BMC Medical Education, cilt.26, sa.1, 2026 (SCI-Expanded, SSCI, Scopus)
Background: Dental stem cell therapy (DSCT) is a promising domain in regenerative dentistry, yet the knowledge base, perceived barriers, and adoption readiness among practicing dentists remain unclear. This study assessed knowledge, attitudes, perceived barriers, and willingness to adopt DSCT among Palestinian dentists. Methods: We conducted a cross-sectional, web-based survey of licensed dentists in the West Bank (January–August 2024). Recruitment occurred via closed professional groups; one response per account was enforced. The knowledge index comprised six single-best multiple-choice questions (three options + “Don’t know”); scoring was 1 for correct and 0 for incorrect/“Don’t know” (range 0–6), classified as low (0–2), moderate (3–4), and high (5–6). Attitudes and ethical concerns were assessed using structured categorical items and Likert-type statements, and willingness to adopt DSCT was measured using a four-option item (“Yes,” “have reservations,” “not interested,” “No”), analysed as Yes vs. other responses. Bivariate associations used χ² with Cramér’s V; adjusted analyses used ordinal logistic regression for knowledge and binary logistic regression for willingness. Results: Among 330 dentists, knowledge was low in 73.3%, moderate in 21.5%, and high in 5.2%; 69.7% reported willingness to adopt DSCT. Age was associated with higher knowledge (Cramér’s V 0.382; 95% CI 0.334–0.454). In adjusted analyses, older age independently predicted higher knowledge (e.g., > 50 vs. 23–30: aOR 8.88; 95% CI 1.87–42.05; p = 0.006). For willingness, orthodontists were less willing than general dentists (aOR 0.05; 95% CI 0.01–0.42), whereas a higher likelihood of pursuing continuing education predicted willingness (aOR 3.54; 95% CI 1.60–7.79). The most cited barriers were lack of knowledge (43.9%), cost (26.1%), and ethical concerns (14.5%). Conclusions: Most dentists demonstrated low DSCT knowledge but substantial willingness to adopt. Targeted education (undergraduate and continuing), practical guidance, and clearer regulatory direction may help address knowledge gaps and perceived barriers in Palestine.