Factors Affecting the Decision-making of Direct Pulp Capping Procedures among Dental Practitioners: A Multinational Survey from 16 Countries with Meta-analysis

Hatipoğlu Ö 1 , Hatipoğlu FP 2 , Javed MQ 3 , Nijakowski K 4 , Taha N 5 , El-Saaidi C 6 Show all authors , Sugumaran S 7 , Elhamouly Y 8 , Drobac M 9 , Machado R 10 , Aldhelai TA 11 , Kobayashi H 12 , Alfirjani S 13 , Abidin IZ 14 , Martin-Biedma B 15 , Maira K 16 , Lim WY 17 , Palma PJ 18 , Martins JFB 19

Affiliations 

  • 1 Department of Restorative Dentistry, Niğde Ömer Halisdemir University, Niğde, Turkey. Electronic address: omerhtp@gmail.com
  • 2 Department of Endodontics, Niğde Ömer Halisdemir University, Niğde, Turkey
  • 3 Department of Conservative Dental Sciences, College of Dentistry, Qassim University, Buraydah, Qassim, Saudi Arabia
  • 4 Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Poznan, Poland
  • 5 Department of Conservative Dentistry, Jordan University of Science and Technology Irbid, Jordan
  • 6 Program Evaluator (Epidemiologist) CHW Hub (Access to Care) City of San Antonio Metropolitan Health District San Antonio, San Antonio, Texas
  • 7 Department of Conservative Dentistry and Endodontics Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India
  • 8 Pediatric and Community Dentistry Department, Faculty of Dentistry, Pharos University in Alexandria, Egypt
  • 9 Department of Conservative Dentistry and Endodontics, Faculty of Medicine, University of Novi Sad, Serbia
  • 10 Clinical Practice Limited to Endodontics, Navegantes, Santa Catarina, Brazil; Department of Orthodontics and Pediatric Dentistry, Ibb University, IBB, Yemen
  • 11 Department of Orthodontic and Pediatric Dentistry, College of Dentistry, Qassim University, Buraydah, Saudi Arabia
  • 12 Department of Removable Partial Prosthodontics, Tokyo Dental College, Tokyo, Japan
  • 13 Department of Conservative Dentistry and Endodontics, Dental School/University of Benghazi, Benghazi, Libya
  • 14 Department of Restorative Dentistry, International Islamic University Malaysia, Malaysia
  • 15 Department of Conservative Dentistry, Universidade de Santiago de Compostela (USC), Santiago de Compostela, Spain
  • 16 Department of Therapeutic Dentistry, Kazakh National Medical University by Asfendiyarov, Almaty, Kazakhstan
  • 17 Restorative Department, National Dental Centre Singapore, Singapore
  • 18 Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal; Institute of Endodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
  • 19 Department of Endodontology, Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
J Endod, 2023 Jun;49(6):675-685.
PMID: 37094712 DOI: 10.1016/j.joen.2023.04.005

Abstract

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 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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