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Despite evidence supporting vital pulp treatments (VPTs) as predictable alternatives to conventional endodontic treatment, studies have shown they are not widely adopted in the UK. This study aimed to explore the barriers to implementation of VPTs by primary care general dental practitioners (GDPs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>Qualitative one\u2010to\u2010one semi\u2010structured online interviews were conducted with purposively sampled UK GDPs. Interview transcripts were analysed using reflexive thematic analysis. Recurring themes were iteratively refined as additional transcripts were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven participants were interviewed. A range of barriers to the provision of VPTs were identified, which aligned with two core themes: \u2018Motivational barriers to service provision\u2019 and \u2018Educational access &amp; opportunities\u2019. Sub\u2010themes included lack of access to materials and equipment, deficiencies in knowledge of treatment (including protocols, outcomes and prognosis), lack of confidence (in treatment efficacy and clinical ability), time constraints and public dental service funding and remuneration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study identifies barriers to the widespread adoption of VPTs among primary care GDPs in public and private settings. Economic constraints, practitioner confidence, time limitations and educational gaps are key challenges. Addressing these may require systemic changes such as policy interventions, education and improved resource allocation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iej.14113","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T05:54:15Z","timestamp":1718603655000},"page":"1453-1464","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Exploring deep caries management and barriers to the use of vital pulp treatments by primary care dental practitioners"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7269-800X","authenticated-orcid":false,"given":"Jay\u2010Krishan","family":"Pandya","sequence":"first","affiliation":[{"name":"Department of Restorative Dentistry Newcastle Dental Hospital  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Wheatley","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry Newcastle Dental Hospital  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Bailey","sequence":"additional","affiliation":[{"name":"School of Dental Sciences Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9369-917X","authenticated-orcid":false,"given":"Greig","family":"Taylor","sequence":"additional","affiliation":[{"name":"School of Dental Sciences Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3335-6455","authenticated-orcid":false,"given":"Andrew","family":"Geddis\u2010Regan","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry University Dental Hospital of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0462-7463","authenticated-orcid":false,"given":"David","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry Newcastle Dental Hospital  Newcastle upon Tyne UK"},{"name":"School of Dental Sciences Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,16]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-024-05182-y"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-019-03114-5"},{"key":"e_1_2_13_4_1","unstructured":"BDA. 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