Estimación de la protocolización del bruxismo desde la perspectiva clínica en Cuba y el mundo

2021 
Background: there are times in which facing the same problem, the performance is different and a way of reducing this effect is to incorporate instruments that facilitate decision-making. Objective: to evaluate in the last decade (from 2010 to 2020) the existing protocol in the management of the patient with bruxism in Cuba and the world. Methods: a cross sectional observational study was carried out for the protocolization of bruxism from a clinical perspective in Cuba and the world from February 2019 to February 2020.The universe of documents and researchers made it up: five protocols (four foreigners protocols and a national one) and an evaluation group made up of four dental professionals. A database was drawn up with the grade given to the assessment instrument with the Cuban scale formed by 15 items, divided into five categories that established an evaluation from one to five of the items, according to the opinion of each member of the assessment group. Results: none of the existing assessed protocol got neither the maximum grade (300 points)nor the minimum one (60 points). The fourth and fifth protocols reached the highest grades with 178 and 184 points respectively as well as the same IDT P of 0,53. Conclusions: these protocols the assistance of patients with bruxism did not reach the maximum possible grade, but they constitute scientific good decisions and incorporate, from one way or another, principles or functions to develop valid aspects in the good practice of dentistry. DeCS: BRUXISM; BRUXISM/diagnosis; CLINICAL PROTOCOLS; PROCESS ASSESSMENT, HEALTH CARE; QUALITY OF HEALTH CARE.
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