Endoperiodontal lesions: diagnosis first, then treatment and not always tooth extraction: a cross-sectional survey in Spain and a proposal of a clinical treatment protocol.

Autor:	García-Tuñón-Pérez P; Degree in Odontology. University of the Basque Country (UPV/EHU), Biscay, Spain., Fernández-Jiménez A; Ph.D., Associated professor, Research Group: GIU21/042. Department of Stomatology, University of the Basque Country (UPV/EHU), Biscay, Spain., Lafuente-Ibañez-de-Mendoza I; Ph.D., Associated professor, Research Group: GIU21/042. Department of Stomatology, University of the Basque Country (UPV/EHU), Biscay, Spain., Estefanía-Fresco R; Ph.D., Associated teacher, Research Group: GIU21/042. Department of Stomatology, University of the Basque Country (UPV/EHU), Biscay, Spain., Marichalar-Mendia X; Ph.D., Professor, Research Group: GIU21/042. Department of Nursery I, University of the Basque Country (UPV/EHU), Biscay, Spain., García-De-La-Fuente AM; Ph.D., Professor, Research Group: GIU21/042. Department of Stomatology, University of the Basque Country (UPV/EHU), Biscay, Spain.
Jazyk:	angličtina
Zdroj:	Journal of clinical and experimental dentistry [J Clin Exp Dent] 2024 Jan 01; Vol. 16 (1), pp. e32-e41. Date of Electronic Publication: 2024 Jan 01 (Print Publication: 2024).
DOI:	10.4317/jced.61130
Abstrakt:	Background: Endoperiodontal lesion (EPL) is defined as a pathological communication between pulpal and periodontal tissues. Currently, accurate diagnosis and treatment of this pathology are challenging. This study aims to identify the different endoperiodontal therapies to propose a clinical protocol to simplify and unify the criteria for EPL treatment. Material and Methods: Observational cross-sectional study through an electronic survey. This study matches STROBE guidelines. The anonymous questionnaire contained open-ended and close-ended questions and was distributed to dentistry professors of the UPV/EHU and different professionals from Spanish associations and scientific societies. The data collected were analyzed using descriptive and analytical statistics. Results: A total of 128 responses were obtained, of which 120 were active professionals or had not been so for less than 5 years. The majority of professionals were women (65.6%) and from the Basque Country (63.9%). A total of 86.6% reported having complementary studies to a degree or a bachelor's degree. The treatments performed by these professionals were similar to those reported in the literature, which started with root canal treatment when there was an endodontic origin (91.5%), and with basic periodontal treatment when periodontal (51.3%). Conclusions: Considering the current scientific evidence and the clinical practice of professionals in the treatment of EPL, we designed a clinical protocol. This protocol needs validation in larger populations and with longer follow-ups. Key words: Clinical protocol, Dental pulp diseases, Periodontal diseases, Review, Surveys and questionnaires. Competing Interests: Conflicts of interest Authors confirm there is no conflict of interest regarding the submission of this manuscript. (Copyright: © 2024 Medicina Oral S.L.)
Databáze:	MEDLINE
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