目的:该研究旨在确定希腊牙医用于治疗不可逆牙髓炎牙齿中龋齿组织去除过程中深层龋齿病变或牙髓暴露的首选管理技术。此外,本研究旨在探讨患者相关因素(如年龄和症状)和操作者相关因素(如材料选择和抗生素使用)如何影响这些管理决策.
方法:问卷,由五名调查人员开发,分为两个部分:第一个收集的受访者人口统计数据,第二种是深龋病变的临床情况,请求治疗策略,使用的材料,和抗生素处方实践。这些场景描述了患有强烈的自发性疼痛和非常深的龋齿病变的患者,根据年龄和牙齿发育状况进行区分。数据收集是通过谷歌驱动器,使用SPSS28进行分析,卡方,和费希尔的精确测试,显著性设置为p<0.05。
结果:该研究调查了453名希腊牙医的治疗选择,对于患有不可逆牙髓炎的成熟和未成熟牙齿的深龋病变,大多数人赞成对成熟牙齿进行根管治疗,然而,相当多的人选择了部分或宫颈髓切除术。MTA成为首选的封盖材料,强调其生物相容性。止血管理多种多样,以生理盐水和次氯酸钠为流行选择。如果牙齿未成熟,向重要牙髓疗法的转变是明显的,反映了对保存健康纸浆的偏好,以避免复杂的程序。
结论:确定的挑战包括不同的治疗偏好,控制出血在活髓治疗中的意义,以及抗生素治疗不可逆性牙髓炎的有限使用。虽然这项研究有局限性,包括样本量和潜在的偏见,它的发现为希腊牙医的决策过程提供了宝贵的见解。
结论:未来的牙科研究和持续的教育可能有助于规范深龋病变和不可逆牙髓炎患者的治疗方法和优化预后。
OBJECTIVE: The study aimed to identify the preferred management techniques used by dentists in Greece for treating deep carious lesions or pulp exposure during the removal of carious tissue in teeth with irreversible pulpitis. Additionally, the study sought to explore how patient-related factors (such as age and symptoms) and operator-related factors (like material choice and the use of antibiotics) influence these management decisions.
METHODS: The questionnaire, developed by five investigators, was divided into two parts: the first gathered respondent demographics, and the second presented clinical scenarios of deep carious lesions, requesting treatment strategies, materials used, and antibiotic prescription practices. The scenarios described patients with intense spontaneous pain and very deep carious lesions, differentiated by age and tooth development status.Data collection was via Google Drive, with analysis performed using SPSS 28, Chi-square, and Fisher\'s exact tests, with significance set at p < 0.05.
RESULTS: The study polled 453 Greek dentists about their treatment choices, for deep carious lesions in mature and immature teeth with irreversible pulpitis The majority favored root canal treatment for mature teeth, however quite a few opted for partial or cervical
pulpotomy. MTA emerged as the preferred capping material, emphasizing its biocompatibility. Hemostasis management varied, with saline and sodium hypochlorite as popular choices. In cases of immature teeth, a shift towards vital pulp therapy was evident, reflecting a preference for preserving healthy pulp to avoid complex procedures.
CONCLUSIONS: Challenges identified include varying treatment preferences, the significance of bleeding control in vital pulp therapy, and the limited use of antibiotics for irreversible pulpitis. While the study has limitations, including sample size and potential biases, its findings offer valuable insights into the decision-making processes of Greek dentists.
CONCLUSIONS: Future research and ongoing education within the dental community could contribute to standardizing treatment approaches and optimizing outcomes for patients with deep carious lesions and irreversible pulpitis.