Akgül Nilgün, Yilmaz Ebru, Akkurt Onur, Yenidünya Özge Gizem
Department of Restorative Dentistry, Faculty of Dentistry, Pamukkale University, Denizli, 20160, Turkey.
BMC Oral Health. 2025 Feb 8;25(1):200. doi: 10.1186/s12903-025-05512-6.
This study investigated the practices and opinions of Turkish dentists regarding the management of deep caries lesions using an online questionnaire.
The questionnaire had two sections: the first collected demographic data, while the second focused on clinical practices, including radiographic techniques, rubber dam usage, liner choices, pulp protection, and post-endodontic restoration methods.
The survey response rate was 20.4%. 18 participants were excluded due to incomplete responses in the survey. A total of 390 survey texts (19.5%) were analyzed. The gender distribution of the participants was as follows: 60% female and 40% male. Notably, none of the respondents used rubber dams for endodontic treatment. Male dentists were less likely to use a base under restorations (p < 0.05). Female dentists preferred single-session pulp capping for pulpal perforations (p < 0.05). Public hospitals utilized fewer panoramic films, while Oral and Dental Health Centers used fewer periapical films for diagnoses (p < 0.05). Glass ionomer cement was the most commonly used base material, and direct composite resin was the preferred choice for post-endodontic restorations, in contrast to the less favored indirect composite resin.
Despite its advantages, the application of rubber dam was infrequent. Glass ionomer cement emerged as the predominant base material across all restoration types, exhibiting variability among dentists in diagnosis, treatment, and material selection.
本研究通过在线问卷调查了土耳其牙医对深龋病变管理的实践和看法。
问卷分为两个部分：第一部分收集人口统计学数据，第二部分聚焦临床实践，包括放射学技术、橡皮障使用、衬层选择、牙髓保护和根管治疗后修复方法。
调查回复率为20.4%。18名参与者因调查问卷回复不完整而被排除。共分析了390份调查问卷文本（19.5%）。参与者的性别分布如下：女性占60%，男性占40%。值得注意的是，没有受访者在根管治疗中使用橡皮障。男性牙医在修复体下使用垫底材料的可能性较小（p < 0.05）。女性牙医在牙髓穿孔时更倾向于单次牙髓盖髓（p < 0.05）。公立医院使用全景片较少，而口腔和牙齿健康中心在诊断时使用根尖片较少（p < 0.05）。玻璃离子水门汀是最常用的垫底材料，根管治疗后修复首选直接复合树脂，而间接复合树脂则不太受欢迎。
尽管橡皮障有诸多优点，但使用并不频繁。玻璃离子水门汀在所有修复类型中均成为主要的垫底材料，在诊断、治疗和材料选择方面，牙医之间存在差异。
