Aims: The objective of this study was to assess the knowledge,
attitude, and practice of dentists in Palestine toward deep dentin
caries removal and the associated restorative strategies preferred.
Materials and methods: The study was conducted through an
online survey among the dentists registered with the Palestinian
Dental Association. A total of 300 dentists were administered
a structured, self-administered questionnaire to assess their
knowledge, attitude, and practice toward deep dentin caries
removal. The questionnaire consisted of an eight-item written
survey instrument constructed for the survey purpose.
Results: Among the 300 dentists, 201 dentists responded to the
survey with a response rate of 67%. Hardness of remaining dentin
was the most important criterion employed to assess excavation.
To treat an exposed pulp, 74% of dentists considered direct
capping, whereas 79% refuted partial excavation fearing caries
progression or pulp damage. To facilitate restoration longevity,
56.6% reported preferring more invasive treatment. Only 16%
reported that they would prefer a step-wise caries excavation.
Conclusion: A higher percentage of surveyed dentists were
skeptical about leaving caries during excavation, and they did
not prefer incomplete caries removal. Direct pulp capping was
the preferred treatment strategy when pulp exposure occurred.
Clinical significance: The beneficence of partial excavation
should be highlighted in under- and postgraduate education in
Palestine. It would pave the way to promote minimally invasive
techniques in restorative dentistry.
Keywords: Deep dentin caries removal, Dental pulp capping,
Dental pulp exposure, Palestine, Restorative dentistry, Step-wise
How to cite this article: Rabi T. Knowledge, Attitude, and
Practice Survey of Dentists in Palestine toward Deep Dentin
Caries Removal. Cons Dent Endod J 2016;1(2):28-32.
Source of support: Nil
Conflict of interest: None