Mitov Gergo, Dörr Michael, Nothdurft Frank P, Draenert Florian, Pospiech Peter R
Department for Prosthetic Dentistry, Danube Private University, Krems, Austria.
Clin Oral Investig. 2015 Jun;19(5):1029-37. doi: 10.1007/s00784-014-1326-y. Epub 2014 Oct 4.
The aim of the present study was to evaluate the trend of dental practitioners in the federal state of Saarland in Germany in regard to restoring endodontically treated teeth using a Web-based survey.
An interactive Web-based survey instrument was developed, including seven clinical scenarios, presented by photographs of natural incisor and premolar with different types of cavities. Following a decision tree adapted to the clinical treatment, questions on different aspects of the post-endodontic treatment were asked. All 615 members of the Saarland Dental Association (SDA) were asked to participate in the survey.
A total of 33 % completed the survey. The majority of the participants believed in the reinforcement effect of the ferrule design, as well as the post placement. The vast majority of the responding practitioners (92 %) adapted their treatment strategies to a high extent to the destruction degree of the endodontically treated tooth. Fiber-reinforced composite (FRC) posts are the most popular prefabricated post type, regardless of the cavity size and tooth localization. Significant differences between the dentists according to the degree of experience were detected only for the use of glass-ionomer cements as core buildup material.
The predominant post-endodontic treatment strategies of German dental practitioners are only partly in agreement with the current literature. There is a clear trend toward the increasing use of metal-free post and core materials.
Although the participants showed a general adoption of modern materials and techniques, different patterns of post-endodontic treatment were revealed that were not consistent with approaches supported by the literature.
本研究旨在通过基于网络的调查评估德国萨尔州牙科医生对根管治疗后牙齿进行修复的趋势。
开发了一种基于网络的交互式调查工具，其中包括七种临床场景，通过天然切牙和前磨牙带有不同类型龋洞的照片呈现。根据适应临床治疗的决策树，询问了根管治疗后不同方面的问题。邀请了萨尔州牙科协会（SDA）的所有615名成员参与调查。
共有33%的人完成了调查。大多数参与者认可箍设计以及桩置入的增强效果。绝大多数回复的从业者（92%）在很大程度上根据根管治疗后牙齿的破坏程度调整了他们的治疗策略。无论龋洞大小和牙齿位置如何，纤维增强复合材料（FRC）桩是最受欢迎的预制桩类型。仅在使用玻璃离子水门汀作为核桩材料方面，根据经验程度检测到牙医之间存在显著差异。
德国牙科医生主要的根管治疗后治疗策略仅部分与当前文献一致。无金属桩核材料的使用有明显增加的趋势。
尽管参与者普遍采用了现代材料和技术，但揭示出不同的根管治疗后治疗模式，这些模式与文献支持的方法不一致。
