Kapitán Martin, Schmidt Jan, Vavřičková Lenka, Vidović Zdrilić Ivana, Vidas Hrstić Jelena
Department of Dentistry, Faculty of Medicine in Hradec Králové, Charles University, Hradec Králové, Czech Republic.
Department of Dentistry, University Hospital Hradec Králové, Hradec Kralove, Czech Republic.
Int Endod J. 2025 Apr;58(4):643-657. doi: 10.1111/iej.14197. Epub 2025 Jan 15.
This study aimed to evaluate the compliance of dentists in Croatia and the Czech Republic with endodontic recommendations and identify the subjective and objective factors influencing their adherence to them.
A total of 1386 dentists from Croatia and the Czech Republic participated in an online survey through a self-administered, author-designed questionnaire. After excluding those who did not perform root canal treatments (RCT), 1376 responses (394 from Croatia and 982 from the Czech Republic) were statistically analysed.
The median age of respondents was 40 years, with a higher proportion of females in both countries. Croatian dentists treated fewer patients weekly but performed more RCTs and placed more composite fillings than their Czech counterparts. Czech dentists more frequently employed magnification devices, rubber dam (RD), pre-endodontic build-ups, nickel-titanium (NiTi) instruments, irrigant activation, bioceramic sealers, indirect post-endodontic restoration of lateral teeth, and single-visit treatments. These practices were also more common among endodontists than general dental practitioners and other specialists in both countries. Croatian dentists adhered more consistently to the recommended irrigation protocol. In the Czech group, adherence to recommended procedures, such as magnification, RD usage, and irrigation protocol correlated with younger age, smaller weekly number of patients, and preference for treating patients in the supine position. No such correlations were observed among the Croatian dentists.
Despite notable improvements in recent years, dentists still do not fully comply with the recommended RCT working procedures in Croatia and the Czech Republic.
本研究旨在评估克罗地亚和捷克共和国牙医对牙髓病学建议的依从性，并确定影响他们遵循这些建议的主观和客观因素。
来自克罗地亚和捷克共和国的1386名牙医通过自行填写作者设计的问卷参与了一项在线调查。在排除那些不进行根管治疗（RCT）的人后，对1376份回复（394份来自克罗地亚，982份来自捷克共和国）进行了统计分析。
受访者的中位年龄为40岁，两国女性比例均较高。克罗地亚牙医每周治疗的患者较少，但与捷克同行相比，进行的RCT更多，放置的复合填充物更多。捷克牙医更频繁地使用放大设备、橡皮障（RD）、根管治疗前的牙体预备、镍钛（NiTi）器械、冲洗液激活、生物陶瓷封闭剂、侧牙的间接根管治疗后修复以及一次性治疗。在两国，这些操作在牙髓病医生中也比普通牙科医生和其他专科医生中更常见。克罗地亚牙医更始终如一地遵循推荐的冲洗方案。在捷克组中，对推荐程序的遵循，如放大、RD使用和冲洗方案，与年龄较小、每周患者数量较少以及更喜欢仰卧位治疗患者相关。在克罗地亚牙医中未观察到此类相关性。
尽管近年来有显著改善，但克罗地亚和捷克共和国的牙医仍未完全遵循推荐的RCT工作程序。
