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Vital Pulp Therapies in Clinical Practice: Findings from a Survey with Dentist in Southern Brazil. | LitMetric

AI Article Synopsis

  • - The study explored how dentists in Southern Brazil make decisions regarding treatments for deep caries, focusing on factors like post-graduate training, years since graduation, and workplace environment.
  • - A total of 276 dentists participated, and results showed that most preferred calcium hydroxide for pulp protection and that newer dentists were more likely to opt for partial caries removal compared to their more experienced counterparts.
  • - It was found that the choice of materials varied based on the work setting, with MTA being more frequently used by those in academic environments and not used by dentists working primarily in public health.

Article Abstract

Studies based on dentists' clinical practice possess vital relevance to understand factors leading the clinicians to choose by a specific technique over another. This study investigated which clinical conduct therapies are adopted by dentists in front of deep caries. Was evaluated how the place of work, post-graduate training and years since complete graduation influenced their decisions. A cross-sectional study was performed using a self-applied questionnaire with dentists (n=276) in Southern Brazil. Information regarding post-graduation training (specialization, master's or PhD), clinical experience (years since completing graduation) and place of work were investigated. The information regarding pulp vital therapies (materials for direct pulp capping; techniques for caries removal in deep cavities and strategies for indirect pulp capping) were collected by specific questions. Data were submitted to descriptive analysis and Exact Fischer Test. Response rate was 68% (187). The majority of dentists selected the calcium hydroxide (CH) as first material for direct (86.3%) and indirect (80.3%) pulp protection. Partial caries removal was reported by 61.9% of dentists. Less experienced clinical dentists choose partial caries removal more frequently (p=0.009), if compared with dentists graduated 10 years and up ago. The use of MTA was more common among professionals working at academic environment. Besides, MTA was not mentioned by professionals working exclusively in the public health service (p=0.003). In conclusion, the time since graduation influenced the clinical conduct related to caries removal. The choice of liner materials was influenced by dentists' workplace.

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Source
http://dx.doi.org/10.1590/0103-6440201300409DOI Listing

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