Naik Saraswathi V, Prakash Aarathi J, Prabhakar Attiguppe R
Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India.
Department of Pediatrics and Preventive Dentistry, Malabar Dental College and Research Center, India.
Saudi Dent J. 2023 Jul;35(5):559-566. doi: 10.1016/j.sdentj.2023.05.010. Epub 2023 May 20.
There are many inconsistencies in the protocols followed for Regenerative Endodontic Procedures (REP's).This study was formulated with an aim to conduct a survey among Pediatric Dentists, Endodontists and General Practioners treating Necrotic young permanent teeth to examine their awareness and Knowledge on Current Regenerative Endodontic Protocols and Scaffolds used in regenerative dentistry.
A Cross-Sectional Survey was carried out amongst 100 Pediatric dentists,100 Endodontists and 100 General Practioners. It was web-based survey and the questionnaire was formulated and all the items in the questionnaire were tested for reliability and validity before circulation of the questionnaire for the purpose of the study.
The results of the study indicated that all the three groups were unaware that failure of cases should be reported to AEE (American Academy of Endodontics) REP Database and only 20.2, 20.1 and 0.3 % of Pediatric dentists,Endodontists and General Dentists preferred Regenerative Dentistry as a clinical protocol for REP. With respect to knowledge regarding irrigation and disinfection procedures all three groups were lacking in the knowledge regarding intracanal medicament for disinfection and the irrigation solutions.
There is a lack of homogeneity in protocols followed for REP among those practicing Regenerative Endodontics as a protocol. Since it's an evolving science there is a need to bring about a uniformity in practices to increase the evidences to support the causal effect relation of regenerative endodontics.
再生牙髓治疗程序(REP)所遵循的方案存在许多不一致之处。本研究旨在对治疗坏死年轻恒牙的儿科牙医、牙髓病医生和全科医生进行一项调查,以检查他们对当前再生牙髓治疗方案和再生牙科中使用的支架的认识和了解。
对100名儿科牙医、100名牙髓病医生和100名全科医生进行了横断面调查。这是一项基于网络的调查,问卷已经制定,并且在为该研究目的分发问卷之前,对问卷中的所有项目进行了信效度测试。
研究结果表明,所有三组都不知道病例失败情况应报告给美国牙髓病学会(AEE)的REP数据库,只有20.2%、20.1%和0.3%的儿科牙医、牙髓病医生和全科牙医将再生牙科作为REP的临床方案。关于冲洗和消毒程序的知识,所有三组在根管内消毒药物和冲洗液方面的知识都有所欠缺。
作为一种方案,在从事再生牙髓治疗的人员中,REP所遵循的方案缺乏同质性。由于这是一门不断发展的科学,需要在实践中实现统一,以增加支持再生牙髓因果关系的证据。