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Pulp exposures in adults--choice of treatment among Swedish dentists.

Journal article
Authors Fredrik Frisk
Thomas Kvist
Susanna Axelsson
Gunnar Bergenholtz
Thomas Davidson
Ingegerd Mejare
Anders Norlund
Arne Petersson
Hans Sandberg
Sofia Tranaeus
Magnus Hakeberg
Published in Swedish dental journal
Volume 37
Issue 3
Pages 153-60
ISSN 0347-9994
Publication year 2013
Published at Institute of Odontology
Pages 153-60
Language en
Links www.ncbi.nlm.nih.gov/entrez/query.f...
Keywords Adult, Chi-Square Distribution, Dental Pulp Capping, statistics & numerical data, Dental Pulp Exposure, therapy, Dentist's Practice Patterns, statistics & numerical data, Female, Guideline Adherence, Humans, Logistic Models, Male, Middle Aged, Pulpectomy, statistics & numerical data, Pulpotomy, statistics & numerical data, Questionnaires, Root Canal Obturation, statistics & numerical data, Specialty Boards, Sweden, Young Adult
Subject categories Dentistry

Abstract

This study comprises a survey of Swedish dentists'treatment preferences in cases of carious exposure of the dental pulp in adults.The survey was conducted as part of a comprehensive report on methods of diagnosis and treatment in endodontics, published in 2010 by the Swedish Council on Health Technology Assessment. A questionnaire was mailed to a random subsample of 2012 dental offices where one dentist at each office was requested to answer all questions. Each questionnaire contained one of three sets of questions about endodontic practice routines.Thus around one-third of the subsample received case-specific questions about treating carious exposure. Only general practitioners aged below 70 years were included.The final study sample comprised 412 participants.The dentists were presented with two case scenarios. In Case 1 a 22-year old patient had a deep carious lesion in tooth 36 and in Case 2 a 50-year old patient had a deep carious lesion in tooth 14.The participants were asked to nominate their treatment of choice: pulp capping, partial pulpotomy or pulpectomy. For Case 1, 17 per cent of the respondents selected pulpectomy; the corresponding rate for Case 2 was 47 per cent. Female gender and age group 25-49 years were predictive of selection of less invasive treatment options. However, according to recent guidelines (2011) from the National Board of Health and Wellfare, Swedish dentists are recommended to elect pulpectomy prior to pulp capping/partial pulpotomy when confronted with a tooth having a cariously exposed pulp in adults.

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