Li Mengjie, Hu Xiaoli, Li Xiaolan, Lei Shuxiang, Cai Ming, Wei Xi, Deng Dongmei
1 Department of Operative Dentistry and Endodontics, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong Province, China.
2 Guangdong Province Key Laboratory of Stomatology, Guangzhou, Guangdong Province, China.
J Int Med Res. 2019 Jun;47(6):2381-2393. doi: 10.1177/0300060519843406. Epub 2019 Apr 16.
To evaluate dentist-related factors associated with the use of vital pulp therapy (VPT) for the treatment of pulp exposures in permanent teeth.
This survey-based study sent an online questionnaire to collect data on the demographics of the respondents, the use of VPT and the choice of materials for VPT, to all members of the Society of Endodontology of Guangdong, China.
A total 183 of 380 members responded (48.2%). The majority (89.6%; 164 of 183) had performed direct pulp capping (DPC) while 55.2% (101 of 183) had performed partial pulpotomy (PP) at least once. The most-cited reason for not performing VPT was unfamiliarity with the technique. Mineral trioxide aggregate was the most commonly used material for both DPC (67.1%; 110 of 164) and PP (73.3%; 74 of 101). Endodontists, compared with general practitioners, preferred to perform DPC and chose calcium silicate materials (CSMs) for VPT (odds ratios 5.81 and 8.07, respectively). DPC and CSMs for VPT were also favoured more by respondents who had practised for > 5 years. Senior respondents were more likely to use PP.
Speciality, years of practise and age of dentists influenced the decision making and the choice of materials for VPT. Continuing education is essential to promote the clinical use of VPT.
评估与使用活髓治疗（VPT）治疗恒牙牙髓暴露相关的牙医因素。
这项基于调查的研究向中国广东省牙髓病学会的所有成员发送了一份在线问卷，以收集受访者的人口统计学数据、VPT的使用情况以及VPT材料的选择情况。
380名成员中共有183人回复（48.2%）。大多数人（89.6%；183人中的164人）进行过直接盖髓术（DPC），而55.2%（183人中的101人）至少进行过一次部分牙髓切断术（PP）。不进行VPT的最常见原因是不熟悉该技术。三氧化矿物凝聚体是DPC（67.1%；164人中的110人）和PP（73.3%；101人中的74人）最常用的材料。与全科医生相比，牙髓病医生更倾向于进行DPC，并选择硅酸钙材料（CSMs）用于VPT（优势比分别为5.81和8.07）。从事超过5年的受访者也更倾向于使用DPC和CSMs进行VPT。年长的受访者更有可能使用PP。
牙医的专业、从业年限和年龄会影响VPT的决策和材料选择。继续教育对于促进VPT的临床应用至关重要。
