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Endo-Perio Lesions and Dentists' Treatment Approach: A Survey
Parla Meva Durmazpınar1, Burcu Kanmaz2, Nurcan Buduneli3
1Department of Endodontics, Faculty of Dentistry, Marmara University, Istanbul, Turkey.
Summary
Dental practitioners show varied approaches to endodontic-periodontal (endo-perio) lesions. A consensus is needed for a unified treatment strategy to effectively manage these complex dental cases.
Area of Science:
- Dentistry
- Endodontics
- Periodontics
Background:
- Endo-perio lesions present significant diagnostic and treatment challenges for dental professionals.
- Existing endo-perio classifications guide treatment but practitioner approaches may vary.
- Understanding current treatment strategies is crucial for improving patient outcomes.
Purpose of the Study:
- To evaluate the treatment approaches of general dentists, endodontists, and periodontists towards endo-perio lesions.
- To assess how practitioners consider patient factors and lesion severity in treatment planning.
- To identify discrepancies in treatment strategies based on dental specialty.
Main Methods:
- An online survey was distributed to 1500 dentists, presenting 3 simulated endo-perio lesion cases.
- Survey questions focused on treatment decisions, considering patient variables (age, systemic disease, smoking) and tooth type.
- Statistical analysis (chi-square test) compared treatment choices among different dental specialties.
Main Results:
- 338 dentists participated, revealing diverse treatment preferences.
- 53% of participants favored simultaneous root canal and periodontal treatment when indicated.
- General dentists were more inclined towards extraction for grade 3 lesions compared to specialists.
Conclusions:
- Significant differences exist in the treatment approaches to endo-perio lesions among general dentists, endodontists, and periodontists.
- A lack of consensus complicates the development of a standardized multidisciplinary approach.
- Further research and collaborative efforts are necessary to establish unified treatment guidelines for endo-perio lesions.
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