Attitude and practice of regenerative endodontic procedures among endodontists and paediatric dentists: A multinational survey from 13 countries

Hatipoğlu FP 1 , Hatipoğlu Ö 2 , Taha N 3 , Lehmann AP 4 , Aldhelai TA 5 , Madfa AA 6 Show all authors , Al-Haddad A 7 , Jukić Krmek S 8 , Javed MQ 9 , Bhatti UA 10 , Drobac M 11 , Surendar S 12 , Martín-Biedma B 13 , Palma PJ 14 , Martins JFB 15

Affiliations 

  • 1 Department of Endodontics, Nigde Omer Halisdemir University, Niğde, Turkey
  • 2 Department of Restorative Dentistry, Nigde Omer Halisdemir University, Niğde, Turkey
  • 3 Department of Conservative Dentistry, Jordan University of science and Technology, Irbid, Jordan
  • 4 Poznan University of Medical Sciences Department of Conservative Dentistry and Endodontics, Poznan, Poland
  • 5 Department of Orthodontic and Pediatric Dentistry, College of Dentistry, Qassim University, Buraydah, Saudi Arabia
  • 6 Department of Restorative Dental Science, College of Dentistry, University of Ha'il, Ha'il, Saudi Arabia
  • 7 Department of Conservative Dentistry, Faculty of Dentistry, Mahsa University, Selangor, Malaysia
  • 8 Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
  • 9 Department of Conservative Dental Sciences, College of Dentistry, Qassim University, Buraydah, Qassim, Saudi Arabia
  • 10 Department of Operative Dentistry and Endodontics, Riphah International University, Islamabad, Pakistan
  • 11 Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • 12 Department of conservative dentistry and Endodontics, Saveetha Dental College & Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
  • 13 Department of Conservative Dentistry, Universidade de Santiago de Compostela (USC), Santiago de Compostela, Spain
  • 14 Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
  • 15 Department of Endodontology, Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
Int J Paediatr Dent, 2023 Sep;33(5):521-534.
PMID: 37350350 DOI: 10.1111/ipd.13101

Abstract

BACKGROUND: Regenerative endodontics (RET) refers to biologically based procedures that aim to restore damaged tooth structures and reinstate the pulp-dentine complex to its normal physiological state.

AIM: The purpose of this study was to examine the attitudes and practices of endodontists and paediatric dentists regarding RET.

DESIGN: A survey was conducted among endodontists and paediatric dentists from 13 countries. A number of factors were evaluated, including frequency of RET application, followed guidelines, disinfection techniques, intracanal medication type, scaffold type, preferred coronal seal material, and follow-up period.

RESULTS: Among the 1394 respondents, 853 (61.2%) and 541 (38.8%) were endodontists and paediatric dentists, respectively. Almost half (43%) of participants have not performed RET yet. The American Association of Endodontics guideline (47.3%) was selected as the primary source for the clinical protocol. The most frequently selected irrigant solution was 1.5%-3% NaOCl at the first (26.1%) and second (13.6%) sessions. A blood clot (68.7%) and MTA (61.9%) were the most frequently selected scaffold type and coronal barrier. Most participants preferred a 6-month follow-up period.

CONCLUSION: According to this survey, deviations exist from current RET guidelines regarding all aspects evaluated. Standardizing clinical protocols and adhering to available guidelines would help to ensure more predictable outcomes.

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

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