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VOLUME 20 , ISSUE 3 ( March, 2019 ) > List of Articles


Dentists’ Knowledge, Attitude and Practice of Root Canal Treatment Procedure: Survey-based Research

Talal Al-Nahlawi, Mazen Doumani, Hamza AA Alalo, Adnan Habib

Keywords : Calcium hydroxide, General dental practitioners, Questionnaire, Root canal treatment, Rubber dam, Syria

Citation Information : Al-Nahlawi T, Doumani M, Alalo HA, Habib A. Dentists’ Knowledge, Attitude and Practice of Root Canal Treatment Procedure: Survey-based Research. J Contemp Dent Pract 2019; 20 (3):347-354.

DOI: 10.5005/jp-journals-10024-2521

License: CC BY-NC 4.0

Published Online: 01-05-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Aim: The aim of this survey was to assess the dentists’ knowledge, attitude and practice of endodontic treatment procedures and materials in Damascus city (capital of Syria), and the effect of endodontic specialty and years of experience on the survey findings. Materials and methods: Two hundred direct contacts (25 multiple-choice questions containing) questionnaires were distributed to randomly selected dentists practicing in Damascus city in 11 different areas, and a questionnaire contained questions regarding dentists’ knowledge, attitude, and practice of root canal treatment procedure. The collected data were entered into a personal computer and analyzed using the statistical package for the social sciences (SPSS), 25 edition. Results: One hundred eighty-eight questionnaires were collected with a 94% response rate. About 71.8% were general dental practitioners (GDPs), 25.5% were not practicing molar endodontics, and only 5.3% were referring difficult cases to endodontists. 32.4% and 21.8% of respondents were practicing vital and necrotic single visit root canal treatment, respectively. Only 6.9% were using rubber dam isolation, and more than half of the respondents used the standardized preparation technique. Non-setting calcium hydroxide was used 100% as an intra-canal medicament during necrotic root canal treatment sessions.96.3% of our respondents prefer delaying final restoration to next visit for symptoms disappearance. Conclusion: It was evident that more practicing experience does not improve treatment options selections of endodontic treatment. So the continuous educational programs are a very important way to change the old or wrong concepts in dental offices. Clinical significance: The sample covered a large number of dentists who are working in Damascus; the most developed place in Syria. It is also considered that for carrying out such kind of surveys as long as the dentists are familiar with this type of studies.

