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The aim of the present study was to acquire a deeper understanding of the decision\u2010making process regarding the pre\u2010medical management of root\u2013canal\u2013filled teeth with asymptomatic apical periodontitis (AAP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>Hospital\u2010affiliated dentists in Sweden were contacted for a semi\u2010structured, in\u2010depth interview. The absolute inclusion criterion was that the dentists had experienced and could recount at least two authentic cases involving root\u2013canal\u2013filled teeth with AAP\u2014one case having resulted in pre\u2010medical treatment, and one having resulted in expectancy. Fourteen interviews, with fourteen informants, were conducted and included in the study. During the interviews, open\u2010ended questions and comments encouraging the informants to elaborate and clarify their experiences were offered. The interviews were digitally recorded, transcribed verbatim and analysed using Qualitative Content Analysis with an inductive approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A theme describing the latent content was identified through interpretation of the collected data: <jats:italic>A multifaceted balancing act characterized by a sometimes\u2010difficult risk\u2013benefit\u2010estimation, where an increased uncertainty entails an increased reliance on external opinions<\/jats:italic>. Three main categories, comprising four sub\u2010categories, describing the manifest content were recognized: <jats:italic>The tipping scale, The team effort<\/jats:italic> and <jats:italic>The frame of reference<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The current interview study found pre\u2010medical decision\u2010making regarding root\u2013canal\u2013filled teeth with AAP to be a multifactorial and contextual process marked by uncertainty and collaborative measures. Further research, resulting in the development of evidence\u2010based treatment guidelines, is suggested necessary.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iej.13941","type":"journal-article","created":{"date-parts":[[2023,6,3]],"date-time":"2023-06-03T07:05:48Z","timestamp":1685775948000},"page":"1063-1076","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Pre\u2010medical assessment of root\u2013canal\u2013filled teeth with asymptomatic apical periodontitis\u2014A multifaceted balancing act"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1578-9740","authenticated-orcid":false,"given":"Jenny","family":"Olsson","sequence":"first","affiliation":[{"name":"Department of Oral Pathology, Faculty of Odontology Malm\u00f6 University  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Wolf","sequence":"additional","affiliation":[{"name":"Department of Endodontics, Faculty of Odontology Malm\u00f6 University  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Ljunggren","sequence":"additional","affiliation":[{"name":"Department of Oral Pathology, Faculty of Odontology Malm\u00f6 University  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-022-04558-y"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-020-01317-5"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S189484"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_2_11_6_1","unstructured":"H\u00e4lso\u2010och Sjukv\u00e5rdsf\u00f6rvaltningen. 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