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German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey

Author

Listed:
  • Jonas Conrad

    (Clinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Christian-Albrecht’s University, 24105 Kiel, Germany)

  • Jan Retelsdorf

    (Department of General, Faculty of Education, Intercultural and International Comparative Education University of Hamburg, 20146 Hamburg, Germany)

  • Sameh Attia

    (Department of Cranio Maxillofacial Surgery, Justus-Liebig University, 35392 Giessen, Germany)

  • Christof Dörfer

    (Clinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Christian-Albrecht’s University, 24105 Kiel, Germany)

  • Mohamed Mekhemar

    (Clinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Christian-Albrecht’s University, 24105 Kiel, Germany)

Abstract

Currently, there is no standard treatment protocol for apical periodontitis (AP). Thus, restorable teeth might get extracted and replaced prosthetically. This study evaluated German dentists’ preferred AP treatment decisions and the influencing factors for selecting tooth retention by initial/repeated surgical/non-surgical root-canal treatment (RCT) or extraction with/without prosthetic replacement. Through an online-survey, participants ( n = 260) rated different treatment options for four case scenarios with AP in anterior/posterior teeth without/with previous RCT. Statistical analysis included the Friedman test for intra-case comparisons and Chi-squared test for factor-associations ( p ≤ 0.05). Tooth retention using initial/repeated RCT was ranked first in all scenarios and rated as (very) appropriate by most participants, while implant-supported crowns (ISC) and apicoectomy had the second ratings. ISC were preferred more on posterior teeth or previous root-canal-treated teeth. Rating levels of treatment options displayed significant differences for all case scenarios. Posterior tooth retention by RCT demonstrated a significant association with work experience. Tooth retention with previous RCT displayed a significant correlation with dentists’ privately insured patients. Most dentists preferred tooth preserving with initial/repeated RCT, while others selected non-evidence-based choices. This reflects a lack of consensus of AP treatment decisions in Germany. Fixed treatment guidelines and further evaluation of treatment–decision-correlated factors are recommended for correct treatment planning.

Suggested Citation

  • Jonas Conrad & Jan Retelsdorf & Sameh Attia & Christof Dörfer & Mohamed Mekhemar, 2020. "German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey," IJERPH, MDPI, vol. 17(20), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7447-:d:427323
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    References listed on IDEAS

    as
    1. Mohamed Mekhemar & Jonas Conrad & Sameh Attia & Christof Dörfer, 2020. "Oral Health Attitudes among Preclinical and Clinical Dental Students in Germany," IJERPH, MDPI, vol. 17(12), pages 1-11, June.
    2. Abdulrahman Ghoneim & Bonnie Yu & Herenia Lawrence & Michael Glogauer & Ketan Shankardass & Carlos Quiñonez, 2020. "What influences the clinical decision-making of dentists? A cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-21, June.
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    Cited by:

    1. Mohamed Mekhemar & Kamal Ebeid & Sameh Attia & Christof Dörfer & Jonas Conrad, 2020. "Oral Health Attitudes among Preclinical and Clinical Dental Students: A Pilot Study and Self-Assessment in an Egyptian State-Funded University," IJERPH, MDPI, vol. 18(1), pages 1-14, December.
    2. Mayte Buchbender & Mathias Maser & Friedrich W. Neukam & Marco R. Kesting & Sameh Attia & Christian M. Schmitt, 2021. "Kobra Surgery Simulator—A Possibility to Improve Digital Teaching? A Case-Control Study," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    3. Mohamed Mekhemar & Sameh Attia & Christof Dörfer & Jonas Conrad, 2021. "Dental Nurses’ Mental Health in Germany: A Nationwide Survey during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(15), pages 1-18, July.

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