Objectives: The intent of this study was to evaluate and compare the preferences and treatment choices between dentists and dental interns with regard to the following different treatment modalities: Root Canal Treatment (RCT) with restoration versus extraction with Implant-Supported Crown (ISC) or surgical treatment in relation to the given case scenarios. Methods: The questionnaire was presented as an online survey with a case scenario. The total number of the respondents were 165. The four clinical case scenarios included an anterior and posterior tooth having apical periodontitis, with and without previous RCT. The treatment options were as follows: RCT with restoration, extraction then implant, and surgical treatment. Results: A total of 165 dentists and dental interns were included in this study. A hundred and three 62.4% respondents were dentists, 60; 36.3% were males and 105; 63.7% were females. Most of the respondents graduated from the College of Dentistry, Jazan University (93.9%). The highest percentages and numbers for Anterior Teeth (AT) were selected in related to the RCT and restorations in the four scenarios among gender, dentists, and interns, with no considerable differences. A high percentage of RCT and restoration option was recorded for Posterior Teeth (PT) with no previous restoration and around 50% for the same treatment modality to posterior teeth with previous restorations. For Future Planning Postgraduate Studies (FPPS), it was obvious that most of the selected specialties agreed with the RCT and restorations choice. Conclusion: All dentists and interns in both genders preferred RCT with restorations over extraction, and then ISC in the AT with and without previous RCTs. In the PT with no previous RCT, the participants agreed that RCT with restorations is superior to other choices. Among the FPPS, the respondents demonstrated an absolute agreement to RCT and restorations as a treatment of choice for different scenarios. Clinical Significance: Dentists should preserve the natural teeth by RCT with restoration as the first treatment choice followed by other choices. The nonsurgical approach should always be adopted as a routine measure in PA lesions of endodontic origin. Conservative orthograde endodontic therapy demonstrates favorable outcomes with a regular periodic review and assessment of the healing process of PA lesions.
Background: All-ceramic crown (ACC) preparations are widely used in day-to-day dental clinical practice. Objectives: This study aimed to evaluate all-ceramic crown preparations performed by pre-clinical dental students at the College of Dentistry, Jazan University in Saudi Arabia and to compare the quality of the preparations between male and female groups. Materials and Methods: A total of 95 ivory teeth were prepared by fourth-year dental students (44 males, 51 females). The students prepared a maxillary right central incisor for ACC after mounting in the Frasaco typodont arches. Two silicone putty indexes for maxillary anterior were obtained that extended to cover one or two teeth on either side. The facial index was used to provide information about the facial reduction mesio-distally. Another index was prepared by cutting the silicone in half along the faciolingual midline of the prepared tooth, providing us with incisal, buccal, palatal, and axial reductions, in addition to biplane reduction. The data were encoded into a Statistical Package for Social Sciences program and analyzed accordingly using Chi-square test. Results: The preparations of ACC for maxillary anterior teeth were acceptable, ranging within 60%-85% in all criteria, which included structural durability, retention, and resistance. The male group was more excellent in incisal reduction (41.0%), whereas the female group was more excellent in axial taper preparations (59.1%), resulting in significant differences between genders in this preparation criteria. All gender groups showed acceptable tooth preparations in shoulder reductions and location of finish lines, ranging within 57%-89%. Conclusion: The preparations for ACC achieved by these dental students were considered clinically acceptable. The students clearly understood the principles of crown preparation. However, they still require more practice in order to master the art of crown preparation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.