CC BY-NC-ND 4.0 · Eur J Dent 2019; 13(04): 619-624
DOI: 10.1055/s-0039-3399456
Original Article
Dental Investigation Society

Current Trends in Practice of Residents in the Saudi Board of Endodontics Program

1   Department of Restorative Dental Science, College of Dentistry, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia
,
Ayman M. AlKady
1   Department of Restorative Dental Science, College of Dentistry, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia
› Institutsangaben
Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
31. Dezember 2019 (online)

Abstract

Objectives The purpose of the current study was to collect information about some techniques and armamentarium currently used by the Saudi Board of Endodontics residents in relation to the technical steps of root canal therapy.

Materials and Methods A web-based survey was sent to the Saudi Board of Endodontics residents, based in the western area of Saudi Arabia. The survey assessed controversial concepts, and collected information regarding new instruments and materials, used in the technical steps of nonsurgical root canal treatment. A one-sample chi-square test, with a 95% level of significance, was applied to determine whether there were significant differences between respondents’ answers.

Results A total of 45 out of 50 residents (90%) responded to the questionnaire. The majority of Saudi Board residents of Endodontics, who participated in this survey, used the mean of working length (ML) measured by periapical X-Ray and apex locator in the presence of a radiographic lesion (63.3%), and maintained apical patency in all cases (80.0%). ProTaper Universal (40%) and ProTaper Next (41.2%) were the most common NiTi rotary systems used for root canal instrumentation. Thirty percent of respondents used adjunct device with irrigation, and 80% advocated smear layer removal. Zinc oxide–eugenol-based sealers were the most common used sealers (70%), and most residents (86.6%) did not advocate sealer extrusion.

Conclusions This study revealed that residents of the Saudi Board of Endodontics program adopt new endodontic technologies. There is, however, a need for more investigations regarding this objective, including responses from all residents in Saudi Arabia.

