# Knowledge, Attitude, and Practice of Vital Pulp Therapy Among Dental Professionals in Taif, Saudi Arabia: A Cross-sectional Study

## TL;DR

This study assesses dental professionals' knowledge and practices of vital pulp therapy in Taif, Saudi Arabia, revealing gaps in understanding and the need for targeted education.

## Contribution

The study provides insights into VPT knowledge gaps among dentists in Taif and identifies demographic factors influencing their understanding.

## Key findings

- 80% of participants had adequate knowledge in VPT indications and diagnosis, but 83.2% had misconceptions about its limitations in reversible pulpitis.
- Knowledge levels were lower for immature permanent teeth and material use, with 69.5% misunderstanding restoration timing and sodium hypochlorite's role.
- Younger dentists and those in public sectors showed higher VPT knowledge compared to older and private sector dentists.

## Abstract

Vital pulp therapy (VPT) is a key regenerative approach in the field of endodontics and a recognized therapeutic method for permanent teeth by several practice organizations. This study aimed to examine the knowledge and attitudes toward VPT in permanent teeth, and the adoption of the updated practice guidelines among dentists in Taif, Saudi Arabia.

Data were collected from 197 general dentists and specialists practicing in Taif using an anonymous questionnaire. It comprised four sections: demographics, questions regarding the indications and diagnosis of VPT (Domain 1), VPT for immature permanent teeth (Domain 2), and the different materials and restorations utilized in VPT (Domain 3). The data were analyzed using descriptive statistics and linear regression.

80% of the participants possessed adequate knowledge in Domain 1; however, misconceptions were evident (83.2%) regarding the limitations of VPT in patients with reversible pulpitis. The knowledge levels were lower in Domains 2 and 3 (73%) compared with Domain 1. Misconceptions were common (69.5%) regarding the appropriate timing for permanent coronal restoration placement and the diagnostic role of sodium hypochlorite. Furthermore, age and workplace significantly influenced VPT knowledge, with higher knowledge observed among young dentists (aged 25-34 years) and lower knowledge noted among private sector dentists.

Although most dentists exhibited acceptable knowledge and attitudes, gaps were evident in case selection, restoration timing, and material application. Targeted education and ongoing training are needed, particularly for private sector dentists and those with limited experience, to improve endodontic care in the Taif region.