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  1. Palmer NO, Ahmed M, Grieveson B. An investigation of current endodontic practice and training needs in primary care in the north west of England. Br Dent J. 2009 Jun 13; 206(11):E22; discussion 584-585.
  2. Sjogren U, Hagglund B, Sundqvist G, et al. Factors affecting the long-term results of endodontic treatment. Journal of Endodontics. 1990;10:498-503.
  3. Eriksen HM. Endodontology – epidemiologic considerations. Endodontics and Dental Traumatology. 1991; 7, 189-195.
  4. Sánchez-Torres A, Sánchez-Garcés MA, Gay-Escoda C. Materials and prognostic factors of bone regeneration in periapical surgery: A systematic review. Med Oral Patol Oral Cir Bucal. 2014 Mar 8. (Epub ahead of print).
  5. American Association of Endodontics. Appropriateness of Care and Quality Assurance Guidelines. 1994.
  6. European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. International Endodontic Journal, Int Endod J. 2006 Dec;39(12):921-930.
  7. Peciuliene V, Maneliene R, Drukteinis S, et al. Attitudes of general dental practitioners towards endodontic standards and adoption of new technology: literature review. Stomatologija. 2009;11(1):11-14.
  8. Bjørndal L, Reit C. The adoption of new endodontic technology amongst Danish general dental practitioners. Int Endod J 2005;38:52-58.
  9. Weiger R, Axmann-Kremar D, Lost C. Prognosis of conventional root canal treatment reconsidered. Endod Dent Traumatol. 1998;14:1-9.
  10. Slaus G, Bottengerg P. A survey of endodontic practice amongst Flemish dentists. Int Endod J. 2002;35:759-767.
  11. Whitten BH, Gardiner DL, Jeansonne BG, Lemon RR. Current trends in endodontic treatment: report of a national survey. J Am Dent Assoc. 1996;127:133-141.
  12. Jenkins SM, Hayes SJ, Dummer PM. A study of endodontic treatment carried out in dental practice within the UK. Int Endod J. 2001;34:16-22.
  13. Al-Fouzan KS. A survey of root canal treatment of molar teeth by general dental practitioners in private practice in Saudi Arabia. Saudi Dent J. 2010 Jul;22(3):113-117.
  14. Al-Omari WM. Survey of attitudes, materials and methods employed in endodontic treatment by general dental practitioners in North Jordan. BMC Oral Health. 2004 Sep 10;4(1):1.
  15. Ahmed MF, Elseed AI, Ibrahim YE. Root canal treatment in general practice in Sudan. Int Endod J. 2000 Jul;33(4):316- 319.
  16. Unal GC, Kaya BU, Tac AG, et al. Survey of attitudes, materials and methods preferred in root canal therapy by general dental practice in Turkey: Part 1. Eur J Dent. 2012 Oct;6(4):376- 384.
  17. Udoye CI, Sede MA, Jafarzadeh H, et al. A survey of endodontic practices among dentists in Nigeria. J Contemp Dent Pract. 2013 Mar 1;14(2):293-298.
  18. Peciuliene V, Rimkuviene J, Aleksejuniene J, et al. Technical aspects of endodontic treatment procedures among Lithuanian general dental practitioners. Stomatologija. 2010;12(2):42-50.
  19. Alafif H, Impact of the quality of coronal restoration and root canal filling on the periapical health in adult Syrian subpopulation, Indian Journal of Dentistry. 2014; Apr-Jun; 5(2):75-80.
  20. De Cleen MJH, Schuurs AHB, Wesselink PR, et al. Periapical status and prevalence of endodontic treatment in an adult Dutch population. International Endodontic Journal. 1993;26,112-119.
  21. Ravanshad S, Sahraei S, Khayat A. Survey of Endodontic Practice amongst Iranian Dentists Participating Restorative Dentistry Congress in Shiraz, Iran Endod J. November 2007. 2008 Winter;2(4):135-142.
  22. Gatewood RS, Himel VT, Dorn SO. Treatment of the endodontic emergency: a decade later. J Endod 1990, 16:284-291.
  23. Koshy S, Chandler NP. Use of rubber dam and its association with other endodontic procedures in New Zealand. N Z Dent J. 2002;98:12-16.
  24. Gupta R, Rai R. The adoption of new endodontic technology by Indian dental practitioners: a questionnaire survey. J Clin Diagn Res. 2013 Nov;7(11):2610-2614.
  25. Koch M, Eriksson HG, Axelsson S, et al. Effect of educational intervention on adoption of new endodontic technology by general dental practitioners: a questionnaire survey. Int Endod J 2009;42:313-321.
  26. Lee M, Winkler J, Hartwell G, et al. Current trends in endodontic practice: emergency treatments and technological armamentarium. J Endod. 2009;35(1):35-39.
  27. Elham FG, Sedigheh Z. The use of instruments by Iranian endodontics and general practioners. Open Dent J. 2012; 6: 105-110.
  28. Chong BS, Pitt Ford TR. The role of intra-canal medication in root canal treatment. Int Endod J 1992, 25:97-106.
  29. Spangberg I. Intracanal medication. In Endodontics 4th edition. Edited by: Malvern PA. USA: Williams and Wilkins; 1994:627-640.
  30. Molander B. Panoramic radiography in dental diagnostics. Swed Dent J Suppl. 1996;119:1-26.
  31. Udoye CI, Sede MA, Jafarzadeh H, et al. A survey of endodontic practices among dentists in Nigeria. J Contemp Dent Pract. 2013 Mar 1;14(2):293-298.
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