A Cross-Sectional Survey Assessing the Factors Influencing Dentists’ Decisions on Post-Endodontic Prosthetic Crown Restoration

Interdisciplinary decision-making significantly influences both the therapeutic potential and clinical outcomes, shaping clinical attitudes and management strategies. As the integration between endodontic and restorative-prosthetic considerations becomes increasingly prevalent, it is essential to understand how different dental specialists, particularly general dental practitioners, prosthodontists and endodontists, approach clinical decision-making and collaborate to optimize patient care. <b>Objectives</b>: This study aims to identify practice disparities in post-endodontic crown placement to inform national policy reforms, including standardised timing protocols and interdisciplinary referral criteria. <b>Methods</b>: A structured questionnaire was distributed to dentists practicing in Romania, yielding 238 collected responses. <b>Results</b>: Substantial variability was found in clinical approaches: diagnostic imaging preferences indicated frequent use of periapical radiography (83.49%) and CBCT (53.67%). Over 70% expressed high confidence in CBCT's diagnostic precision, significantly higher than periapical radiography (Wilcoxon Signed-Rank test, <i>p</i> < 0.00001). A statistically significant majority (69.3%, binomial test, <i>p</i> < 0.001) preferred delaying definitive crown placement until radiographic healing of periapical lesions. Logistic regression analysis showed endodontists were significantly less likely to choose invasive treatments compared to other specialists (<i>p</i> = 0.027). Although clinicians widely recognize the significance of prosthetic planning, its early integration into the overall treatment strategy has been inconsistent. <b>Conclusions</b>: This study points out the necessity for standardised guidelines that clearly integrate prosthetic planning into endodontic decision-making, enhancing predictability and tooth preservation.