Management of Deep Carious Lesions: A Cross-Sectional Study among Saudi Dentists

Deep caries lesions require effective management techniques to preserve pulp vitality and promote tertiary dentin formation. This study aims to investigate the preferred management methods for deep carious lesions and pulp exposure among dentists in Saudi Arabia. The study employed a cross-sectional design, distributing a printed and online questionnaire to dentists in public and private dental clinics across different Saudi cities. The sample size calculation determined a minimum of 420 respondents, and the questionnaire design followed the STROBE guidance and checklist. Data analysis was conducted using SPSS, employing descriptive statistics and binary logistic regression modeling. The study received approval from the Research and Innovation Center of the College of Dentistry at Riyadh Elm University, and informed consent was obtained from all participants. The study highlighted the importance of obtaining patient information, conducting radiographic assessments, and performing pulp tests for accurate diagnosis and treatment planning. Gender and age differences were observed in the preferred preoperative procedures, with female dentists more inclined towards rubber dam isolation and older dentists favoring electric pulp testers and non-selective caries removal techniques. The majority of dentists preferred selective caries removal to preserve healthy dentin and reduce the risk of pulp exposure. Calcium hydroxide and GIC were commonly used lining materials following deep caries management. The study provides valuable insights into the current practices and decision-making processes of Saudi dentists, emphasizing the significance of comprehensive patient assessment, radiographic evaluation, and pulp testing. The study findings contribute to advancing knowledge in the field of deep caries management and can guide improvements in dental practice and education.