Factors Affecting the Decision-making of Direct Pulp Capping Procedures among Dental Practitioners: A Multinational Survey from 16 Countries with Meta-analysis

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dc.authoridAl-Dhelai, Thiyezen/0000-0003-1493-9492
dc.authoridKobayashi, Hiro/0009-0000-2325-1062
dc.authoridTaha, Nessrin/0000-0003-3233-8850
dc.authoridDrobac, Milan/0000-0003-0289-9278
dc.authoridElhamouly, Yasmine/0000-0002-5464-1968
dc.authoridJaved, Muhammad Qasim/0000-0002-7586-4319
dc.authoridHatipoglu, Omer/0000-0002-4628-8551
dc.contributor.authorHatipoglu, Omer
dc.contributor.authorHatipoglu, Fatma Pertek
dc.contributor.authorJaved, Muhammad Qasim
dc.contributor.authorNijakowski, Kacper
dc.contributor.authorTaha, Nessrin
dc.contributor.authorEl-saaidi, Christina
dc.contributor.authorSugumaran, Surendar
dc.date.accessioned2024-11-07T13:35:31Z
dc.date.available2024-11-07T13:35:31Z
dc.date.issued2023
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractIntroduction: Direct pulp capping (DPC) procedures require the placement of a bioactive material over an exposure site without selective pulp tissue removal. This web-based multi centered survey had 3 purposes: (1) to investigate the factors that affect clinicians' decisions in DPC cases, (2) to determine which method of caries removal is preferred, and (3) to evaluate the preferred capping material for DPC. Methods: The questionnaire comprised 3 sections. The first part comprised questions regarding demographic features. The second part comprised questions on how treatment plans change according to factors such as nature, location, number and size of the pulp exposure, and patients' age. The third part composed of questions on the common materials and techniques used in DPC. To estimate the effect size, the risk ratio (RR) and 95% confidence interval (CI) were calculated using a meta-analysis software. Results: A tendency toward more invasive treatment was observed for the clinical scenario with carious-exposed pulp (RR = 2.86, 95% CI: 2.46, 2.32; P < .001) as opposed to the clinical scenario with 2 pulp exposures (RR = 1.38, 95% CI: 1.24, 1.53; P < .001). Complete caries removal was significantly preferred to selective caries removal (RR = 4.59, 95% CI: 3.70, 5.69; P < .001). Among the capping materials, calcium silicate-based materials were preferred over calcium hydroxide-based materials (RR = 0.58, 95% CI: 0.44, 0.76; P < .05). Conclusions: While carious-exposed pulp is the most important factor in clinical decisions regarding DPC, the number of exposures has the least impact. Overall, complete caries removal was preferred over selective caries removal. In addition, the use of calcium silicate-based materials appears to have replaced calcium hydroxide-based materials.
dc.identifier.doi10.1016/j.joen.2023.04.005
dc.identifier.endpage685
dc.identifier.issn0099-2399
dc.identifier.issn1878-3554
dc.identifier.issue6
dc.identifier.pmid37094712
dc.identifier.scopus2-s2.0-85160350613
dc.identifier.scopusqualityQ1
dc.identifier.startpage675
dc.identifier.urihttps://doi.org/10.1016/j.joen.2023.04.005
dc.identifier.urihttps://hdl.handle.net/11480/16549
dc.identifier.volume49
dc.identifier.wosWOS:001025425900001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofJournal of Endodontics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241106
dc.subjectDental pulp capping
dc.subjectquestionnaire
dc.subjectmeta-analysis
dc.titleFactors Affecting the Decision-making of Direct Pulp Capping Procedures among Dental Practitioners: A Multinational Survey from 16 Countries with Meta-analysis
dc.typeArticle

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