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Lookup NU author(s): Dr Krish Pandya, Jenny Wheatley, Oliver BaileyORCiD, Greig Taylor, Andrew Geddis-ReganORCiD, David Edwards
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
AimThe European Society of Endodontology outlines best practices for the management of deep caries and the pulp. 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).MethodologyQualitative one-to-one semi-structured 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.ResultsEleven participants were interviewed. A range of barriers to the provision of VPTs were identified, which aligned with two core themes: ‘Motivational barriers to service provision’ and ‘Educational access & opportunities’. Sub-themes 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.ConclusionsThis 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
Author(s): Pandya K, Wheatley J, Bailey O, Taylor G, Geddis-Regan A, Edwards D
Publication type: Article
Publication status: Published
Journal: International Endodontic Journal
Year: 2024
Pages: epub ahead of print
Online publication date: 16/06/2024
Acceptance date: 02/06/2024
Date deposited: 18/06/2024
ISSN (print): 0143-2885
ISSN (electronic): 1365-2591
Publisher: Wiley
URL: https://doi.org/10.1111/iej.14113
DOI: 10.1111/iej.14113
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