Analysis of endodontic dental records of patients who were treated in a public university in south of Brazil
Keywords:Dental records; Dentistry; Retrospective studies; Medical records; Endodontics.
Dental record has a fundamental role in dentist performance. This study evaluated the standard registration of dental records of patients submitted to endodontic treatment for undergraduate students (CG) and specialists endodontics students (CE) in a public university in the south of Brazil. The sample was obtained by convenience, consecutively and included dental records patients of a public university in the south of Brazil who were treated at CE and clinical records of patients who were treated at CG, during on the year 2014. Was analyzed the description of endodontic treatment, data retrieved was scored and rated using a modification of the scoring system proposed by Streiner & Norman (1996) and quality of radiographs was performed according to the guidelines of “National Radiological Protection Board”. At dental records were analyzed, 223 belong to CG and 219 belong CE. The records from CE and CG had similar information on the evaluated parameters, except for “presence of rubber dam” and “presence of abbreviature in the description” (Mann-Whitney Test, P = 0.386). The absence of periapical radiographs was higher in CE than CG records (CE = 36.77%; CG = 0.46%). (Mann-Whitney test, P<0.0001). There was a predominance of periapical radiographs with the grades “excellent” and “diagnostically acceptable” in both groups.The quality of records generally obtained good results. The incorporation of new science into the educational program like electronic records and digital imaging techniques, facilitating the constant updating of data related to health and treatment of patients improving the record of the evolution of procedures.
Amos, K. J., Bearman, M., & Palermo, C. (2015). Evidence regarding teaching and assessment of record‐keeping skills in training of dental students. Journal of dental education, 79(10), 1222-1229. https://doi.org/10.1002/j.0022-0337.2015.79.10.tb06016.x
Brown, N. L., Jephcote, V. E., Morrison, J. N., & Sutton, J. E. (2017). Inaccurate dental charting in an audit of 1128 general dental practice records. Dental update, 44(3), 254-260. https://doi.org/10.12968/denu.2017.44.3.254
Charangowda, B. K. (2010). Dental records: An overview. Journal of forensic dental sciences, 2(1), 5. https://dx.doi.org/10.4103%2F0974-2948.71050
Chong, J. A., Chew, J. K., Ravindranath, S., & Pau, A. (2014). Clinical Audit Teaching in Record–Keeping for Dental Undergraduates at International Medical University, Kuala Lumpur, Malaysia. Journal of dental education, 78(2), 206-212. https://doi.org/10.1002/j.0022-0337.2014.78.2.tb05671.x
Department of Health. (2001). Guidance Notes for Dental Practitioners on the Safe Use of X-Ray Equipment. https://www.rqia.org.uk/RQIA/files/44/449bdd1c-ccb0-4322-b0df-616a0de88fe4.pdf
Dierickx, A., Seyler, M., De Valck, E., Wijffels, J., & Willems, G. (2006). Dental records: a Belgium study. Journal of Forensic Odontostomatology, 24(1), 22. http://www.iofos.eu/Journals/JFOS%20Jun06/dierckyx.june06.pdf
Dosumu, E. B., Dosumu, O. O., & Lawal, F. B. (2012). Quality of records keeping by undergraduate dental students in Ibadan, Nigeria. Annals of Ibadan postgraduate medicine, 10(1), 13-17. https://www.ncbi.nlm.nih.gov/pubmed/25161401
Iacopino, A. M. (2007). The influence of “new science” on dental education: current concepts, trends, and models for the future. Journal of Dental Education, 71(4), 450-462. https://doi.org/10.1002/j.0022-0337.2007.71.4.tb04296.x
Lima, L. R., Lima Júnior, G. T. D. A., Machado Filho, J. A., & Freitas, S. A. P. (2010). Assessment of quality and periapical radiographs' archiving in the clinic of endodontics, Faculty NOVAFAPI. Odontologia Clínico-Científica (Online), 9(4), 355-358. http://revodonto.bvsalud.org/pdf/occ/v9n4/a16v9n4.pdf
Motimath A, Baliga SD, Sharma S. (2017) Clinical audit and record keeping guide for improving patient care. J. Evid. Based Med. Healthc. 4(32), 1929-1931.
National Radiological Protection Board. (2001). Guidance notes for dental practitioners on the safe use of X-ray equipment. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/926294/misc_pub_DentalGuidanceNotes.pdf
Neves, K. do C., Fassarella, B. P. A., Ribeiro, W. A., Faillace, G. B. D., Fassarella, M. B., Silva, A. C. S. da, Silva, F. J. D., Felício, F. de C., Oliveira, K. G. de M. de, Oliveira, S. L. de, Silva, A. S., & Farias, B. S. (2020). Benefits and disadvantages of implementing the electronic patient record for the health service. Research, Society and Development, 9(7), e735974630. https://doi.org/10.33448/rsd-v9i11.10201
Novoa, P. C. R. (2014). O que muda na ética em pesquisa no Brasil: Resolução 466/12 do Conselho Nacional de Saúde. Einstein (São Paulo), 12(1), vii-vix.
Pessian, F., & Beckett, H. A. (2004). Record keeping by undergraduate dental students: A clinical audit. British dental journal, 197(11), 703-705. https://doi.org/10.1038/sj.bdj.4811866
Pourasghar, F., Malekafzali, H., Kazemi, A., Ellenius, J., & Fors, U. (2008). What they fill in today, may not be useful tomorrow: Lessons learned from studying Medical Records at the Women hospital in Tabriz, Iran. BMC public Health, 8(1), 1-7. https://doi.org/10.1186/1471-2458-8-139
Rios Santos, J. V., García, M., Segura-Egea, J. J., Fernández Palacín, A., & Bullon, P. (2008). Audit of dental reports (II): First Phase-II study in a Spanish Faculty of Dentistry. http://hdl.handle.net/10550/61092
Soares, C. de F., Viana, V. M. O., Viana, V. A. O., Silva, M. J. da, Silva, V. R. da, Pacheco, E. S., Santos, M. A. R. dos, Silva, D. H. da, Marques, J. S., & Gomes, A. T. (2020). The importance of nursing records for health care from the perspective of nurse auditors. Research, Society and Development, 9(7), e309974007. https://doi.org/10.33448/rsd-v9i7.4007
Stok Capella, J. F., Zubillaga, M. J., Nero, F. G., Muguerza, P., Lanuza, J., Alassia, L., ... & Baum, A. (2019). Design, Implementation and Adoption of an Electronic Dental Record Within an Electronic Health Record in the Public Healthcare System of Buenos Aires City. https://doi.org/10.3233/SHTI190656
Streiner, D. L., Norman, G. R., & Cairney, J. (2015). Health measurement scales: a practical guide to their development and use. Oxford University Press, USA. https://doi.org/10.1093 / med / 9780199685219.001.0001
Zimmer , K. ., Ribeiro , Y. S. ., Kozlowski Junior , V. A. ., Roderjan , D. A. ., Silva Junior, M. F., & Silveira , C. M. M. . (2021). Sociodemographic and clinical profile of users treated in the Endodontics discipline of the Ponta Grossa State University between 2010-2017. Research, Society and Development, 10(8), e44310817386. https://doi.org/10.33448/rsd-v10i8.17386
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