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...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2020-10-01
|
Series: | International Journal of Environmental Research and Public Health |
Subjects: | |
Online Access: | https://www.mdpi.com/1660-4601/17/20/7447 |
id |
doaj-7858d84669104de79afa119931533d44 |
---|---|
record_format |
Article |
spelling |
doaj-7858d84669104de79afa119931533d442020-11-25T03:28:54ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-10-01177447744710.3390/ijerph17207447German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional SurveyJonas Conrad0Jan Retelsdorf1Sameh Attia2Christof Dörfer3Mohamed Mekhemar4Clinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Christian-Albrecht’s University, 24105 Kiel, GermanyDepartment of General, Faculty of Education, Intercultural and International Comparative Education University of Hamburg, 20146 Hamburg, GermanyDepartment of Cranio Maxillofacial Surgery, Justus-Liebig University, 35392 Giessen, GermanyClinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Christian-Albrecht’s University, 24105 Kiel, GermanyClinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Christian-Albrecht’s University, 24105 Kiel, GermanyCurrently, 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 (<i>n</i> = 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 (<i>p</i> ≤ 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.https://www.mdpi.com/1660-4601/17/20/7447Root canal treatmentendodontic treatmentapical periodontitisoral diseasehealth-related quality of lifeGerman dentists |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jonas Conrad Jan Retelsdorf Sameh Attia Christof Dörfer Mohamed Mekhemar |
spellingShingle |
Jonas Conrad Jan Retelsdorf Sameh Attia Christof Dörfer Mohamed Mekhemar German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey International Journal of Environmental Research and Public Health Root canal treatment endodontic treatment apical periodontitis oral disease health-related quality of life German dentists |
author_facet |
Jonas Conrad Jan Retelsdorf Sameh Attia Christof Dörfer Mohamed Mekhemar |
author_sort |
Jonas Conrad |
title |
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_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_sort |
german dentists’ preferences for the treatment of apical periodontitis: a cross-sectional survey |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-10-01 |
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 (<i>n</i> = 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 (<i>p</i> ≤ 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. |
topic |
Root canal treatment endodontic treatment apical periodontitis oral disease health-related quality of life German dentists |
url |
https://www.mdpi.com/1660-4601/17/20/7447 |
work_keys_str_mv |
AT jonasconrad germandentistspreferencesforthetreatmentofapicalperiodontitisacrosssectionalsurvey AT janretelsdorf germandentistspreferencesforthetreatmentofapicalperiodontitisacrosssectionalsurvey AT samehattia germandentistspreferencesforthetreatmentofapicalperiodontitisacrosssectionalsurvey AT christofdorfer germandentistspreferencesforthetreatmentofapicalperiodontitisacrosssectionalsurvey AT mohamedmekhemar germandentistspreferencesforthetreatmentofapicalperiodontitisacrosssectionalsurvey |
_version_ |
1724582124894289920 |