 
  • References

  • 1 Zou H, Li Y, Lian X, Yan Y, Dai X, Wang G. Frequency and influencing factors of rubber dam usage in tianjin: a questionnaire survey. Int J Dent 2016; 2016: 7383212. doi: 10.1155/2016/7383212
  • 2 Lababidi EA. Discuss the impact technological advances in equipment and materials have made on the delivery and outcome of endodontic treatment. Aust Endod J 2013; 39 (03) 92-97
  • 3 Savani GM, Sabbah W, Sedgley CM, Whitten B. Current trends in endodontic treatment by general dental practitioners: report of a United States national survey. J Endod 2014; 40 (05) 618-624
  • 4 Lee M, Winkler J, Hartwell G, Stewart J, Caine R. Current trends in endodontic practice: emergency treatments and technological armamentarium. J Endod 2009; 35 (01) 35-39
  • 5 Clarkson RM, Podlich HM, Savage NW, Moule AJ. A survey of sodium hypochlorite use by general dental practitioners and endodontists in Australia. Aust Dent J 2003; 48 (01) 20-26
  • 6 Dutner J, Mines P, Anderson A. Irrigation trends among American Association of Endodontists members: a web-based survey. J Endod 2012; 38 (01) 37-40
  • 7 Kersten DD, Mines P, Sweet M. Use of the microscope in endodontics: results of a questionnaire. J Endod 2008; 34 (07) 804-807
  • 8 Locke M, Thomas MB, Dummer PM. A survey of adoption of endodontic nickel-titanium rotary instrumentation part 1: general dental practitioners in Wales. Br Dent J 2013; 214 (03) E6
  • 9 Lynch CD, McConnell RJ. Attitudes and use of rubber dam by Irish general dental practitioners. Int Endod J 2007; 40 (06) 427-432
  • 10 Willershausen I, Wolf TG, Schmidtmann I. et al. Survey of root canal irrigating solutions used in dental practices within Germany. Int Endod J 2015; 48 (07) 654-660
  • 11 Germack M, Sedgley CM, Sabbah W, Whitten B. Antibiotic use in 2016 by members of the American Association of Endodontists: report of a national survey. J Endod 2017; 43 (10) 1615-1622
  • 12 Setzer FC, Hinckley N, Kohli MR, Karabucak B. A Survey of cone-beam computed tomographic use among endodontic practitioners in the United States. J Endod 2017; 43 (05) 699-704
  • 13 Ha WN, Duckmanton P, Kahler B, Walsh LJ. A survey of various endodontic procedures related to mineral trioxide aggregate usage by members of the Australian Society of Endodontology. Aust Endod J 2016; 42 (03) 132-138
  • 14 Alrahabi M. The confidence of undergraduate dental students in Saudi Arabia in performing endodontic treatment. Eur J Dent 2017; 11 (01) 17-21
  • 15 Bird DC, Chambers D, Peters OA. Usage parameters of nickel-titanium rotary instruments: a survey of endodontists in the United States. J Endod 2009; 35 (09) 1193-1197
  • 16 Al-Shamiri HM, Alaizari NA, Al-Maweri SA. Tarakji B. Knowledge and attitude of dental trauma among dental students in Saudi Arabia. Eur J Dent 2015; 9 (04) 518-522
  • 17 Glickman GN, Gluskin AH, Johnson WT, Lin J. The crisis in endodontic education: current perspectives and strategies for change. J Endod 2005; 31 (04) 255-261
  • 18 European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J 2006; 39 (12) 921-930
  • 19 Aggarwal G, Bogra P, Gupta S, Jindal A, Jain N. Determination of apical constriction and apical foramen using electronic apex locator in vivo: Comparison between vital and nonvital teeth. Saudi Endod J 2018; 8: 99-105
  • 20 American Association of Endodontists. Glossary of Endodontic Terms. 9th ed. Chicago: American Association of Endodontists 2015
  • 21 Cailleteau JG, Mullaney TP. Prevalence of teaching apical patency and various instrumentation and obturation techniques in United States dental schools. J Endod 1997; 23 (06) 394-396
  • 22 Izu KH, Thomas SJ, Zhang P, Izu AE, Michalek S. Effectiveness of sodium hypochlorite in preventing inoculation of periapical tissues with contaminated patency files. J Endod 2004; 30 (02) 92-94
  • 23 Vera J, Arias A, Romero M. Dynamic movement of intracanal gas bubbles during cleaning and shaping procedures: the effect of maintaining apical patency on their presence in the middle and cervical thirds of human root canals-an in vivo study. J Endod 2012; 38 (02) 200-203
  • 24 Arora M, Sangwan P, Tewari S, Duhan J. Effect of maintaining apical patency on endodontic pain in posterior teeth with pulp necrosis and apical periodontitis: a randomized controlled trial. Int Endod J 2016; 49 (04) 317-324
  • 25 Ustun Y, Aslan T, Sagsen B, Kesim B. The effects of different nickel-titanium instruments on dentinal microcrack formations during root canal preparation. Eur J Dent 2015; 9 (01) 41-46
  • 26 AlRahabi M. Attitudes of general practice dentists in private dental clinics in Almadinah Almunawarah toward novel endodontic technologies. G Ital Endod 2016; 30: 10-13
  • 27 Alrahabi M, Alkady A. Comparison of the shaping ability of various nickel-titanium file systems in simulated curved canals. Saudi Endod J 2017; 7: 97-101
  • 28 Özyürek T. Cyclic fatigue resistance of Reciproc, WaveOne, and WaveOne Gold nickel-titanium instruments. J Endod 2016; 42 (10) 1536-1539
  • 29 Berutti E, Chiandussi G, Paolino DS. et al. Canal shaping with WaveOne Primary reciprocating files and ProTaper system: a comparative study. J Endod 2012; 38 (04) 505-509
  • 30 Plotino G, Grande NM, Cotti E, Testarelli L, Gambarini G. Blue treatment enhances cyclic fatigue resistance of vortex nickel-titanium rotary files. J Endod 2014; 40 (09) 1451-1453
  • 31 Blacher JD, Safavi KE, Aseltine RH, Kaufman BM. Defining endodontic residents’ clinical experiences: a national survey. JDE 2019; 83 (05) 504-509
  • 32 Bryce G, MacBeth N, Gulabivala K, Ng YL. The efficacy of supplementary sonic irrigation using the EndoActivator system determined by removal of a collagen film from an ex vivo model. Int Endod J 2018; 51 (04) 489-497
  • 33 Bolles JA, He J, Svoboda KK, Schneiderman E, Glickman GN. Comparison of vibringe, endoactivator, and needle irrigation on sealer penetration in extracted human teeth. J Endod 2013; 39 (05) 708-711
  • 34 Morago A, Ordinola-Zapata R, Ferrer-Luque CM. Baca P, Ruiz-Linares M, Arias-Moliz MT. Influence of smear layer on the antimicrobial activity of a sodium hypochlorite/etidronic acid irrigating solution in infected dentin. J Endod 2016; 42 (11) 1647-1650
  • 35 Kuçi A, Alaçam T, Yavaş O, Ergul-Ulger Z, Kayaoglu G. Sealer penetration into dentinal tubules in the presence or absence of smear layer: a confocal laser scanning microscopic study. J Endod 2014; 40 (10) 1627-1631
  • 36 Shetty V, Hegde P, Chauhan RS, Chaurasia VR, Sharma AM, Taranath M. A spectro photometric comparative evaluation of apical sealing ability of three different sealers; calcium hydroxide based, resin based and zinc oxide eugenol based sealers. J Int Oral Health 2015; 7 (02) 25-27
  • 37 Singh G, Gupta I, Elshamy FM, Boreak N, Homeida HE. In vitro comparison of antibacterial properties of bioceramic-based sealer, resin-based sealer and zinc oxide eugenol based sealer and two mineral trioxide aggregates. Eur J Dent 2016; 10 (03) 366-369
  • 38 Wang Z, Shen Y, Haapasalo M. Dentin extends the antibacterial effect of endodontic sealers against Enterococcus faecalis biofilms. J Endod 2014; 40 (04) 505-508
  • 39 Candeiro GTM, Moura-Netto C, D’Almeida-Couto RS. et al. Cytotoxicity, genotoxicity and antibacterial effectiveness of a bioceramic endodontic sealer. Int Endod J 2016; 49 (09) 858-864
  • 40 Tuğ Kılkış B, Er K, Taşdemir T. et al. Neurotoxicity of various root canal sealers on rat sciatic nerve: an electrophysiologic and histopathologic study. Clin Oral Investig 2015; 19 (08) 2091-2100
  • 41 Ricucci D, Rôças IN, Alves FR, Loghin S, Siqueira JF. Jr Apically extruded sealers: fate and influence on treatment outcome. J Endod 2016; 42 (02) 243-249
  • 42 Sari S, Durutűrk L. Radiographic evaluation of periapical healing of permanent teeth with periapical lesions after extrusion of AH Plus sealer. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104 (03) e54-e59
  • 43 Chakar S, Changotade S, Osta N, Khalil I. Cytotoxic evaluation of a new ceramic-based root canal sealer on human fibroblasts. Eur J Dent 2017; 11 (02) 141-148