- MeSH
- Medical Errors * prevention & control MeSH
- Humans MeSH
- Patient Harm MeSH
- Aged MeSH
- Root Canal Therapy * methods adverse effects MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Tooth Bleaching methods MeSH
- Adult MeSH
- Humans MeSH
- Root Resorption * surgery MeSH
- Dental Prosthesis Retention methods MeSH
- Incisor surgery MeSH
- Root Canal Therapy methods MeSH
- Inflammation complications MeSH
- Crowns MeSH
- Dental Prosthesis Repair methods MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
Úvod a cíl: Autotransplantace zubů u dospělých pacientů představuje výzvu kvůli nízké pravděpodobnosti revaskularizace zubní dřeně vyžadující ošetření kořenových kanálků. Toto ošetření nejen komplikuje celkové ošetření, ale v některých případech jej činí neproveditelným. Cílem této práce je prozkoumat alternativní postupy pro autotransplantaci zubů u dospělých pacientů, které by eliminovaly potřebu následného ošetření kořenových kanálků donorového zubu. Metodika: Pro zodpovězení této otázky provedl autor rešerši v online databázích Scopus, Web of Science a MEDLINE. Výsledky: Současné protokoly pro autotransplantované zuby s ukončeným vývojem doporučují ošetření kořenových kanálků před operací anebo 14 dní po operaci. Studie řídící se těmito protokoly prezentují vysokou úspěšnost a prediktabilitu. Alternativním přístupem je zahájit ošetření kořenových kanálků pouze v případě výskytu postoperačních komplikací. Tento přístup však přináší výzvy v postoperačním hodnocení klinického stavu zubní dřeně. Pro zvýšení potenciálu zubní dřeně pro revaskularizaci lze provést extraorální resekci kořenového hrotu (EORR). Závěr: Pro klinickou praxi je důležitý správný výběr případů i s ohledem na anatomii endodontu. Riziko komplikací alternativních postupů ve srovnání se současnými protokoly zastiňuje potenciální benefity. EORR v kombinaci s metodami umožňujícími objektivní měření revaskularizace zubní dřeně může představovat možnosti pro další výzkum.
Introduction and aim: Tooth autotransplantation in adult patients presents a challenge due to the low probability of pulp revascularization, often requiring root canal treatment (RCT). RCT not only complicates the overall procedure, but in some cases makes the procedure unfeasible. The aim of this review is to explore alternative procedures for tooth autotransplantation in adult patients that could eliminate the need for elective RCT of the donor tooth. Materials: To address this question, the authors conducted a literature search in the online databases Scopus, Web of Science, and MEDLINE. Results: The current protocols involve performing RCT before or 14 days after surgery. Recent studies that follow these protocols show high predictability and success rate. An alternative approach is to initiate RCT only in the case of postoperative complications. However, this protocol poses challenges in the postoperative assessment of the clinical condition of the pulp. To enhance the potential for pulp revascularization, an extraoral root-end resection (EORR) may be performed. Conclusion: For clinical practice, proper case selection, including consideration of endodontic anatomy, is crucial. The risk of complications associated with alternative approaches outweighs their potential benefits compared to current protocols. EORR, combined with methods enabling an objective measurement of pulp revascularization, may offer opportunities for further research.
- Keywords
- BioRoot Flow,
- MeSH
- Biocompatible Materials therapeutic use MeSH
- Adult MeSH
- Gutta-Percha * therapeutic use MeSH
- Injections methods MeSH
- Humans MeSH
- Molar pathology MeSH
- Root Canal Obturation * methods MeSH
- Periodontitis therapy MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
AIM: This study aimed to evaluate the compliance of dentists in Croatia and the Czech Republic with endodontic recommendations and identify the subjective and objective factors influencing their adherence to them. METHODOLOGY: A total of 1386 dentists from Croatia and the Czech Republic participated in an online survey through a self-administered, author-designed questionnaire. After excluding those who did not perform root canal treatments (RCT), 1376 responses (394 from Croatia and 982 from the Czech Republic) were statistically analysed. RESULTS: The median age of respondents was 40 years, with a higher proportion of females in both countries. Croatian dentists treated fewer patients weekly but performed more RCTs and placed more composite fillings than their Czech counterparts. Czech dentists more frequently employed magnification devices, rubber dam (RD), pre-endodontic build-ups, nickel-titanium (NiTi) instruments, irrigant activation, bioceramic sealers, indirect post-endodontic restoration of lateral teeth, and single-visit treatments. These practices were also more common among endodontists than general dental practitioners and other specialists in both countries. Croatian dentists adhered more consistently to the recommended irrigation protocol. In the Czech group, adherence to recommended procedures, such as magnification, RD usage, and irrigation protocol correlated with younger age, smaller weekly number of patients, and preference for treating patients in the supine position. No such correlations were observed among the Croatian dentists. CONCLUSIONS: Despite notable improvements in recent years, dentists still do not fully comply with the recommended RCT working procedures in Croatia and the Czech Republic.
- MeSH
- Guideline Adherence statistics & numerical data MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Surveys and Questionnaires MeSH
- Root Canal Therapy * statistics & numerical data MeSH
- Practice Patterns, Dentists' * statistics & numerical data MeSH
- Dentists statistics & numerical data MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
- Croatia MeSH
- MeSH
- Middle Aged MeSH
- Humans MeSH
- Root Canal Obturation * methods instrumentation MeSH
- Root Canal Preparation methods MeSH
- Pulpitis therapy MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Humans MeSH
- Root Canal Obturation * methods instrumentation MeSH
- Reoperation methods MeSH
- Root Canal Therapy methods instrumentation MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Medical Records legislation & jurisprudence MeSH
- Endodontics methods legislation & jurisprudence MeSH
- Communication MeSH
- Humans MeSH
- Liability, Legal MeSH
- Jurisprudence MeSH
- Legislation as Topic * MeSH
- Expert Testimony * legislation & jurisprudence MeSH
- Dentists * legislation & jurisprudence MeSH
- Check Tag
- Humans MeSH
