IADR Abstract Archives
Assessment of restorability of endodontically treated Molars in Jordanian Dentists: Electronic Vignette survey
Objectives: To evaluate decision making when restoring endodontically treated molars (ETMs) and determine tooth related factors that is considered when assessing restorability between Jordanian dentists.
Methods: A previously validated vignette survey was distributed to qualified dentists in Jordan between August and November 2022. Consent is obtained from each participant at the start of the survey. The survey included three case scenarios in which pre- and post op radiographs and intra-oral digital scans are included. Each case has a different tooth related factor.
Case 1: UR7, one-existing wall, in occlusion, no cracks, good oral hygiene.
Case 2: LL7, three-existing walls, in occlusion, no cracks, fair oral hygiene.
Case 3: LL6, one-existing wall, in occlusion, visible crack, fair oral hygiene.
Results: : 364 dentists have responded to the survey (50.8% General dental practitioner 49.2% Specialists).
Case 1: 97% of the specialist selected indirect restoration compared to 96% of the GDP). The most selected material for the indirect restoration was Zirconia followed by metal ceramics and E-max in both groups.
Case 2: 74% of specialists selected indirect restoration compared to 73% of the GDP). The most selected material for the indirect restoration was Zirconia followed by E-max then metal ceramics in both groups.
For case 3: 69% Specialists selected indirect restoration compared to 60% of the GDP). The most selected material for the indirect restoration was E-max, followed by Zirconia then metal ceramics. The most common tooth related factors selected by dentists were numbers of remaining walls, loss of marginal ridges, tooth position and presence/absence of ferrule.
Conclusions: Jordanian dentists have different approaches while restoring ETM with different tooth related factors. They seemed to underestimate detrimental factors such as occlusion and oral hygiene when choosing their treatment modality for ETM. Further evidence-practice should be promoted to help increase the longevity of restored ETMs.
Methods: A previously validated vignette survey was distributed to qualified dentists in Jordan between August and November 2022. Consent is obtained from each participant at the start of the survey. The survey included three case scenarios in which pre- and post op radiographs and intra-oral digital scans are included. Each case has a different tooth related factor.
Case 1: UR7, one-existing wall, in occlusion, no cracks, good oral hygiene.
Case 2: LL7, three-existing walls, in occlusion, no cracks, fair oral hygiene.
Case 3: LL6, one-existing wall, in occlusion, visible crack, fair oral hygiene.
Results: : 364 dentists have responded to the survey (50.8% General dental practitioner 49.2% Specialists).
Case 1: 97% of the specialist selected indirect restoration compared to 96% of the GDP). The most selected material for the indirect restoration was Zirconia followed by metal ceramics and E-max in both groups.
Case 2: 74% of specialists selected indirect restoration compared to 73% of the GDP). The most selected material for the indirect restoration was Zirconia followed by E-max then metal ceramics in both groups.
For case 3: 69% Specialists selected indirect restoration compared to 60% of the GDP). The most selected material for the indirect restoration was E-max, followed by Zirconia then metal ceramics. The most common tooth related factors selected by dentists were numbers of remaining walls, loss of marginal ridges, tooth position and presence/absence of ferrule.
Conclusions: Jordanian dentists have different approaches while restoring ETM with different tooth related factors. They seemed to underestimate detrimental factors such as occlusion and oral hygiene when choosing their treatment modality for ETM. Further evidence-practice should be promoted to help increase the longevity of restored ETMs.