Factors Affecting the Decision-making of Direct Pulp Capping Procedures among Dental Practitioners: A Multinational Survey from 16 Countries with Meta-analysis

Hatipoğlu Ö. Hatipoğlu F.P. Javed M.Q. Nijakowski K. Taha N. El-saaidi C. Sugumaran S. Elhamouly Y. Drobac M. Machado R. Aldhelai T.A. Kobayashi H. Alfirjani S. Abidin I.Z. Martin-Biedma B. Maira K. Lim W.Y. Palma P.J. Martins J.F.B.
June 2023 Elsevier Inc.

Journal of Endodontics
2023 #49 Issue 6 675 - 685 pp.

Introduction: Direct pulp capping (DPC) procedures require the placement of a bioactive material over an exposure site without selective pulp tissue removal. This web-based multicentered survey had 3 purposes: (1) to investigate the factors that affect clinicians’ decisions in DPC cases, (2) to determine which method of caries removal is preferred, and (3) to evaluate the preferred capping material for DPC. Methods: The questionnaire comprised 3 sections. The first part comprised questions regarding demographic features. The second part comprised questions on how treatment plans change according to factors such as nature, location, number and size of the pulp exposure, and patients’ age. The third part composed of questions on the common materials and techniques used in DPC. To estimate the effect size, the risk ratio (RR) and 95% confidence interval (CI) were calculated using a meta-analysis software. Results: A tendency toward more invasive treatment was observed for the clinical scenario with carious-exposed pulp (RR = 2.86, 95% CI: 2.46, 2.32; P < .001) as opposed to the clinical scenario with 2 pulp exposures (RR = 1.38, 95% CI: 1.24, 1.53; P < .001). Complete caries removal was significantly preferred to selective caries removal (RR = 4.59, 95% CI: 3.70, 5.69; P < .001). Among the capping materials, calcium silicate-based materials were preferred over calcium hydroxide-based materials (RR = 0.58, 95% CI: 0.44, 0.76; P < .05). Conclusions: While carious-exposed pulp is the most important factor in clinical decisions regarding DPC, the number of exposures has the least impact. Overall, complete caries removal was preferred over selective caries removal. In addition, the use of calcium silicate-based materials appears to have replaced calcium hydroxide-based materials.

Dental pulp capping , meta-analysis , questionnaire

Text of the article Перейти на текст статьи

Department of Restorative Dentistry, Niğde Ömer Halisdemir University, Niğde, Turkey
Department of Endodontics, Niğde Ömer Halisdemir University, Niğde, Turkey
Department of Conservative Dental Sciences, College of Dentistry, Qassim University, Qassim, Buraydah, Saudi Arabia
Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Poznan, Poland
Department of Conservative Dentistry, Jordan University of Science and Technology Irbid, Jordan
Program Evaluator (Epidemiologist) CHW Hub (Access to Care) City of San Antonio Metropolitan Health District San Antonio, San Antonio, Texas, United States
Department of Conservative Dentistry and Endodontics Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Tamilnadu, Chennai, India
Pediatric and Community Dentistry Department, Faculty of Dentistry, Pharos University in Alexandria, Egypt
Department of Conservative Dentistry and Endodontics, Faculty of Medicine, University of Novi Sad, Serbia
Clinical Practice Limited to Endodontics, Santa Catarina, Navegantes, Brazil
Department of Orthodontics and Pediatric Dentistry, Ibb University, IBB, Yemen
Department of Orthodontic and Pediatric Dentistry, College of Dentistry, Qassim University, Buraydah, Saudi Arabia
Department of Removable Partial Prosthodontics, Tokyo Dental College, Tokyo, Japan
Department of Conservative Dentistry and Endodontics, Dental School/University of Benghazi, Benghazi, Libya
Department of Restorative Dentistry, International Islamic University Malaysia, Malaysia
Department of Conservative Dentistry, Universidade de Santiago de Compostela (USC), Santiago de Compostela, Spain
Department of Therapeutic Dentistry, Kazakh National Medical University by Asfendiyarov, Almaty, Kazakhstan
Restorative Department, National Dental Centre Singapore, Singapore
Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
Institute of Endodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
Department of Endodontology, Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, Netherlands

Department of Restorative Dentistry
Department of Endodontics
Department of Conservative Dental Sciences
Department of Conservative Dentistry and Endodontics
Department of Conservative Dentistry
Program Evaluator (Epidemiologist) CHW Hub (Access to Care) City of San Antonio Metropolitan Health District San Antonio
Department of Conservative Dentistry and Endodontics Saveetha Dental College
Pediatric and Community Dentistry Department
Department of Conservative Dentistry and Endodontics
Clinical Practice Limited to Endodontics
Department of Orthodontics and Pediatric Dentistry
Department of Orthodontic and Pediatric Dentistry
Department of Removable Partial Prosthodontics
Department of Conservative Dentistry and Endodontics
Department of Restorative Dentistry
Department of Conservative Dentistry
Department of Therapeutic Dentistry
Restorative Department
Center for Innovation and Research in Oral Sciences (CIROS)
Institute of Endodontics
Department of Endodontology

10 лет помогаем публиковать статьи Международный издатель

Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026