TY - JOUR
T1 - Factors Affecting the Decision-making of Direct Pulp Capping Procedures among Dental Practitioners
T2 - A Multinational Survey from 16 Countries with Meta-analysis
AU - Hatipoğlu, Ömer
AU - Hatipoğlu, Fatma Pertek
AU - Javed, Muhammad Qasim
AU - Nijakowski, Kacper
AU - Taha, Nessrin
AU - El-saaidi, Christina
AU - Sugumaran, Surendar
AU - Elhamouly, Yasmine
AU - Drobac, Milan
AU - Machado, Ricardo
AU - Aldhelai, Thiyezen Abdullah
AU - Kobayashi, Hiro
AU - Alfirjani, Suha
AU - Abidin, Imran Zainal
AU - Martin-Biedma, Benjamín
AU - Maira, Kopbayeva
AU - Lim, Wen Yi
AU - Palma, Paulo J.
AU - Martins, João Filipe Brochado
N1 - Funding Information:
The authors deny any conflicts of interest related to this study.
Publisher Copyright:
© 2023 American Association of Endodontists
PY - 2023/6
Y1 - 2023/6
N2 - Introduction: Direct pulp capping (DPC) procedures require the placement of a bioactive material over an exposure site without selective pulp tissue removal. This web-based multicentered survey had 3 purposes: (1) to investigate the factors that affect clinicians’ decisions in DPC cases, (2) to determine which method of caries removal is preferred, and (3) to evaluate the preferred capping material for DPC. Methods: The questionnaire comprised 3 sections. The first part comprised questions regarding demographic features. The second part comprised questions on how treatment plans change according to factors such as nature, location, number and size of the pulp exposure, and patients’ age. The third part composed of questions on the common materials and techniques used in DPC. To estimate the effect size, the risk ratio (RR) and 95% confidence interval (CI) were calculated using a meta-analysis software. Results: A tendency toward more invasive treatment was observed for the clinical scenario with carious-exposed pulp (RR = 2.86, 95% CI: 2.46, 2.32; P < .001) as opposed to the clinical scenario with 2 pulp exposures (RR = 1.38, 95% CI: 1.24, 1.53; P < .001). Complete caries removal was significantly preferred to selective caries removal (RR = 4.59, 95% CI: 3.70, 5.69; P < .001). Among the capping materials, calcium silicate-based materials were preferred over calcium hydroxide-based materials (RR = 0.58, 95% CI: 0.44, 0.76; P < .05). Conclusions: While carious-exposed pulp is the most important factor in clinical decisions regarding DPC, the number of exposures has the least impact. Overall, complete caries removal was preferred over selective caries removal. In addition, the use of calcium silicate-based materials appears to have replaced calcium hydroxide-based materials.
AB - Introduction: Direct pulp capping (DPC) procedures require the placement of a bioactive material over an exposure site without selective pulp tissue removal. This web-based multicentered survey had 3 purposes: (1) to investigate the factors that affect clinicians’ decisions in DPC cases, (2) to determine which method of caries removal is preferred, and (3) to evaluate the preferred capping material for DPC. Methods: The questionnaire comprised 3 sections. The first part comprised questions regarding demographic features. The second part comprised questions on how treatment plans change according to factors such as nature, location, number and size of the pulp exposure, and patients’ age. The third part composed of questions on the common materials and techniques used in DPC. To estimate the effect size, the risk ratio (RR) and 95% confidence interval (CI) were calculated using a meta-analysis software. Results: A tendency toward more invasive treatment was observed for the clinical scenario with carious-exposed pulp (RR = 2.86, 95% CI: 2.46, 2.32; P < .001) as opposed to the clinical scenario with 2 pulp exposures (RR = 1.38, 95% CI: 1.24, 1.53; P < .001). Complete caries removal was significantly preferred to selective caries removal (RR = 4.59, 95% CI: 3.70, 5.69; P < .001). Among the capping materials, calcium silicate-based materials were preferred over calcium hydroxide-based materials (RR = 0.58, 95% CI: 0.44, 0.76; P < .05). Conclusions: While carious-exposed pulp is the most important factor in clinical decisions regarding DPC, the number of exposures has the least impact. Overall, complete caries removal was preferred over selective caries removal. In addition, the use of calcium silicate-based materials appears to have replaced calcium hydroxide-based materials.
KW - Dental pulp capping
KW - meta-analysis
KW - questionnaire
UR - http://www.scopus.com/inward/record.url?scp=85160350613&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85160350613&partnerID=8YFLogxK
U2 - 10.1016/j.joen.2023.04.005
DO - 10.1016/j.joen.2023.04.005
M3 - Article
AN - SCOPUS:85160350613
SN - 0099-2399
VL - 49
SP - 675
EP - 685
JO - Journal of endodontics
JF - Journal of endodontics
IS - 6
ER -