Praveen Kumar Vijayaragavan, Sadasiva Kadandale, Raj Kumar Jwaalaa, Ramachandran Anupama, Parthasarathy Revathy, Thanikachalam Yashini
Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Chennai, IND.
Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Chennai, IND.
Cureus. 2023 May 30;15(5):e39742. doi: 10.7759/cureus.39742. eCollection 2023 May.
Objective This study aimed to investigate the knowledge, attitude, and practices (KAP) of intentional replantation among postgraduate students and endodontists in India, the United States of America, and the United Kingdom. Materials and methods The sample size was estimated using G*Power. Based on the pilot study done before with 60 participants, a sample size of 928 was obtained. The survey consisted of 22 questions, which were finalized after content validation by two endodontic experts. It was circulated through multiple online social platforms such as Instagram, Facebook, WhatsApp, and other online dental communities/channels. The respondents were questioned about the case selection, extraction methods, antibiotic therapy, patient acceptance level, operator preference, prognostic indicator, and various other steps in the intentional replantation treatment modality. The data for this KAP survey were organized in an Excel sheet, and statistical analysis was done using the Chi-squared test. Analysis of descriptive and inferential statistics was conducted using SPSS version 20.0 (IBM Inc., Armonk, New York). A p-value of <0.05 was considered significant. Results A strong statistical difference was found in the KAP of the practitioners in different countries. The vast majority (72.7%) considered intentional replantation as an adjunct treatment modality rather than a last resort. A total of 76.5% of the respondents preferred replantation of the tooth into the socket within 15 minutes, and 86.4% of the participants regarded replantation as the most cost-effective treatment modality. Ultrasonics (76.8%) was most commonly chosen for retrograde preparation, and Biodentine (60.1%; Septodont, Saint-Maur-des-Fossés, France) as root-end filling material. Conclusion It can be concluded that a broad majority of practitioners in different countries view intentional replantation as an adjunct treatment modality rather than a last resort. Thus, intentional replantation seems to be a promising option for preserving the natural dentition of teeth with high survival rates and better outcomes.
目的 本研究旨在调查印度、美国和英国的研究生及牙髓病医生对意向性再植术的知识、态度和实践情况。材料与方法 使用G*Power估算样本量。基于之前对60名参与者进行的预试验研究，得出样本量为928。该调查问卷包含22个问题，经两名牙髓病专家进行内容验证后最终确定。问卷通过Instagram、Facebook、WhatsApp等多个在线社交平台以及其他在线牙科社区/渠道进行发放。向受访者询问了意向性再植术治疗方式中的病例选择、拔牙方法、抗生素治疗、患者接受程度、术者偏好、预后指标以及其他各个步骤。本次知识、态度和实践情况调查的数据整理在一个Excel表格中，并使用卡方检验进行统计分析。使用SPSS 20.0版（IBM公司，纽约州阿蒙克）进行描述性和推断性统计分析。p值<0.05被认为具有统计学意义。结果 发现不同国家的从业者在知识、态度和实践情况方面存在显著统计学差异。绝大多数（72.7%）将意向性再植术视为辅助治疗方式而非最后的手段。共有76.5%的受访者倾向于在15分钟内将牙齿再植回牙槽窝，86.4%的参与者认为再植术是最具成本效益的治疗方式。逆行预备最常选用超声法（76.8%），根充材料最常选用生物陶瓷（60.1%；法国圣莫尔-德福尔塞Septodont公司）。结论 可以得出结论，不同国家的绝大多数从业者将意向性再植术视为辅助治疗方式而非最后的手段。因此，意向性再植术似乎是保留天然牙列的一个有前景的选择，具有较高的生存率和更好的治疗效果。
