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Updated: Jan 7, 2026

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Diagnosis to Follow-Up: Practice Variability and Evidence-Based Gaps In Vital Pulp Therapy Among Saudi Dentists.

Yasir Dilshad Siddiqui, Osama S Alothmani, Amna Yusuf Siddiqui

    Oral Health & Preventive Dentistry
    |December 19, 2025
    PubMed
    Summary

    Vital pulp therapy (VPT) practices in Saudi Arabia show significant variation. Standardized guidelines and training are needed to improve consistency and patient outcomes in this minimally invasive dental treatment.

    Keywords:
    bioactive materialsclinical practicesdental diagnostic toolsstandardised treatment protocolsvital pulp therapy

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    Area of Science:

    • Dentistry
    • Endodontics
    • Dental Materials Science

    Background:

    • Vital pulp therapy (VPT) aims to preserve pulp vitality using minimally invasive techniques.
    • Significant variations exist in current VPT clinical practices globally.
    • Standardization is crucial for optimizing outcomes in VPT.

    Purpose of the Study:

    • To investigate preoperative, intraoperative, and postoperative VPT practices in Saudi Arabia.
    • To identify variability in diagnostic tool usage, rubber dam isolation, and material selection.
    • To pinpoint evidence-based gaps and propose strategies for care standardization.

    Main Methods:

    • Cross-sectional study involving 302 dental professionals.
    • Validated online questionnaire distributed from December 2024 to March 2025.
    • Statistical analysis included descriptive statistics, Mann-Whitney U, Kruskal-Wallis tests, and binary logistic regression (P<0.05).

    Main Results:

    • Pulp sensibility testing (79.1%) and periapical radiographs (50%) were common; CBCT was underutilized.
    • Rubber dam isolation was used by 67.2%; calcium hydroxide (22.5%) remained a common pulp capping agent.
    • Evidence-based practice predictors included postgraduate education, specialization, and procedure frequency.

    Conclusions:

    • Significant variability in VPT practices necessitates targeted training programs.
    • Standardized guidelines are essential to bridge evidence-based gaps.
    • Improved clinical consistency can optimize patient outcomes in vital pulp therapy.