Choice of root canal irrigants by Serbian dental practitioners

  • Goran Tošić Department of Dentistry Faculty of Medicine, University of Niš, Niš, Serbia
  • Milan Miladinović Department of Dentistry, Faculty of Medicine, University of Prishtina, K. Mitrovica, Serbia
  • Milorad Kovačević “Eurodent” Dental Surgery, Kruševac, Serbia
  • Miodrag Stojanović Department of Medical Statistics and Informatics, Faculty of Medicine, University of Niš, Niš, Serbia
Keywords: tooth, root, irrigation, serbia, questionnaires, education, medical,

Abstract


Background/Aim. Root canal treatment is considered to be the one of the most important procedures in endodontic treatment. To irrigate the root canal it is most common to use sodium hypochlorite (NaOCl), chlorhexodine, ethylenediaminetetraacetic acid (EDTA), local anesthetic solution, while the most used in Serbia is hydrogen peroxide (H2O2). The aim of this survey was to reveal the preferred root canal irrigants used by general dental practitioners in Serbia and to determine the influence of the continuing education program, delivered over the 3-year observation period, on work habits of dental practitioners. This was the first comprehensive survey of this nature carried out in Serbia. Methods. The survey was conducted in two instances, a 4-month observation period each, from November 1, 2009 to March 1, 2010 and from November 1, 2012 to March 1, 2013. Internet Web Page Survey was posted on the official web site of the Serbian Association of Private Dentists. In the first survey, 569 completed questionnaires were subjected to analysis. In the next attempt (3 years later), the survey was launched again and 615 completed questionnaires were analyzed using the same criteria. The statistical analysis was carried out with simple descriptive statistics applying the χ2 test, at a significance level of p < 0.05. Results. The first survey included 569 dental practitioners, while 3 years later the number of them was 615. Analyzing the questionnaires revealed the number of 10 to 30 interventins on the root canal montly. The most commonly used irrigant solution was H2O2 in 2009, while in 2012 it was yet H2O2, but also NaOCl, chlorhexodine, and a little less EDTA. Conclusion. This study shows significant changes in the irrigation protocol applied in Serbian dental community. After 3 years of observation, NaOCl became widely accepted as the irrigant of choice, whereas H2O2 lost its popularity.

 

References

Kaptan RF, Haznedaroglu F, Kayahan MB, Basturk FB. An In-vestigation of Current Endodontic Practice in Turkey. Sci World J 2012; 2012: 565413.

Dutner J, Mines P, Anderson A. Irrigation trends among American Association of Endodontists members: a web-based survey. J Endod 2012; 38(1): 37−40.

Chan AWK, Low DCY, Cheung GSP, Ng RPY. A questionnaire survey of endodontic practice profile among dentists in Hong Kong. Hong Kong Dent J 2006; 3(2): 80−7.

Basmadjian-Charles C, Bourgeois D, Coudeville L, Lebrun T. National survey of endodontics in general dental practice in France. Eur J Prosthodont Restor Dent 2004; 12(4): 144−53.

Al-Omari WM. Survey of attitudes, materials and methods em-ployed in endodontic treatment by general dental practitioners in North Jordan. BMC Oral Health 2004; 4(1): 1.

Slaus G, Bottenberg P. A survey of endodontic practice amongst Flemish dentists. Int Endod J 2002; 35(9): 759−67.

Loftus JJ, Keating AP, McCartan BE. Periapical status and quality of endodontic treatment in an adult Irish population. Int Endod J 2005; 38(2): 81−6.

Jenkins SM, Hayes SJ, Dummer PM. A study of endodontic treat-ment carried out in dental practice within the UK. Int Endod J 2001; 34(1): 16−22.

Kirkevang LL, Ørstavik D, Hörsted-Bindslev P, Wenzel A. Periapical status and quality of root fillings and coronal restorations in a Danish population. Int Endod J 2000; 33(6): 509−15.

Peters OA, Schönenberger K, Laib A. Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography. Int Endod J 2001; 34(3): 221−30.

Zehnder M. Root canal irrigants. J Endod 2006; 32(5): 389−98.

Haapasalo M, Shen Y, Qian W, Gao Y. Irrigation in endodontics. Dent Clin North Am 2010; 54(2): 291−312.

Mohammadi Z, Abbott PV. The properties and applications of chlorhexidine in Endodontics. Int Endod J 2009; 42: 288−302.

Calt S, Serper A. Time-Dependent Effects of EDTA on Den-tin Structures. J Endod 2002; 28(1): 17−9.

Whitworth JM, Seccombe GV, Shoker K, Steele JG. Use of rubber dam and irrigant selection in UK general dental practice. Int Endod J 2000; 33(5): 435−41.

Mitić A, Mitić N, Živković S, Tošić G, Savić V, Dačić S, et al. Ef-ficency of final irigation of root canal in removal of smear layer. Srp Arh Celok Lek 2009; 137(9−10): 482−90. (Serbian)

Pavlović V. Clinical Endodontics. Niš: Studentski Kulturni Centar; 1997. (Serbian)

Natto ZS. A survey of root canal treatment in Saudi Arabia: a pilot study. Oral Health Dent Manag 2014; 13(2): 354−8.

Barbakow F. The status of root canal therapy in Switzerland in 1993. J Dent Assoc S Afr 1996; 51(12): 819−22.

Serbian Association of Private Dentists

http://www. privstom.org.rs (Serbian)

Published
2017/01/23
Section
Original Paper