Endodontic treatment regimens and their application in practice - survey and comparative study
DOI:
https://doi.org/10.12775/JEHS.2021.11.07.003Keywords
endodontics, root canal therapy, surveyAbstract
Introduction: Endodontics is a rapidly developing field of dentistry. Dentists have an increasing selection of techniques, tools, and materials to ensure therapeutic success.
Aim: The aim of the study was to analyze the endodontic treatment regimens and their application in the daily practice of dentists.
Material and Methods: A dentist survey was conducted through a Google Doc. The link to the form was placed on online dental groups, sent by e-mail to the offices and the questionnaire was also delivered to the dental offices in a printed form.
Results: The majority of respondents always perform endodontic treatment procedures on pregnant women, take three X-rays and use a rubber dam during the treatment. Almost all respondents have the opportunity to take an X-ray in the workplace, and the working length is usually measured by the electronic method. The most commonly used methods of root canal preparation are the traditional and crown-down methods, and the most commonly used root canal filling method - the thermal method. Most of the respondents declared the following rinsing protocol: NaOCl and CA or EDTA. Apex locator, ultrasounds, and microscopes are used in most dental offices, and more than half of the dentists responded that they perform procedures like broken tools removal or obliterated canals enlargement.
Conclusions: Polish endodontics has developed over the years. Modern solutions are used more and more often. The canals are filled with the thermal method, and the popularity of performing complex endodontic procedures has increased. However, it is necessary to conduct further studies comparing the effectiveness of the canal preparation methods and the standardization of the root canal irrigation protocol.
References
European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endontology. Int. Endod. J. 2006;39:921-930.
Olczak K, Pawlicka H. Methods and agents used by dental practitioners during endodontic treatment – survey study. Czas. Stomol. 2008;61(12):851-857.
Kosińska K, Sobecka M. Radiological aspects in endodontic treatment. Nowa Stomatol. 2013;3:128-129.
Bagińska J, Wilczko M, Kudaszewicz B. Methods of assessment of the accuracy of electronic apex locators. A review of the literature. Nowa Stomatol. 2013;4:201.
Gołąbek H, Dominiak K, Mielczarek A. An assessment of the apical microleakage of root canal fillings – a comparative in vitro study. Nowa Stomatol. 2014;1:29.
Postek-Stefańska L, Mazur T, Wysoczańska-Jankowicz I. The Comparison of the Effectiveness of Bacterial Elimination from Root Canals after Chemomechanical Preparation with Hand and Rotary Instruments. Dent. Med. Probl. 2011;48(4):496–504.
Wilkoński W, Jamróz-Wilkońska L. Protocol for irrigating root canals according to indications of Research Department of Polish Endodontic Society. Mag. Stomatol. 2013;246(1):92-94.
Olczak K. Ostateczne płukanie kanałów korzeniowych po ich opracowaniu - kontrowersje wokół tak zwanej warstwy mazistej. Forum Stomatol. Prakt. 2014:22:68-72.
Wilkoński W. The effects of alternate irrigation of root canals with chelating agents and sodium hypochlorite on the effectiveness of smear layer removal. Adv Clin Exp Med. 2020;29(2):209–213. https://doi.org/10.17219/acem/112603.
Krupiński J. Principles and practice of endodontic treatments. The technique of the root canal preparation by the hand instruments. Porad. Stomatol. 2003;2:6.
ADA Publishing Division. For the Dental Patient: Dental radiographs: Benefits and safety. JADA. 2011;142(9):1101.
Bieżanek T, Bachanek T. Comparison of root canal system disinfection effectiveness with and without rubber dam use. Pomeranian J. Life Sci. 2015;61(1):76.
Bhuva B, Chong B.S, Patel S. Rubber dam in clinical practice. Endo. 2008;2(2):131–141.
Kacprzak M, Drabarczyk-Nasińska M. Modern endodontic treatment – methods of canal root preparation. Nowa Stomatol. 2001;3:8-10.
Prada I. Update of the therapeutic planning of irrigation and intracanal medication in root canal treatment. A literature review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019;106(2):84-89. https://doi.org/10.4317/jced.55560.
Monea M, Hantoiu T, Stoica A, Sita D, Sitaru A.The Impact Of Operating Microscope On The Outcome Of Endodontic Treatment Performed By Postgraduate Students. Eur. Sci. J. 2015;11(27):305-311.
Kim S, Baek S. The microscope and endodontics. Dent. Clin. North Am. 2004;48(1):11-8. https://doi.org/10.1016/j.cden.2003.12.001.
Glassman G, Kratchman S. Ultrasonics in endodontics: luxury or necessity? Dent. Today. 2011;30(9):114, 116-9.
Paragliola R. Franco V, Fabiani C, Mazzoni A, NATO F, Tay F.R, Breschi L. Grandini S. Final Rinse Optimization: Influence of Different Agitation Protocols. J Endod. 2010;36(2): 282-285. https://doi.org/10.1016/j.joen.2009.10.004.
Mocny-Pachońska K, Doniec RJ, Wójcik S, Sieciński S, Piaseczna NJ, Duraj KM, Tkacz EJ. Evaluation of the Most Stressful Dental Treatment Procedures of Conservative Dentistry among Polish Dental Students. Int. J. Environ. Res. Public Health. 2021;18(9):4448. https://doi.org/10.3390/ijerph18094448.
Mocny-Pachońska K, Doniec R, Trzcionka A, Pachoński M, Piaseczna N, Sieciński S, Osadcha O, Łanowy P, Tanasiewicz M. Evaluating the stress-response of dental students to the dental school environment. PeerJ. 2020;8:e898. https://doi.org/10.7717/peerj.8981.
Mocny-Pachońska K, Trzcionka A, Doniec RJ, Sieciński S, Tanasiewicz M. The Influence of Gender and Year of Study on Stress Levels and Coping Strategies among Polish Dental. Med. 2020;56(10):531. https://doi.org/10.3390/medicina56100531
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