{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T21:23:50Z","timestamp":1791926630429,"version":"4.3.4"},"reference-count":58,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,6,8]],"date-time":"2024-06-08T00:00:00Z","timestamp":1717804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian Dental Journal"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Decision\u2010making in dentistry is a complex process, and this study evaluated factors that influence dentists' approaches in permanent mature teeth with irreversible pulpitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online questionnaire was distributed to a group of dental practitioners. The questionnaire surveyed dentists' opinions about the management of vital permanent teeth with irreversible pulpitis including a case scenario.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from 262 respondents were analysed. Barriers to perform vital pulp therapy (VPT) included presuming it an inappropriate long\u2010term treatment (29.7%), lack of knowledge, insufficient access to materials, inadequate training and lack of confidence. Patient's preference (79.44%) and tooth restorability (91%) were the most frequently reported factors influencing treatment decisions. Dentists aged 25\u201335\u2009years and who have 1\u20135\u2009years of experience ranked extraction as a more successful treatment (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.008;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.003, respectively). Non\u2010Australian graduates ranked pulpotomy to be a more successful procedure (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.007), and public sector\/hospital practitioners favoured extraction more than practitioners from other sectors (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.003). Postgraduates\/specialists preferred pulpotomy (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.012) more than general dentists. Participants' clinical approaches for the management of symptomatic irreversible pulpitis: root canal treatment (45.0%), indirect pulp capping (22.9%), direct pulp capping (15.8%), pulpotomy (17.1%) and extraction (6.3%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Female, more experienced, overseas\u2010educated dentists and endodontists preferred VPT for irreversible pulpitis in permanent mature teeth more than other participants. \u00a9 2024 Australian Dental Association.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/adj.13026","type":"journal-article","created":{"date-parts":[[2024,6,8]],"date-time":"2024-06-08T04:43:53Z","timestamp":1717821833000},"page":"293-303","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors influencing treatment decisions in permanent mature teeth with irreversible pulpitis: a questionnaire\u2010based study"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5378-5978","authenticated-orcid":false,"given":"Y","family":"Alfaisal","sequence":"first","affiliation":[{"name":"School of Dentistry The University of Queensland  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Idris","sequence":"additional","affiliation":[{"name":"Metro North Hospital and Health Services Queensland Health  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5222-8718","authenticated-orcid":false,"given":"OA","family":"Peters","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Queensland  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5423-1777","authenticated-orcid":false,"given":"CI","family":"Peters","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Queensland  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5551-8147","authenticated-orcid":false,"given":"S","family":"Zafar","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Queensland  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.2010.100104"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2012.00778.x"},{"issue":"6","key":"e_1_2_11_4_1","first-page":"1273","article-title":"The Behavioral Model for Vulnerable Populations: application to medical care use and outcomes for homeless people","volume":"34","author":"Gelberg L","year":"2000","journal-title":"Health Serv Res"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0233652"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2591.2001.00433.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr.20130137"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-018-2526-7"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1996.0058"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41432-019-0057-y"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2017.03.033"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.13080"},{"issue":"6","key":"e_1_2_11_13_1","first-page":"1","article-title":"Vital pulp therapy in permanent mature posterior teeth with symptomatic irreversible pulpitis: a systematic review of treatment outcomes","volume":"57","author":"Santos JM","year":"2021","journal-title":"Medicina (Kaunas)"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-014-1244-z"},{"issue":"3","key":"e_1_2_11_15_1","first-page":"151","article-title":"Long\u2010term outcomes of pulpotomy in permanent teeth with irreversible pulpitis: a multi\u2010center randomized controlled trial","volume":"30","author":"Asgary S","year":"2017","journal-title":"Am J Dent"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.12903"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2021.07.015"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-012-0712-6"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-013-1003-6"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2020.06.025"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2014.08.010"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.5402\/2011\/640509"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2591.2012.02113.x"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2004.01.004"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2591.2005.00942.x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijohs.ijohs_46_17"},{"key":"e_1_2_11_27_1","first-page":"1","article-title":"Radiographic analysis the obturation's quality in root canal treatment performed by a South Brazilian sample of undergraduate students","volume":"67","author":"Ribeiro D","year":"2019","journal-title":"Rev Ga\u00facha Odontol"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.2307\/3342314"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.1990.tb02129.x"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034510369994"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1698860"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-237X.107433"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12716"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2019.10.012"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2016.10.027"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2591.1995.tb00293.x"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2006.0256"},{"key":"e_1_2_11_38_1","volume-title":"Glossary of endodontic terms","author":"American Asociation of Endodontists (AAE)","year":"2020"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.13974"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.12793"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2010.12.004"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2019.03.010"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2015.12.005"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2018.1538536"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.12851"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-0707.108173"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/4871385"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.1995.tb02364.x"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.13628"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-020-1419-8"},{"key":"e_1_2_11_51_1","article-title":"Decision\u2010making for dental pulp exposure: a survey in graduate programs at Brazilian universities","volume":"36","author":"Scalzilli PA","year":"2022","journal-title":"Braz Oral Res"},{"key":"e_1_2_11_52_1","first-page":"184","article-title":"Treatment preferences of vital permanent teeth with carious pulp exposure: questionnaire survey among dentists in public hospitals of Thailand","volume":"71","author":"Thumrongjaruwat CSB","year":"2021","journal-title":"J Dent Assoc Thai"},{"issue":"3","key":"e_1_2_11_53_1","first-page":"153","article-title":"Pulp exposures in adults \u2013 choice of treatment among Swedish dentists","volume":"37","author":"Frisk F","year":"2013","journal-title":"Swed Dent J"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-018-2556-1"},{"issue":"4","key":"e_1_2_11_55_1","first-page":"256","article-title":"A survey over the dentists' and endodntists' approaches towards the management of endodontic emergencies in Mashhad, Iran","volume":"10","author":"Bidar M","year":"2015","journal-title":"Iran Endod J"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2016.11.001"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2020.vol34.0122"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2008.0160"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2016.684"}],"container-title":["Australian Dental Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/adj.13026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:31:25Z","timestamp":1740184285000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/adj.13026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,8]]},"references-count":58,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/adj.13026"],"URL":"https:\/\/doi.org\/10.1111\/adj.13026","archive":["Portico"],"relation":{},"ISSN":["0045-0421","1834-7819"],"issn-type":[{"value":"0045-0421","type":"print"},{"value":"1834-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,8]]},"assertion":[{"value":"2024-05-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}