The influence of specialty training and experience on decision making in endodontic diagnosis and treatment planning

McCaul, Lorna; McHugh, S.; Saunders, W. P.

doi:10.1046/j.1365-2591.2001.00433.x

Cited by 55 publications

(63 citation statements)

References 17 publications

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“…A previous study showed no significant difference between bleaching efficacy when the home bleaching technique was performed alone or combined with in-office treatment (4). There is also a tendency for increased tooth sensitivity when high concentration agents are used (5,25,14).…”

Section: Discussionmentioning

confidence: 99%

Preferences on Vital and Nonvital Tooth Bleaching: A Survey Among Dentists from a City of Southern Brazil

et al. 2013

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This study evaluated the preferences of general dentists regarding vital and nonvital tooth bleaching therapies and investigated whether the time of clinical practice and postgraduate training influence these options. A cross-sectional study was conducted using a questionnaire with closed questions applied to dentists (n=276) of a mid-sized city of the southern Brazil (Pelotas, RS). Information was collected regarding sociodemographic variables, level of specialization and time since graduation. In addition, options regarding bleaching therapies including the first choice of material, technique and clinical practice for vital and nonvital tooth bleaching therapies were included. Data were submitted to descriptive analysis and the associations were evaluated using chi-square and Fisher exact tests (a=0.05). The response rate was 68% (n=187). At-home bleaching therapy was broadly preferred (78.1%) over in-office (21.9%) bleaching. For at-home bleaching, most dentists answered to use 10% carbamide peroxide (CP) (40.2%) and >30% hydrogen peroxide (HP) (31.7%) for nonvital therapies. The majority of dentists with post-graduation training preferred at-home bleaching techniques (p=0.003). At-home bleaching therapy was also more indicated by younger dentists. No association was found between the choice for nonvital bleaching therapies and time since graduation (p=0.532) or continuous education (p=0.083). In conclusion, at-home bleaching was preferred over in-office therapies; 10% CP and >30% HP were chosen as first option agents to treat discolored vital and nonvital teeth, respectively. The time in clinical practice and the level of specialization affected dentists' choices only for vital tooth bleaching treatment.

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Section: Discussionmentioning

confidence: 99%

Preferences on Vital and Nonvital Tooth Bleaching: A Survey Among Dentists from a City of Southern Brazil

et al. 2013

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“…Because endodontists have at least two additional years of specialty training following graduation from dental school with a broader and deeper body of knowledge, this difference probably explains why so many GDPs are less consistent with RD application. 27,28 The main reasons for the negative opinion of GDPs towards RD application are difficult placement, time required for application, occasional patient complaints and cost. 8,10,15,29 In an attempt to overcome these drawbacks, other isolation techniques have been undertaken by GDPs during root canal treatment.…”

Section: Factors Affecting Rubber Dam Use After Graduationmentioning

confidence: 99%

Rubber dam application in endodontic practice: an update on critical educational and ethical dilemmas

et al. 2014

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Proper isolation is an essential prerequisite for successful endodontic treatment. This article aims to provide an update on the prevalence of rubber dam (RD) use, and the role of education along with attitudes of general dental practitioners (GDPs) and patients towards the application of RD in endodontics. Critical ethical issues are also highlighted. Using certain keywords, an electronic search was conducted spanning the period from January 1983 to April 2013 to identify the available related investigations, and the pooled data were then analysed. The results show that although RD is the Standard of Care in endodontic practice, there is a clear discrepancy in what GDPs are taught in dental school and what they practice after graduation. There is little scientific evidence to support the application of RD; however, patient safety and clinical practice guidelines indicate that it is unnecessary and unethical to consider a cohort study to prove what is already universally agreed upon. A few clinical situations may require special management which should be highlighted in the current guidelines. This would pave the way for clear and straightforward universal guidelines.

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“…1 The decisionmaking process for the restoration or the replacement of teeth is complex. 2 Attempts have been made to rationalise the process and strategies have been devised to guide less experienced clinicians.…”

Section: Introductionmentioning

confidence: 99%

“…2 Attempts have been made to rationalise the process and strategies have been devised to guide less experienced clinicians. 1,[3][4][5][6] Aims This study was designed to determine the effect of reflection and discussion of a group of dentists with differing backgrounds and qualifications in the management of failed endodontic treatment. Materials and methods During the Dental Pan-Society plenary session (16-17 November 2007) delegates (n = 393) were asked a series of questions on the management of a case with failed endodontic treatment of four maxillary incisors restored with linked crowns in a patient with a high smile line.…”

Section: Introductionmentioning

confidence: 99%

The influence of specialty training, experience, discussion and reflection on decision making in modern restorative treatment planning

Alani

Bishop

Djemal³

2011

Br Dent J

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The influence of specialty training and experience on decision making in endodontic diagnosis and treatment planning

Abstract: Differences in specialty backgrounds amongst the participants in this study affected both endodontic diagnostic and treatment decisions. Endodontists showed the most consistent agreement amongst the specialty groups.

Cited by 55 publications

References 17 publications

Preferences on Vital and Nonvital Tooth Bleaching: A Survey Among Dentists from a City of Southern Brazil

Preferences on Vital and Nonvital Tooth Bleaching: A Survey Among Dentists from a City of Southern Brazil

Rubber dam application in endodontic practice: an update on critical educational and ethical dilemmas

The influence of specialty training, experience, discussion and reflection on decision making in modern restorative treatment planning

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