Criteria and treatment decisions in the management of deep caries lesions: Is there endodontic overtreatment?
| Autor: | I Crespo-Gallardo, O Hay-Levytska, J Martin-Gonzalez, MC Jimenez-Sanchez, B. Sanchez-Dominguez, JJ Segura-Egea |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Journal of Clinical and Experimental Dentistry Crespo-Gallardo, Isabel ; Hay-Levytska, Olesia ; Martín González, Jenifer ; Jiménez Sánchez, María del Carmen ; Sánchez Domínguez, Benito ; Segura-Egea, Juan J.. Criteria and treatment decisions in the management of deep caries lesions : is there endodontic overtreatment?. En: Journal of Clinical and Experimental Dentistry, 10 8 2018: 751-760 RODERIC. Repositorio Institucional de la Universitat de Valéncia instname |
| ISSN: | 1989-5488 |
| Popis: | Background The aim of this study was to investigate the diagnostic criteria and treatment decisions in the management of deep caries lesions (DCLs). The null hypothesis tested was that DCLs are managed according to the current scientific evidence. Material and Methods A total of 288 dentists were contacted directly or by mail, and 125 (43%) were included in the study. Dentists were requested to answer a questionnaire about the routine approach to the diagnosis and treatment of DCLs. Logistic regression analyses were carried out to calculate odds ratios (OR). Results Pulp sensitivity tests were used by 65% of dentists when assessing pulpal health in cases of DCLs, particularly those who had followed courses in cariology (OR = 3.8; p = 0.005). Dentine hardness was the most frequent criterion used during DCLs excavation (98%). Two thirds of the respondents (65%) removed carious tissue until they felt hard dentine, and feeling hard dentine correlated with caries removal even at the risk of pulpal exposure (OR = 15.8; p = 0.0000). Acute transient pain or sensitivity to cold or heat (reversible pulpitis) were considered by 58% of respondents as a reason to provide endodontic therapy. Conclusions The null hypothesis tested is rejected. The evidence-based more conservative approach on the management of DCLs is not being translated to clinical dentistry. Root canal treatment is being indicated in cases of DCLs in which the diagnosis is reversible pulpitis. Likewise, it can be concluded that non-conservative management of DCLs, with endodontic overtreatment, could be occurring. Key words:Deep caries lesions, dental pulp capping, dental pulp health, dentists, endodontic therapy, pulpal diagnosis, reversible pulpitis, treatment decisions. |
| Databáze: | OpenAIRE |
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