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Background <p>Deciding between tooth extraction and restoration remains a common clinical challenge in dentistry, particularly in low- and middle-income countries where economic and patient-related factors may influence treatment choices. Evidence on how early-career dentists approach this decision in Pakistan is limited.</p> Objective <p>To assess self-reported decision-making patterns and factors influencing the choice between tooth extraction and restoration among early-career general dental practitioners in Pakistan.</p> Methods <p>A descriptive cross-sectional online survey was conducted between June and September 2025 among licensed general dental practitioners with ≤ 10&#xa0;years of clinical experience. A structured, self-administered questionnaire assessed demographic characteristics, treatment preferences, clinical and patient-related determinants, and perceived barriers to restorative care. Data were analysed using descriptive statistics, chi-square tests, ANOVA, and binary logistic regression (restoration = 1, extraction = 0). Statistical significance was set at p &lt; 0.05.</p> Results <p>A total of 214 complete responses were analysed. When both treatment options were considered clinically feasible, 59.8% of respondents reported always preferring restoration. Remaining tooth structure was the strongest predictor of restorative preference (OR = 6.23; 95% CI: 3.12–12.45; p &lt; 0.001), followed by patient preference (OR = 4.35; 95% CI: 1.69–11.18; p = 0.002). Treatment cost and systemic health showed moderate associations with decision-making. Greater clinical experience was significantly associated with a higher likelihood of choosing restoration (p = 0.012).</p> Conclusion <p>Early-career dental practitioners in this survey reported a preference for restorative management when feasible, with decisions shaped by tooth-related, patient-related, and socioeconomic factors. These findings reflect self-reported decision-making tendencies and should be interpreted cautiously given the study’s cross-sectional design and sampling limitations.</p>

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Decision making patterns in tooth extraction versus restoration among Pakistani early carrier dental practitioners: a cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月31日

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  • Ghazala Naveed,
  • Saman Sultan,
  • Amma Rehmat,
  • Muhammad Farrukh,
  • Muqaddas Kareem Shaikh,
  • Muhammad Anas,
  • Jaber Hamad Jaber Amin

摘要

Background

Deciding between tooth extraction and restoration remains a common clinical challenge in dentistry, particularly in low- and middle-income countries where economic and patient-related factors may influence treatment choices. Evidence on how early-career dentists approach this decision in Pakistan is limited.

Objective

To assess self-reported decision-making patterns and factors influencing the choice between tooth extraction and restoration among early-career general dental practitioners in Pakistan.

Methods

A descriptive cross-sectional online survey was conducted between June and September 2025 among licensed general dental practitioners with ≤ 10 years of clinical experience. A structured, self-administered questionnaire assessed demographic characteristics, treatment preferences, clinical and patient-related determinants, and perceived barriers to restorative care. Data were analysed using descriptive statistics, chi-square tests, ANOVA, and binary logistic regression (restoration = 1, extraction = 0). Statistical significance was set at p < 0.05.

Results

A total of 214 complete responses were analysed. When both treatment options were considered clinically feasible, 59.8% of respondents reported always preferring restoration. Remaining tooth structure was the strongest predictor of restorative preference (OR = 6.23; 95% CI: 3.12–12.45; p < 0.001), followed by patient preference (OR = 4.35; 95% CI: 1.69–11.18; p = 0.002). Treatment cost and systemic health showed moderate associations with decision-making. Greater clinical experience was significantly associated with a higher likelihood of choosing restoration (p = 0.012).

Conclusion

Early-career dental practitioners in this survey reported a preference for restorative management when feasible, with decisions shaped by tooth-related, patient-related, and socioeconomic factors. These findings reflect self-reported decision-making tendencies and should be interpreted cautiously given the study’s cross-sectional design and sampling limitations.