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German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey
Currently, there is no standard treatment protocol for apical periodontitis (AP). Thus, restorable teeth might get extracted and replaced prosthetically. This study evaluated German dentists’ preferred AP treatment decisions and the influencing factors for selecting tooth retention by initial/repeat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7602029/ https://www.ncbi.nlm.nih.gov/pubmed/33066223 http://dx.doi.org/10.3390/ijerph17207447 |
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author | Conrad, Jonas Retelsdorf, Jan Attia, Sameh Dörfer, Christof Mekhemar, Mohamed |
author_facet | Conrad, Jonas Retelsdorf, Jan Attia, Sameh Dörfer, Christof Mekhemar, Mohamed |
author_sort | Conrad, Jonas |
collection | PubMed |
description | Currently, there is no standard treatment protocol for apical periodontitis (AP). Thus, restorable teeth might get extracted and replaced prosthetically. This study evaluated German dentists’ preferred AP treatment decisions and the influencing factors for selecting tooth retention by initial/repeated surgical/non-surgical root-canal treatment (RCT) or extraction with/without prosthetic replacement. Through an online-survey, participants (n = 260) rated different treatment options for four case scenarios with AP in anterior/posterior teeth without/with previous RCT. Statistical analysis included the Friedman test for intra-case comparisons and Chi-squared test for factor-associations (p ≤ 0.05). Tooth retention using initial/repeated RCT was ranked first in all scenarios and rated as (very) appropriate by most participants, while implant-supported crowns (ISC) and apicoectomy had the second ratings. ISC were preferred more on posterior teeth or previous root-canal-treated teeth. Rating levels of treatment options displayed significant differences for all case scenarios. Posterior tooth retention by RCT demonstrated a significant association with work experience. Tooth retention with previous RCT displayed a significant correlation with dentists’ privately insured patients. Most dentists preferred tooth preserving with initial/repeated RCT, while others selected non-evidence-based choices. This reflects a lack of consensus of AP treatment decisions in Germany. Fixed treatment guidelines and further evaluation of treatment–decision-correlated factors are recommended for correct treatment planning. |
format | Online Article Text |
id | pubmed-7602029 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-76020292020-11-01 German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey Conrad, Jonas Retelsdorf, Jan Attia, Sameh Dörfer, Christof Mekhemar, Mohamed Int J Environ Res Public Health Article Currently, there is no standard treatment protocol for apical periodontitis (AP). Thus, restorable teeth might get extracted and replaced prosthetically. This study evaluated German dentists’ preferred AP treatment decisions and the influencing factors for selecting tooth retention by initial/repeated surgical/non-surgical root-canal treatment (RCT) or extraction with/without prosthetic replacement. Through an online-survey, participants (n = 260) rated different treatment options for four case scenarios with AP in anterior/posterior teeth without/with previous RCT. Statistical analysis included the Friedman test for intra-case comparisons and Chi-squared test for factor-associations (p ≤ 0.05). Tooth retention using initial/repeated RCT was ranked first in all scenarios and rated as (very) appropriate by most participants, while implant-supported crowns (ISC) and apicoectomy had the second ratings. ISC were preferred more on posterior teeth or previous root-canal-treated teeth. Rating levels of treatment options displayed significant differences for all case scenarios. Posterior tooth retention by RCT demonstrated a significant association with work experience. Tooth retention with previous RCT displayed a significant correlation with dentists’ privately insured patients. Most dentists preferred tooth preserving with initial/repeated RCT, while others selected non-evidence-based choices. This reflects a lack of consensus of AP treatment decisions in Germany. Fixed treatment guidelines and further evaluation of treatment–decision-correlated factors are recommended for correct treatment planning. MDPI 2020-10-13 2020-10 /pmc/articles/PMC7602029/ /pubmed/33066223 http://dx.doi.org/10.3390/ijerph17207447 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Conrad, Jonas Retelsdorf, Jan Attia, Sameh Dörfer, Christof Mekhemar, Mohamed German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey |
title | German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey |
title_full | German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey |
title_fullStr | German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey |
title_full_unstemmed | German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey |
title_short | German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey |
title_sort | german dentists’ preferences for the treatment of apical periodontitis: a cross-sectional survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7602029/ https://www.ncbi.nlm.nih.gov/pubmed/33066223 http://dx.doi.org/10.3390/ijerph17207447 |
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