Dentists’ clinical decision-making about teeth with apical periodontitis using a variable-controlled survey model in South Korea
Abstract Background This study, by using a variable-controlled survey model, sought to compare clinical decisions made by dentists with different clinical backgrounds in South Korea regarding teeth with apical periodontitis and to identify factors that influenced decision-making. Methods A questionn...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-01-01
|
Series: | BMC Oral Health |
Subjects: | |
Online Access: | https://doi.org/10.1186/s12903-020-1014-z |
id |
doaj-0abc7f9952514dabb7e7253c5b3e9763 |
---|---|
record_format |
Article |
spelling |
doaj-0abc7f9952514dabb7e7253c5b3e97632021-01-31T16:32:48ZengBMCBMC Oral Health1472-68312020-01-0120111010.1186/s12903-020-1014-zDentists’ clinical decision-making about teeth with apical periodontitis using a variable-controlled survey model in South KoreaJunghoon Lee0Sumi Kang1Hoi-In Jung2Sunil Kim3Bekir Karabucak4Euiseong Kim5Microscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of DentistryMicroscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of DentistryDepartment of Preventive Dentistry and Public Oral Health, College of Dentistry, Yonsei UniversityMicroscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of DentistryDepartment of Endodontics, School of Dental Medicine, University of PennsylvaniaMicroscope Center, Department of Conservative Dentistry and Oral Science Research Center, Yonsei University College of DentistryAbstract Background This study, by using a variable-controlled survey model, sought to compare clinical decisions made by dentists with different clinical backgrounds in South Korea regarding teeth with apical periodontitis and to identify factors that influenced decision-making. Methods A questionnaire with 36 questions about identical patient information, clinical signs, and symptoms was filled out by participants. Each question referred to a radiograph that had been manipulated using computer software in order to control tooth-related factors. Participants were instructed to record their demographic information and choose the ideal treatment option related to each radiograph. Simple and multivariable logistic regression analyses (p < .05) were used to investigate factors related to the decision to extract the tooth. We divided factors into dentist-related factors (gender, years of experience, and professional registration) and tooth-related factors (tooth position, coronal status, root canal filling status, and size of the periapical radiolucency). Dentists were categorized into three groups, based on professional registration: general dental practitioners (GDPs), endodontists, and other specialists. Simple logistic regression analysis (p < .05) was used to evaluate the tooth-related factors influencing extraction, depending on the dentists’ specialty. Results Participants mostly preferred saving the teeth over extraction. This preference was highest among the endodontists, followed by other specialists and GDPs. Extractions were significantly preferred for molars, teeth with previous root canal fillings, and those with apical lesions greater than 5 mm. Conclusions This study suggests that dentists’ decision-making regarding teeth with apical periodontitis was associated with their work experience and specialty and influenced by tooth position, root canal filling status, and size of the apical lesion. Clinical relevance This survey revealed that clinical decision-making related to teeth with apical periodontitis was affected by dentists’ specialty and work experience and by tooth-related factors, such as tooth position, root canal filling status, and size of the apical lesion.https://doi.org/10.1186/s12903-020-1014-zApical periodontitisDecision-makingDentistsEndodontistsRoot canal treatmentSurvey |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Junghoon Lee Sumi Kang Hoi-In Jung Sunil Kim Bekir Karabucak Euiseong Kim |
spellingShingle |
Junghoon Lee Sumi Kang Hoi-In Jung Sunil Kim Bekir Karabucak Euiseong Kim Dentists’ clinical decision-making about teeth with apical periodontitis using a variable-controlled survey model in South Korea BMC Oral Health Apical periodontitis Decision-making Dentists Endodontists Root canal treatment Survey |
author_facet |
Junghoon Lee Sumi Kang Hoi-In Jung Sunil Kim Bekir Karabucak Euiseong Kim |
author_sort |
Junghoon Lee |
title |
Dentists’ clinical decision-making about teeth with apical periodontitis using a variable-controlled survey model in South Korea |
title_short |
Dentists’ clinical decision-making about teeth with apical periodontitis using a variable-controlled survey model in South Korea |
title_full |
Dentists’ clinical decision-making about teeth with apical periodontitis using a variable-controlled survey model in South Korea |
title_fullStr |
Dentists’ clinical decision-making about teeth with apical periodontitis using a variable-controlled survey model in South Korea |
title_full_unstemmed |
Dentists’ clinical decision-making about teeth with apical periodontitis using a variable-controlled survey model in South Korea |
title_sort |
dentists’ clinical decision-making about teeth with apical periodontitis using a variable-controlled survey model in south korea |
publisher |
BMC |
series |
BMC Oral Health |
issn |
1472-6831 |
publishDate |
2020-01-01 |
description |
Abstract Background This study, by using a variable-controlled survey model, sought to compare clinical decisions made by dentists with different clinical backgrounds in South Korea regarding teeth with apical periodontitis and to identify factors that influenced decision-making. Methods A questionnaire with 36 questions about identical patient information, clinical signs, and symptoms was filled out by participants. Each question referred to a radiograph that had been manipulated using computer software in order to control tooth-related factors. Participants were instructed to record their demographic information and choose the ideal treatment option related to each radiograph. Simple and multivariable logistic regression analyses (p < .05) were used to investigate factors related to the decision to extract the tooth. We divided factors into dentist-related factors (gender, years of experience, and professional registration) and tooth-related factors (tooth position, coronal status, root canal filling status, and size of the periapical radiolucency). Dentists were categorized into three groups, based on professional registration: general dental practitioners (GDPs), endodontists, and other specialists. Simple logistic regression analysis (p < .05) was used to evaluate the tooth-related factors influencing extraction, depending on the dentists’ specialty. Results Participants mostly preferred saving the teeth over extraction. This preference was highest among the endodontists, followed by other specialists and GDPs. Extractions were significantly preferred for molars, teeth with previous root canal fillings, and those with apical lesions greater than 5 mm. Conclusions This study suggests that dentists’ decision-making regarding teeth with apical periodontitis was associated with their work experience and specialty and influenced by tooth position, root canal filling status, and size of the apical lesion. Clinical relevance This survey revealed that clinical decision-making related to teeth with apical periodontitis was affected by dentists’ specialty and work experience and by tooth-related factors, such as tooth position, root canal filling status, and size of the apical lesion. |
topic |
Apical periodontitis Decision-making Dentists Endodontists Root canal treatment Survey |
url |
https://doi.org/10.1186/s12903-020-1014-z |
work_keys_str_mv |
AT junghoonlee dentistsclinicaldecisionmakingaboutteethwithapicalperiodontitisusingavariablecontrolledsurveymodelinsouthkorea AT sumikang dentistsclinicaldecisionmakingaboutteethwithapicalperiodontitisusingavariablecontrolledsurveymodelinsouthkorea AT hoiinjung dentistsclinicaldecisionmakingaboutteethwithapicalperiodontitisusingavariablecontrolledsurveymodelinsouthkorea AT sunilkim dentistsclinicaldecisionmakingaboutteethwithapicalperiodontitisusingavariablecontrolledsurveymodelinsouthkorea AT bekirkarabucak dentistsclinicaldecisionmakingaboutteethwithapicalperiodontitisusingavariablecontrolledsurveymodelinsouthkorea AT euiseongkim dentistsclinicaldecisionmakingaboutteethwithapicalperiodontitisusingavariablecontrolledsurveymodelinsouthkorea |
_version_ |
1724316265245310976 |