Table 1 Results of the USA and UK quick polls about irreversible pulpitis management.
USA | UK | |||
|---|---|---|---|---|
(N = 416) | (N = 334) | |||
N | % | N | % | |
Frequency of diagnosing irreversible pulpitis (per month) | ||||
0 | 0 | 0% | 6 | 2% |
05-Jan | 218 | 52% | 201 | 60% |
10-Jun | 103 | 25% | 74 | 22% |
>10 | 95 | 23% | 53 | 16% |
Common clinical or emergency management for irreversible pulpitis | ||||
Prescribe or recommend analgesics | 126 | 30% | 85 | 25% |
Prescribe antibiotics | 83 | 20% | 14 | 4% |
Access the pulp and place a sedative temporary dressing | 77 | 19% | 288 | 86% |
Perform a pulpotomy | 83 | 20% | 52 | 16% |
Perform a root canal therapy | 319 | 77% | 87 | 26% |
Definitive management practices (UK only) | ||||
Perform a pulpotomy | 29 | 9% | ||
Perform a root canal treatment | 300 | 90% | ||
Perform an extraction | 167 | 50% | ||
Refer to a specialist | 56 | 17% | ||
Materials used for pulpotomy | ||||
Calcium hydroxide | 101 | 44% | 36 | 11% |
Mineral trioxide agreggate (MTA) | 55 | 24% | 96 | 29% |
Biodentine | 37 | 16% | 36 | 11% |
Formocreosol | 49 | 21% | 0 | 0% |
ZOE | 42 | 18% | 11 | 3% |
Glass ionomers | 44 | 19% | 12 | 4% |
I do not use pulpotomy as part of my clinical practice | 0 | 0% | 190 | 57% |
Other | 0 | 0% | 10 | 3% |
Number of appointments required to complete molar root canal treatment | ||||
1 appointment | 92 | 22% | 32 | 10% |
2 appointments | 128 | 31% | 201 | 60% |
3 appointments | 12 | 3% | 83 | 25% |
More than 3 appointments | 0 | 0% | 6 | 2% |
I would refer the case to a specialist | 132 | 32% | 7 | 2% |
I do not perform root canal treatment on any teeth | 51 | 12% | 5 | 2% |
Attitudes toward pulpotomy as a definitive treatment option | ||||
Both my patients and I would be in favour | 182 | 44% | 275 | 82% |
Patients would be in favour but not myself | 100 | 24% | 13 | 4% |
I would be in favour but not patients | 12 | 3% | 18 | 5% |
Neither patients nor I would be in favour | 118 | 28% | 28 | 8% |