Why, when and how are endodontically treated teeth restored
A questionnaire-based study comparing the decision-making of dentists in Germany and Switzerland
DOI:
https://doi.org/10.61872/sdj-2025-04-01PMID:
41347313Keywords:
endodontics, post-endodontic treatment, root-canal post, e-survey, treatment decisionAbstract
Post-endodontic treatment preferences can be influenced by educational, healthcare, financial, and historical factors. This study aimed to compare the post-endodontic treatment choices – particularly post and single-crown placement – of dentists in Germany and Switzerland. From August to November 2023, a questionnaire was distributed amongst 334 Swiss and 570 German dentists. A total of 50 Swiss dentists (response rate: 15.0%) and 60 German dentists (response rate: 10.5%) completed the survey. Descriptive analyses were conducted, and data presented as percentages. German dentists reported placing posts in 5–20% of endodontically treated teeth, whereas most Swiss dentists did so in less than 5%. Swiss dentists (58%) tended to place posts in teeth with 0–40% remaining tooth structure, while German dentists (60%) began at 40–70%. Regarding post-endodontic restorations, the majority of German dentists (67%) preferred single crowns, whereas most Swiss dentists (68%) favored composite-resin fillings and maintained even teeth with severely reduced coronal hard tissue. These trends were further supported by responses to various clinical case scenarios.
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Copyright (c) 2025 Levke S. Melfsen, Anastasia Maklennan, Gabriel Magnucki, Michael Neumann, Nicola U. Zitzmann, Klaus W. Neuhaus

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