Durmazpınar Parla Meva, Kanmaz Burcu, Buduneli Nurcan
Department of Endodontics, Faculty of Dentistry, Marmara University, Istanbul, Turkey.
Department of Periodontology, Faculty of Dentistry, Izmir Demokrasi University, Izmir, Turkey.
Med Sci Monit. 2024 Aug 1;30:e942544. doi: 10.12659/MSM.942544.
BACKGROUND Endo-perio lesions are a great challenge for dentists. The aim of this study was to evaluate the treatment approach of dental practitioners to endo-perio lesions by considering the current endo-perio classification. MATERIAL AND METHODS An online survey was prepared, consisting of questions about the treatment approach to 3 simulated cases with endo-perio lesions, shown on periapical radiography. Details of the patient's age, presence of systemic disease, smoking, and how the single- or multi-rooted tooth would affect the treatment plan were also included in the simulated cases presented in the survey. The survey was sent to 1500 dentists via e-mail, WhatsApp, and social media platforms. The chi-square test was used for comparison of data. Significance was evaluated at P<0.05. RESULTS In total, 338 dentists participated in the survey, including general dentists, endodontists, and periodontists. Fifty-three percent of participants stated that they would perform root canal treatment and initial periodontal treatment simultaneously, when both treatments were required. In cases classified as grade 3, most general dentists, endodontists, and periodontists answered that they would prescribe systemic antibiotics if there was diffuse extra-oral swelling (P<0.05). Moreover, in grade 3 cases, more general dentists chose the option "extraction" as the best choice, compared with endodontists and periodontists, who did not choose extraction as often (P<0.05). CONCLUSIONS According to the results of this study, general dentists, endodontists, and periodontists generally follow different approaches to endo-perio lesions. A consensus is needed on this issue to develop a successful multidisciplinary approach to endo-perio lesions.
背景 牙髓-牙周联合病变对牙医来说是一项巨大挑战。本研究的目的是通过考虑当前的牙髓-牙周联合病变分类来评估牙科从业者对牙髓-牙周联合病变的治疗方法。
材料与方法 准备了一项在线调查，其中包含有关对3例根尖片显示的牙髓-牙周联合病变模拟病例的治疗方法的问题。调查中呈现的模拟病例还包括患者年龄、全身疾病的存在、吸烟情况，以及单根牙或多根牙如何影响治疗计划的细节。该调查通过电子邮件、WhatsApp和社交媒体平台发送给1500名牙医。采用卡方检验对数据进行比较。以P<0.05评估显著性。
结果 共有338名牙医参与了调查，包括普通牙医、牙髓病医生和牙周病医生。53%的参与者表示，当两种治疗都需要时，他们会同时进行根管治疗和初始牙周治疗。在分类为3级的病例中，如果存在弥漫性口外肿胀，大多数普通牙医、牙髓病医生和牙周病医生回答他们会开具全身性抗生素（P<0.05）。此外，在3级病例中，与牙髓病医生和牙周病医生相比，更多普通牙医选择“拔牙”作为最佳选择，而牙髓病医生和牙周病医生较少选择拔牙（P<0.05）。
结论 根据本研究结果，普通牙医、牙髓病医生和牙周病医生对牙髓-牙周联合病变通常采用不同的治疗方法。在这个问题上需要达成共识，以制定出成功的牙髓-牙周联合病变多学科治疗方法。
