title: Crown and crown-root fractures: an evaluation of the treatment plans for management proposed by 154 specialists in restorative dentistry.
abstract: Traumatic tooth injuries involve function and aesthetics and cause damage that range from minimal enamel loss to complex fractures involving the pulp tissue and even loss of the tooth crown. Technical knowledge and clinical experience are essential to establish an accurate diagnosis and provide a rational treatment. The purpose of this study was to evaluate the knowledge of Restorative Dentistry specialists about the management of crown and crown-root fractures based on treatment plans proposed by these professionals for these cases. A descriptive questionnaire was mailed to 245 Restorative Dentistry specialists with questions referring to their professional profile and the treatment plans they would propose for the management of crown and crow-root fractures resulting from dental trauma. One hundred and fifty-four questionnaires were returned properly filled. The data were subjected to descriptive statistics and the chi-square test was used to determine the frequency and the level of the significance among the variables. The analysis of data showed that in spite of having a specialist title, all interviewees had great difficulty in planning the treatments. As much as 42.8% of the participants were unable to treat all types of dental trauma. Complicated and uncomplicated crown-root fractures posed the greatest difficulties for the dentists to establish adequate treatment plans because these fractures require multidisciplinary knowledge and approach for a correct case planning and prognosis.
authors.affiliation: Department of Surgery and Integrated Clinics, Araçatuba Dental School, Univ Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil.
authors.forename: Mara Antonio Monteiro
authors.initials: MA
authors.lastname: de Castro
authors.forename: Wilson Roberto
authors.initials: WR
authors.lastname: Poi
authors.forename: José Carlos Monteiro
authors.initials: JC
authors.lastname: de Castro
authors.forename: Sônia Regina
authors.initials: SR
authors.lastname: Panzarini
authors.forename: Celso Koogi
authors.initials: CK
authors.lastname: Sonoda
authors.forename: Carolina Lunardelli
authors.initials: CL
authors.lastname: Trevisan
authors.forename: Eloá Rodrigues
authors.initials: ER
authors.lastname: Luvizuto
mesh_terms: D002983:Clinical Competence; D003188:Composite Resins; D016556:Crown Lengthening; D003743:Dental Enamel / Q000293:injuries; D003764:Dental Materials; D017266:Dental Prosthesis; D003789:Dental Pulp Exposure / Q000628:therapy; D003793:Dental Restoration, Permanent / Q000379:methods; D003804:Dentin / Q000293:injuries; D003814:Dentistry, Operative / Q000193:education; D004499:Education, Dental, Graduate; D005260:Female; D006801:Humans; D008297:Male; D050793:Orthodontic Extrusion; D010347:Patient Care Planning; D011379:Prognosis; D011670:Pulpectomy; D012390:Root Canal Therapy; D011795:Surveys and Questionnaires; D019228:Tooth Crown / Q000293:injuries*; D014082:Tooth Fractures / Q000628:therapy*; D014092:Tooth Root / Q000293:injuries*
chemical_list: D003188:Composite Resins; D003764:Dental Materials