A Multi-National Questionnaire-Based Analysis of Dental Students’ Knowledge of the Management of Deep Caries and the Exposed Pulp
Introduction and aims: To evaluate knowledge regarding the management of deep carious lesions and exposed pulps among undergraduate and postgraduate endodontic students from ten dental institutions across ten countries, and the impact of operator (material, antibiotic prescription) and patient-relat...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-08-01
|
| Series: | International Dental Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0020653925001339 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849432290655993856 |
|---|---|
| author | Venkateshbabu Nagendrababu Arindam Dutta Ana Arias Aleksandar Jakovljevic Ahmed Hieawy Frank C. Setzer Jugoslav Ilic Milos Beloica Meric Karapinar Kazandag Nandini Suresh Paul V. Abbott Raghavendra M. Shetty Srinivasan Narasimhan Victoria SH Yu Vellore Kannan Gopinath Ya Shen Henry F. Duncan |
| author_facet | Venkateshbabu Nagendrababu Arindam Dutta Ana Arias Aleksandar Jakovljevic Ahmed Hieawy Frank C. Setzer Jugoslav Ilic Milos Beloica Meric Karapinar Kazandag Nandini Suresh Paul V. Abbott Raghavendra M. Shetty Srinivasan Narasimhan Victoria SH Yu Vellore Kannan Gopinath Ya Shen Henry F. Duncan |
| author_sort | Venkateshbabu Nagendrababu |
| collection | DOAJ |
| description | Introduction and aims: To evaluate knowledge regarding the management of deep carious lesions and exposed pulps among undergraduate and postgraduate endodontic students from ten dental institutions across ten countries, and the impact of operator (material, antibiotic prescription) and patient-related (age, symptoms) factors on their treatment protocols. Methods: An online questionnaire was distributed to evaluate student knowledge of the management of deep caries and exposed pulp related to four clinical scenarios. Simple descriptive statistics were used to describe the data and McNemar tests were employed to identify significant differences between the scenarios. The P-value was set at 5%. Results: A total of 435 undergraduates and 139 postgraduates from ten dental schools participated in this survey. The final survey included 401 responses from undergraduates and 127 from postgraduates for statistical analysis. When symptoms were present, the majority of undergraduate and postgraduate students preferred non-selective (complete) caries removal over selective (partial) caries removal in young patients. The majority of postgraduates preferred partial pulpotomy in younger patients and pulpectomy and root canal treatment (RCT) in older patients. The majority of undergraduates preferred pulpectomy and RCT in both young/old patients when symptoms were present. The majority of undergraduates and postgraduates opted for mineral trioxide aggregate and Biodentine, respectively, when treating the exposed pulp. Systemic antibiotics were not recommended by both undergraduates and postgraduates, regardless of the patient's age and symptoms. Conclusion: Among the scenarios surveyed, the majority of undergraduates and postgraduates preferred: a) pulpectomy and RCT for older patients in the presence or absence of symptoms; b) hydraulic calcium silicate cements as pulp capping material; and c) did not recommend systemic antibiotics. Clinical relevance: The majority of students choose non-selective (complete) caries removal in all cases and if the pulp is exposed, the use of hydraulic calcium silicate cements iwas the preferred material. Systemic antibiotics are considered unnecessary, irrespective of the patient's age and symptoms. |
| format | Article |
| id | doaj-art-5efc0c660ea74c86b531cdf021ca5fae |
| institution | Kabale University |
| issn | 0020-6539 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Dental Journal |
| spelling | doaj-art-5efc0c660ea74c86b531cdf021ca5fae2025-08-20T03:27:24ZengElsevierInternational Dental Journal0020-65392025-08-0175410084410.1016/j.identj.2025.100844A Multi-National Questionnaire-Based Analysis of Dental Students’ Knowledge of the Management of Deep Caries and the Exposed PulpVenkateshbabu Nagendrababu0Arindam Dutta1Ana Arias2Aleksandar Jakovljevic3Ahmed Hieawy4Frank C. Setzer5Jugoslav Ilic6Milos Beloica7Meric Karapinar Kazandag8Nandini Suresh9Paul V. Abbott10Raghavendra M. Shetty11Srinivasan Narasimhan12Victoria SH Yu13Vellore Kannan Gopinath14Ya Shen15Henry F. Duncan16Department of Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE; Department of Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE.School of Dentistry, College of Biomedical and Lifesciences, Cardiff University, Cardiff, United KingdomDepartment of Conservative and Prosthetic Dentistry, School of Dentistry, Complutense University, Madrid, SpainDepartment of Pathophysiology, School of Dental Medicine, University of Belgrade, Belgrade, SerbiaDepartment of Oral Biological & Medical Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, CanadaDepartment of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USADepartment of Restorative Odontology and Endodontology, School of Dental Medicine, University of Belgrade, Belgrade, SerbiaDepartment of Pediatric and Preventive Dentistry, School of Dental Medicine, University of BelgradeFaculty of Dentistry, Department of Endodontics, Yeditepe University, Ataşehir - İstanbul, Turkley; Louisiana State University Health Sciences Center, School of Dentistry, Department of Endodontics, New Orleans, Louisiana, USAMeenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (MAHER), Tamil Nadu, IndiaUWA Dental School, The University of Western Australia, Perth, AustraliaDepartment of Clinical Sciences, College of Dentistry, Ajman University, Ajman, UAE; Center of Medical and Bio‑Allied Health Sciences Research, Ajman University, Ajman, UAE; Department of Pediatric and Preventive Dentistry, International Adjunct Faculty, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research (Declared as Deemed-to-be University), Wardha, Maharashtra, IndiaHamad Dental Center, Hamad Medical Corporation, Doha, QatarFaculty of Dentistry, National University of Singapore (NUS), Singapore, SingaporeCollege of Dental Medicine, Department of Orthodontics, Pediatric and Community Dentistry, University of Sharjah, Sharjah, UAEDepartment of Oral Biological & Medical Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, CanadaDivision of Restorative Dentistry, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland; Corresponding authors. Division of Restorative Dentistry, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland.Introduction