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Regenerative endodontic therapy (RET) for managing immature non-vital teeth: experiences and opinions of paediatric dental practitioners in the European and Arabian regions

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Abstract

Purpose

MTA apical plug approach is considered the gold standard in managing immature teeth with necrotic pulp tissues but does not increase root dimensions. Regenerative Endodontic Therapy (RET) has been advocated as an alternative technique for management of these teeth. This study aimed to assess the knowledge, experience and the opinions of dentists treating paediatric patients in the European and Arabian regions on RET.

Methods

A cross-sectional, pre-piloted 23-item self-administered questionnaire survey was distributed electronically using the Bristol Online Survey tool through the mailing list of the European Academy of Paediatric Dentistry, the Arabian Academy of Paediatric Dentistry’s and the Egyptian Society of Paediatric Dentistry.

Results

308 respondents completed the survey. Approximately half practised RET (N = 158; 51.3%), which was most frequently used to manage non-vital traumatized teeth. Majority of RET practitioners worked in university or dental institute practices. Protocol differences with deviation from the current published RET guidelines were observed. Half of the respondents reported discolouration as an undesirable outcome. Lack of training, materials, evidence and suitable cases were reasons for not using RET.

Conclusions

Although RET is being practised by European and Arabian paediatric dentists, different protocols are being used with clear deviations from the current evidence-based guidelines.

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Acknowledgements

The authors would like to thank the EAPD and ArAPD and Egyptian society of paediatric Dentistry for their help in the distribution of the questionnaire survey to their members, and all members who took the time to complete the survey. We would also like to thank Dr Richard Steffan (Universitäres Zentrum für Zahnmedizin, Basel) for sharing the figure of the algorithm used in their decision-making process for RET.

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Authors and Affiliations

  1. Faculty of Dentistry, National University of Singapore, National University Centre for Oral Health, 9 Lower Kent Ridge Road, #10-01, Singapore, 119085, Singapore

    H. J. Tong & Y. F. Sim

  2. 22 Kodrou str, Halandri, 151 27, Athens, Greece

    E. Berdouses

  3. Faculty of Dentistry, Jordan University of Science and Technology, Ar Ramtha 3030،, Ramtha, Jordan

    S. Al-Jundi

  4. Department of Pediatric Dentistry, Future University Egypt, 90th St, First New Cairo, Cairo Governorate, 11835, Egypt

    O. El Shahawy

  5. Hamad Medical Corporation, Doha, Qatar

    H. Nazzal

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  1. H. J. Tong
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  2. Y. F. Sim
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  3. E. Berdouses
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  4. S. Al-Jundi
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  5. O. El Shahawy
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  6. H. Nazzal
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Correspondence to H. J. Tong.

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The authors declare no conflicts of interest nor funding attained in the conduct of this questionnaire study.

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Hani Nazzal: the work was carried out while the author was at the University of Leeds, Child Dental Health.

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Tong, H.J., Sim, Y.F., Berdouses, E. et al. Regenerative endodontic therapy (RET) for managing immature non-vital teeth: experiences and opinions of paediatric dental practitioners in the European and Arabian regions. Eur Arch Paediatr Dent 22, 145–155 (2021). https://doi.org/10.1007/s40368-020-00542-w

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  • DOI: https://doi.org/10.1007/s40368-020-00542-w

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