Sović Josipa, Šegović Sanja, Bago Ivona, Matijević Jurica, Tomasic Ivan
School of Dental Medicine University of Zagreb, Croatia.
Dental Clinic of Health Center Križevci, Križevci, Croatia.
Acta Stomatol Croat. 2025 Jun;59(2):141-154. doi: 10.15644/asc59/2/4.
to analyze a single-visit endodontic treatment together with root canal detection practices in Croatia and investigate their relationship with reported postoperative pain, medication prescription, magnifying devices, rubber dam, radiographical checks before the procedure, cone-beam computed tomography (CBCT) and engine-driven instrumentation.
A structured questionnaire was distributed via email to all Croatian dental practitioners, with 819 responses analyzed corresponding to an estimated 27% response rate. Statistical analyses included descriptive analysis and regression modelling.
Among Croatian practitioners, 27.9% frequently performed single-visit endodontic treatments. Male practitioners, practitioners with continuous education and ample experience, endodontic specialists, and those working in polyclinics or academic settings were more likely to adopt this approach. It correlated positively also with the use of advanced diagnostic and treatment tools (e.g., magnification devices, rubber dam, CBCT) and a reduction in antibiotic prescription. However, it was associated with increased reported analgesic prescription and a larger number of reported vertical tooth fractures. Practitioners reported less frequently using single-visit endodontic treatments for multi-rooted teeth and those with associated sinus tracts or periradicular lesions. Furthermore, practitioners more often performing single-visit endodontic treatment rate themselves better in finding additional canals, which is positively influenced by usage of radiography and magnification devices. In addition, continuous education has a positive effect on the root-finding abilities, but it decreases with years of their clinical experience.
Single-visit endodontic treatment practice in Croatia is influenced by practitioner education, experience, and access to advanced equipment. While it offers benefits such as reduced antibiotic prescription, clinical attention and further research is needed to address potentially associated complications such as vertical tooth fractures and reliance on analgesics. Root finding abilities are positively influenced by continuous education. These findings underscore the role of education and resources in optimizing endodontic outcomes.
分析克罗地亚单次就诊根管治疗及其根管检测方法，并研究它们与术后疼痛报告、药物处方、放大设备、橡皮障、术前影像学检查、锥形束计算机断层扫描（CBCT）及机用器械之间的关系。
通过电子邮件向所有克罗地亚牙科从业者发放结构化问卷，共分析了819份回复，估计回复率为27%。统计分析包括描述性分析和回归建模。
在克罗地亚从业者中，27.9%的人经常进行单次就诊根管治疗。男性从业者、接受过继续教育且经验丰富的从业者、牙髓病专科医生以及在综合诊所或学术机构工作的从业者更倾向于采用这种方法。这也与先进诊断和治疗工具（如放大设备、橡皮障、CBCT）的使用以及抗生素处方的减少呈正相关。然而，它与报告的镇痛药物处方增加以及报告的垂直牙折数量增多有关。从业者报告较少对多根牙以及伴有窦道或根尖周病变的牙齿采用单次就诊根管治疗。此外，更常进行单次就诊根管治疗的从业者在发现额外根管方面给自己的评分更高，这受到影像学检查和放大设备使用的积极影响。此外，继续教育对根管探查能力有积极影响，但随着临床经验的增加而降低。
克罗地亚的单次就诊根管治疗实践受从业者教育程度、经验及先进设备获取情况的影响。虽然它具有减少抗生素处方等益处，但需要临床关注并进一步研究以解决潜在相关并发症，如垂直牙折和对镇痛药的依赖。根管探查能力受继续教育的积极影响。这些发现强调了教育和资源在优化根管治疗效果中的作用。
