individual risk factors, together with follow-up control visits. Students tended to overtreat defective restorations and would perform unnecessary treatments in medically compromised patients.Ĭurrently, there is a great tendency towards the restoration of lesions limited to the enamel, although the scientific evidence supports other non-invasive alternatives for the control of these lesions. Treatment caries proposals were in accordance with available evidence in the majority of the cases. A tendency to perform unnecessary complementary tests for caries diagnosis was observed. For the repair of a faulty restoration, an overtreatment was proposed by 87.8% of the students. The treatment for irreversible pulp pathology and the restoration of the tooth with root canal treatment were adequately selected in 56.1% and 78.3% of the cases, respectively. The treatment for carious lesions in different evolutive phases with a vital pulp was correct between 51.2 and 92.7% of the cases. A total of 58.8% of the students correctly identified an early carious lesion in the occlusal surface of a molar, while 63.2% would perform unnecessary complementary tests for its diagnosis. ![]() Fifty-two students were surveyed, from whom 42 completed the questionnaire (80.77%). ![]() A questionnaire consisting of 10 case exemplifications examining the diagnosis, treatment, and clinician’s attitude towards different common clinical situations regarding restorative dentistry was designed. To evaluate the tendency for overdiagnosis and overtreatment upon different clinical situations among last-year students from the degree in dentistry from Valencia University (Spain) during the 2018–2019 course. ![]()
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