Lee Michelle, Winkler Johnathon, Hartwell Gary, Stewart Jeffrey, Caine Rufus
Department of Endodontics, UMDNJ, Newark, New Jersey 07103, USA.
J Endod. 2009 Jan;35(1):35-9. doi: 10.1016/j.joen.2008.10.007.
The current clinical practice of endodontics includes the utilization of a variety of new technological advances and materials. The last comprehensive survey that compared treatment modalities used in endodontic practices was conducted in 1990. The purpose of the current survey was to determine the frequency with which these new endodontic technologies and materials are being used in endodontic practices today. An e-mail questionnaire was sent to the 636 active diplomates of the American Board of Endodontics with current e-mail addresses. Two hundred thirty-two diplomates responded for a response rate of 35%. Calcium hydroxide was found to be the most frequently used intracanal medicament for all cases diagnosed with necrotic pulps. Ibuprofen was the most frequently prescribed medication for pain, and penicillin was the most frequently prescribed antibiotic when an active infection was present. Eighty-two percent of the respondents are still incorporating hand files in some fashion during the cleansing and shaping phase of treatment. Lateral condensation and continuous wave were the most common methods used for obturation. Digital radiography was reported as being used by 72.5% of the respondents, whereas 45.3% reported using the microscope greater than 75% of the patient treatment. Ultrasonics was used by 97.8% of the respondents. It appears from the results that new endodontic technology is currently being used in the endodontic offices of those who responded to the survey.
当前牙髓病学的临床实践包括使用各种新的技术进步和材料。上一次比较牙髓病治疗方式的全面调查是在1990年进行的。本次调查的目的是确定这些新的牙髓病技术和材料在当今牙髓病治疗中的使用频率。向美国牙髓病学委员会636名有当前电子邮件地址的在职专科医师发送了电子邮件问卷。232名专科医师回复，回复率为35%。发现氢氧化钙是所有诊断为牙髓坏死病例中最常用的根管内药物。布洛芬是最常开具的止痛药物，当存在活动性感染时，青霉素是最常开具的抗生素。82%的受访者在治疗的清洁和塑形阶段仍以某种方式使用手动锉。侧方加压和连续波是最常用的充填方法。72.5%的受访者报告使用数字放射摄影，而45.3%的受访者报告在超过75%的患者治疗中使用显微镜。97.8%的受访者使用超声。从结果来看，新的牙髓病技术目前正在参与调查的牙髓病诊所中使用。
