A amostra foi censitária e todos os CD da ESF da zona urbana da cidade de Teresina – PI foram visitados em seus locais de trabalho e convidados a participar do estudo. Questionários autoaplicáveis foram utilizados como técnica de coleta de dados. Para as análises estatísticas aplicou-se o teste qui-quadrado com nível de significância de 5% e o teste de associação linear.

Resultado

Participaram do estudo 183 profissionais, a maioria do sexo feminino (71,0%), na faixa etária de 20 a 39 anos (49,2%), com vinte ou mais anos de formados (45,9%), que tem apenas o serviço público como vínculo empregatício (70,5%), e especialização em área clínica (44,3%). A maioria acredita no ART (82,7%) e a realiza (95,8%), apenas no serviço público (58,9%). O conhecimento individual dos profissionais sobre ART foi mensurado e a maioria apresenta informações corretas sobre o tratamento. Houve associação significativa do autorrelato de conhecimento de ART com a faixa etária, o tempo de formado e a titulação dos participantes. A avaliação do nível de conhecimento teve associação significativa com a faixa etária e tempo de formado.

Conclusão

A maioria dos Cirurgiões-Dentistas da Estratégia Saúde da Família de Teresina, Piauí, Brasil possui um bom conhecimento e conduta positiva em relação ao ART, mas necessita de aprimoramento com relação à técnica e sua correta indicação.

Descritores:
Avaliação; tratamento restaurador sem trauma; estratégia saúde da família

Characteristics	N	%
Dental surgeons
Evaluated	183	89.7%
Not evaluated	21	10.3%
Gender	N	%
Male	50	27.3%
Female	130	71.0%
No reply	3	1.7%
Age (years)	N	%
20 to 39	90	49.2%
40 to 49	34	18.6%
50 and +	54	29.5%
No reply	5	2.7%
Time since graduation (years)	N	%
0 to 9	49	26.8%
10 to 19	50	27.3%
20 and +	84	45.9%
Type of affiliation	N	%
Only public	129	70.5%
Public and private	47	25.7%
No reply	7	3.8%
Highest degree	N	%
Graduation	37	20.2%
Specialization	127	69.4%
Masters and doctorate	17	9.3%
No reply	2	1.1%
Graduate area	N	%
Public health / family health / collective health	35	19.1%
Clinical	81	44.3%
Public health / Clinical	22	12.0%
None	37	20.2%
No reply	8	4.4%

Variables	N	%
Do you know ART ?		%
Yes	168	91.8%
No	15	8.2%
Source of information	N	%
Graduation	72	43.3%
Postgraduate studies	23	14.1%
Conferences	17	8.2%
Internet	22	13.3%
Publications	1	0.7%
Others	24	14.5%
Unknown	9	5.9%
Do you believe in ART?	N	%
Yes	139	82.7%
No	3	1.8%
More or less	26	15.5%
Do you perform ART	N	%
Yes	161	95.8%
No	7	4.2%
Where?	N	%
Public service	99	58.9%
Private surgeries	2	1.2%
In both	59	35.1%
Not performed	7	4.2%
Unknown	1	0.6%
ART routine in the FHS	N	%
Yes	134	79.8%
No	33	19.6%
Unknown	1	0.6%

Variables	ART Knowledge
	Yes		No		P
	N	%	N	%	P
Age group	N	%	N	%	P
20 to 39	90	100.0%	0	0.0%	<0.0001 ^ Linear regression test.
40 to 49	31	91.2%	3	8.8%
50 and +	43	79.6%	11	20.4%
Time since graduation (years)	N	%	N	%	P
0 to 9	49	100.0%	0	0.0%	<0.0001 ^* * Chi-square test.
10 to 19	50	100.0%	0	0.0%
20 and +	69	82.1%	15	17.9%
Highest degree	N	%	N	%	P
Graduation	30	81.1%	7	18.9%	<0.0123 ^ Linear regression test.
Specialization	120	94.5%	7	5.5%
Masters and doctorate	17	100.0%	0	0.0%

Variables	Knowledge level ART
	Bad–Regular (0-4 correct answers)		Regular–Good (5-8 correct answers)		Good–Excellent (9-12 correct answers)
	N	%	n	%	N	%
Distribution of Dentists							Total
	8	4.8%	38	22.6%	122	72.6%	168
Age group							P
20 to 39	2	25.0%	11	28.9%	78	63.9%	0.0005 ^* * Chi-square test.
40 to 49	1	12.5%	11	28.9%	20	16.4%
50 and +	5	62.5%	16	42.2%	24	19.7%
Time since graduation							P
0 to 9	0	0.0%	6	15.8%	43	35.2%	0.0112 ^* * Chi-square test.
10 to 19	2	25.0%	10	26.3%	38	31.1%
20 and +	6	75.0%	22	57.9%	41	33.7%
Highest degree
Graduation	2	25.0%	10	26.3%	19	15.5%	0.4859^* * Chi-square test.
Specialization	6	75.0%	25	65.8%	89	72.9%
Masters and doctorate	0	0.0%	3	7.9%	14	11.6%

Answer	N	%
Average performance
Correct	-	77.8%
Incorrect	-	22.2%
Individual performance in each question
The restorative material used in ART is the glass ionomer	N	%
Correct	159	94.6%
Incorrect	4	2.4%
No reply	5	3.0%
To accomplish ART the following instruments are required: dentin spoon, dental ax, spatula, glass plate and insertion of spatula	N	%
Correct	155	92.3%
Incorrect	6	3.6%
No reply	7	4.1%
ART can be used for any patient	N	%
Correct	149	88.7%
Incorrect	16	9.5%
No reply	3	1.8%
ART can be used in both anterior and posterior teeth	N	%
Correct	136	81.0%
Incorrect	25	14.8%
No reply	7	4.2%
No dental equipment is necessary to perform ART	N	%
Correct	136	81.0%
Incorrect	24	14.3%
No reply	8	4.7%
ART can be used both in primary and permanent dentition	N	%
Correct	134	79.8%
Incorrect	28	16.7%
No reply	6	3.5%
ART cannot be used in teeth with pulp exposure or history of spontaneous pain	N	%
Correct	134	79.8%
Incorrect	25	13.7%
No reply	9	6.5%
It is important that after insertion of the restorative material, it is held with pressure using a Vaselined gloved finger	N	%
Correct	129	76.8%
Incorrect	28	16.7%
No reply	11	6.5%
To perform ART not all carious dentin must be removed	N	%
Correct	128	76.2%
Incorrect	32	19.0%
No reply	8	4.8%
Composite resin and restored provisional materials cannot be used to perform ART	N	%
Correct	126	75.0%
Incorrect	32	19.0%
No reply	10	6.0%
ART is the same as adjustment of the oral environment	N	%
Correct	115	68.5%
Incorrect	41	24.4%
No reply	12	7.1%
ART is a definitive restorative treatment	N	%
Correct	94	56.0%
Incorrect	65	38.7%
No reply	9	5.3%

Universidade Estadual Paulista Júlio de Mesquita Filho Rua Humaitá, 1680 - Caixa Postal 331, 14801-903 Araraquara,São Paulo,SP, Tel.: (55 16) 3301-6376, Fax: (55 16) 3301-6433 - Araraquara - SP - Brazil
E-mail: adriana@foar.unesp.br

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[1] CONFLICTS OF INTERESTS The authors declare no conflicts of interest.