and aims: To evaluate knowledge regarding the management of deep carious lesions and exposed pulps among undergraduate and postgraduate endodontic students from ten dental institutions across ten countries, and the impact of operator (material, antibiotic prescription) and patient-related (age, symptoms) factors on their treatment protocols. Methods: An online questionnaire was distributed to evaluate student knowledge of the management of deep caries and exposed pulp related to four clinical scenarios. Simple descriptive statistics were used to describe the data and McNemar tests were employed to identify significant differences between the scenarios. The P-value was set at 5%. Results: A total of 435 undergraduates and 139 postgraduates from ten dental schools participated in this survey. The final survey included 401 responses from undergraduates and 127 from postgraduates for statistical analysis. When symptoms were present, the majority of undergraduate and postgraduate students preferred non-selective (complete) caries removal over selective (partial) caries removal in young patients. The majority of postgraduates preferred partial pulpotomy in younger patients and pulpectomy and root canal treatment (RCT) in older patients. The majority of undergraduates preferred pulpectomy and RCT in both young/old patients when symptoms were present. The majority of undergraduates and postgraduates opted for mineral trioxide aggregate and Biodentine, respectively, when treating the exposed pulp. Systemic antibiotics were not recommended by both undergraduates and postgraduates, regardless of the patient's age and symptoms. Conclusion: Among the scenarios surveyed, the majority of undergraduates and postgraduates preferred: a) pulpectomy and RCT for older patients in the presence or absence of symptoms; b) hydraulic calcium silicate cements as pulp capping material; and c) did not recommend systemic antibiotics. Clinical relevance: The majority of students choose non-selective (complete) caries removal in all cases and if the pulp is exposed, the use of hydraulic calcium silicate cements iwas the preferred material. Systemic antibiotics are considered unnecessary, irrespective of the patient's age and symptoms.http://www.sciencedirect.com/science/article/pii/S0020653925001339Deep cariesExposed pulpPulp cappingSurveyRoot canal treatmentVital pulp treatment |
| spellingShingle | Venkateshbabu Nagendrababu Arindam Dutta Ana Arias Aleksandar Jakovljevic Ahmed Hieawy Frank C. Setzer Jugoslav Ilic Milos Beloica Meric Karapinar Kazandag Nandini Suresh Paul V. Abbott Raghavendra M. Shetty Srinivasan Narasimhan Victoria SH Yu Vellore Kannan Gopinath Ya Shen Henry F. Duncan A Multi-National Questionnaire-Based Analysis of Dental Students’ Knowledge of the Management of Deep Caries and the Exposed Pulp International Dental Journal Deep caries Exposed pulp Pulp capping Survey Root canal treatment Vital pulp treatment |
| title | A Multi-National Questionnaire-Based Analysis of Dental Students’ Knowledge of the Management of Deep Caries and the Exposed Pulp |
| title_full | A Multi-National Questionnaire-Based Analysis of Dental Students’ Knowledge of the Management of Deep Caries and the Exposed Pulp |
| title_fullStr | A Multi-National Questionnaire-Based Analysis of Dental Students’ Knowledge of the Management of Deep Caries and the Exposed Pulp |
| title_full_unstemmed | A Multi-National Questionnaire-Based Analysis of Dental Students’ Knowledge of the Management of Deep Caries and the Exposed Pulp |
| title_short | A Multi-National Questionnaire-Based Analysis of Dental Students’ Knowledge of the Management of Deep Caries and the Exposed Pulp |
| title_sort | multi national questionnaire based analysis of dental students knowledge of the management of deep caries and the exposed pulp |
| topic | Deep caries Exposed pulp Pulp capping Survey Root canal treatment Vital pulp treatment |
| url | http://www.sciencedirect.com/science/article/pii/S0020653925001339 |
| work_keys_str_mv | AT venkateshbabunagendrababu amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT arindamdutta amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT anaarias amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT aleksandarjakovljevic amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT ahmedhieawy amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT frankcsetzer amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT jugoslavilic amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT milosbeloica amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT merickarapinarkazandag amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT nandinisuresh amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT paulvabbott amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT raghavendramshetty amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT srinivasannarasimhan amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT victoriashyu amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT vellorekannangopinath amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT yashen amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT henryfduncan amultinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT venkateshbabunagendrababu multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT arindamdutta multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT anaarias multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT aleksandarjakovljevic multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT ahmedhieawy multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT frankcsetzer multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT jugoslavilic multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT milosbeloica multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT merickarapinarkazandag multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT nandinisuresh multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT paulvabbott multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT raghavendramshetty multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT srinivasannarasimhan multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT victoriashyu multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT vellorekannangopinath multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT yashen multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp AT henryfduncan multinationalquestionnairebasedanalysisofdentalstudentsknowledgeofthemanagementofdeepcariesandtheexposedpulp |