Navigating Endodontic Care: Perspectives Among Dentists Managing Older Adults-A Qualitative Study

Using a qualitative approach, this study explored the perspectives and practices among New Zealand general dental practitioners (GDPs) providing endodontic care to older adults. Semi-structured questions guided focus group discussions with 18 GDPs who had varied practice experience and characteristics. Transcribed data were analysed and using reflexivity, six primary themes emerged to provide context: philosophies towards managing older adults; confidence; pulpal diagnosis; treatment planning; informed consent; and referral to an endodontist. GDPs were philosophically positive towards older people with endodontic problems although pulp diagnosis could be difficult. Age-related changes in the pulp-dentine complex, medical conditions, mobility difficulties, and finances frequently complicated treatment decisions. Confidence, consent processes, and specialist referral were mostly managed on an individual basis. Ongoing professional development to update practice is essential for GDPs to holistically manage a growing and heterogeneous older population when they present with signs and symptoms of pulp and periapical disease.