Endodontic decision making for asymptomatic root‐filled teeth with apical periodontitis – A radiographic survey

• Published in: Australian endodontic journal Vol. 45; no. 1; pp. 40 - 45
• Main Authors: Taha, Nessrin A., Albashaireh, Zakereyya S., Alfied, Rmdan G.
• Format: Journal Article
• Language: English
• Published: Australia Wiley Subscription Services, Inc 01.04.2019
• Subjects: apical periodontitis; Decision making; Dental crowns; Dentistry; Dentists; Endodontics; Gum disease; Periodontitis; Radiography; retreatment; root‐filled teeth; Teeth; training; training; root-filled teeth; apical periodontitis; decision making; retreatment
• ISSN: 1329-1947; 1747-4477
• DOI: 10.1111/aej.12262

The aim of the study was to compare decision making for asymptomatic root‐filled teeth among dentists with differing educational backgrounds. Case scenarios based on 14 radiographs were created and 150 participants were asked to choose from five alternative treatment decisions and to state the rationale. Demographic data of the participants were recorded. Frequency distribution and cross‐tabulation were performed; chi square testing was used for comparisons and logistic regression was performed to detect significant differences. The overall response rate was 87.3%. The practitioners chose intervention predominantly with non‐surgical retreatment a common choice. Poor technical quality was a driving factor, while the existing poor coronal restoration and the need for a crown were generally not taken into account by general dentists. Speciality and experience were significant factors. Practitioners were more inclined to retain rather than extract teeth. It is concluded that clear guidelines listing factors to consider for intervention are required.