Management of deep carious lesions and pulps exposed during carious tissue removal in adults: a questionnaire study among dentists in Finland

Croft, Katri; Kervanto-Seppälä, Sari; Stangvaltaite‐Mouhat, Lina; Kerosuo, Eero

doi:10.1007/s00784-018-2556-1

Cited by 34 publications

(32 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In previous studies of a similar nature carried out over the period 2007–2019, NSR was chosen by 34–71% (Fig. ) of the respondents worldwide . One of the possible reasons for the majority (85%) of dentists in Australia choosing SR might be that Australia has been at the forefront of caries risk assessment protocols and that modern theoretical concepts of cariology are taught in Australian universities .…”

Section: Discussionmentioning

confidence: 99%

“…2) of the respondents worldwide. 20 One of the possible reasons for the majority (85%) of dentists in Australia choosing SR might be that Australia has been at the forefront of caries risk assessment protocols 21,22 and that modern theoretical concepts of cariology are taught in Australian universities. 23 Although a recent survey 23 on cariology teaching in Australia identified certain areas for improvement, the current study suggests that the implementation of the current clinical recommendations 6 on deep caries management in Australia is impressive.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment preferences for deep caries lesions among Australian dentists

Chai

Tay

Chow

et al. 2020

Australian Dental Journal

View full text Add to dashboard Cite

Background There is a global disparity in managing deep caries lesions and evidence‐based strategies are not always followed. The aim of this study was to gain insight into current practices of Australian dentists for deep caries management and to determine their procedural and materials choices. Methods An online questionnaire was sent to 1988 randomly selected practitioners across Australia asking their choice of treatment in a tooth showing symptoms of reversible pulpitis and deep caries. A total of 255 (12.6%) practitioners responded. Results About 85% of respondents chose selective caries removal to selective removal (SR) while 15% chose non‐selective removal to hard dentine. Respondents whose preferred approach was SR had greater odds in believing that incomplete caries removal alone would not have any effect on pulp vitality (OR = 5.20) and had greater odds of thinking that peripheral seal was more important than other factors (OR = 3.50). They also had lesser odds of believing that placing a liner would reduce postoperative sensitivity (OR = 0.269) and lesser odds of thinking that removal of all bacteria or carious dentine was important when placing a restoration (OR = 0.196). Conclusion Most Australian dentists reported practising evidence‐based carious tissue removal strategies and accepted the concept of selectively leaving carious dentine under a sealed restoration.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Treatment preferences for deep caries lesions among Australian dentists

Chai

Tay

Chow

et al. 2020

Australian Dental Journal

View full text Add to dashboard Cite

show abstract

“…It is to be expected that the new evidence showing high success rates of vital pulp therapy in adults make age no longer a key factor in the choice of treatment in DCLs. In fact, a recent study investigating the preferred management methods of Finish dentists for DCLs in adult patients (24), has found that less invasive treatments are being selected into clinical practice by the majority of dentists in Finland. Similar results have been reported in a survey carried out to a sample of Spanish dentists (25).…”

Section: Discussionmentioning

confidence: 99%

Dentist´s knowledge, attitudes and determining factors of the conservative approach in teeth with reversible pulpitis and deep caries lesions

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The vast bulk of the management of deep caries and the exposed pulp is carried out by general dental practitioners (GDPs) rather than by referral to specialist centres. However, at present there is a lack of consensus between practitioners regarding the most appropriate way in which to manage deep caries (Croft et al 2019), with differences relating to country of practice (Stangvaltaite et al 2017, practitioner age (Chisini et al 2015, Schwendicke & G€ ostemeyer 2016 and type of employment (Chin et al 2016). GDPs have to be aware of the most up-to-date information on management of deep caries and VPT to be able to treat and refer appropriately.…”

Section: Introductionmentioning

confidence: 99%

“…However, at present there is a lack of consensus between practitioners regarding the most appropriate way in which to manage deep caries (Croft et al . 2019), with differences relating to country of practice (Stangvaltaite et al . 2017, Schwendicke et al .…”

Section: Introductionmentioning

confidence: 99%

Frightened of the pulp? A qualitative analysis of undergraduate student confidence and stress during the management of deep caries and the exposed pulp

2020

View full text Add to dashboard Cite

Aim To evaluate sources of student confidence and stress during the management of deep carious lesions and the exposed pulp during undergraduate clinics. Further aims were to identify barriers and facilitators, which could result in educational or practical improvements in the delivery of teaching and provision of treatment in this area. Methodology A exploratory qualitative study design was used, based on recorded focus group interviews, guided by 12 predetermined questions. The discussions were transcribed verbatim and analysed by inductive qualitative content analysis. Common categories were identified to aid understanding. Forty undergraduate dental students from 4th and 5th years in Dublin Dental University Hospital participated in the study. Results Student stress and confidence were multifactorial and broadly linked to specific domains: clinical procedure, academic education, clinical training, evaluation/grading, organization and equipment, vital pulp biomaterial and the patient. Most students expressed a preference for one‐stage selective carious removal to soft dentine rather than potential pulp exposure in deep carious lesions, noting that although it helped to decrease their immediate stress, it also caused longer‐term concern by leaving caries close to the pulp. Nevertheless, their confidence was affected by limited clinical experience of carrying out selective removal procedures in deep caries. A recurrent finding was students citing high levels of stress after pulp exposure. Feelings including anger, fear, embarrassment and denial were associated with pulp exposure during deep caries management. Generally, the students felt able to manage pulp capping procedures, but were less certain about partial pulpotomy, suggesting that although they are aware of its advantages, they were unsure about the appropriate volume of pulp tissue to remove. To reduce stress, students suggested that laboratory teaching should employ new 3‐D printed solutions and clinics should establish clear consensus amongst supervising teachers about the best way to manage the exposed pulp. Conclusions Students lacked confidence as they neared the pulp and prefer selective caries removal techniques, which reduce the likelihood of pulp exposure. Students identified stressors and suggested improvements in several domains that would improve confidence. These ameliorations could lead to enhancements in student ability to perform these conservative techniques, and improve the provision of treatment in this area.

show abstract

Management of deep carious lesions and pulps exposed during carious tissue removal in adults: a questionnaire study among dentists in Finland

Abstract: The results of this study can be utilized in continuing education, to raise awareness of management strategies supported by present scientific evidence.

Cited by 34 publications

References 33 publications

Treatment preferences for deep caries lesions among Australian dentists

Treatment preferences for deep caries lesions among Australian dentists

Dentist´s knowledge, attitudes and determining factors of the conservative approach in teeth with reversible pulpitis and deep caries lesions

Frightened of the pulp? A qualitative analysis of undergraduate student confidence and stress during the management of deep caries and the exposed pulp

Contact Info

Product

Resources

About