Al-Fouzan Khalid S
Dental Services Department, Head Section of Endodontic Department #1243, King Abdulaziz Medical City, P.O. Box 22490, Riyadh 11426, Saudi Arabia.
Saudi Dent J. 2010 Jul;22(3):113-7. doi: 10.1016/j.sdentj.2010.04.003. Epub 2010 Apr 14.
The purpose of this study was to evaluate the practice and depth of knowledge of root canal treatment by general dental practitioners working in private dental centers in different cities within the Kingdom of Saudi Arabia. A questionnaire was distributed to 400 general dental practitioners. Completed questionnaires were analyzed in term of simple summary statistics. A total of 252 (63%) practitioners responded. The majority of the respondents were Syrians (59%) and Egyptians (32%). Ninety-one per cent of the respondents indicated that they performed root canal treatment. Amongst those who carried out root canal treatment, only seven practitioners (3%) used rubber dam for isolation. More than half of the respondents (55%) used saline to irrigate canals during treatment. Forty-six per cent of practitioners used formocresol as an inter appointment medicament. The standardized and step-back preparation techniques were the method of choice for the majority of the respondents (91%). Ninety-seven per cent of the practitioners used stainless steel hand instruments to prepare root canals and the majority (92%) used gutta-percha for obturation. Seventy-four per cent of the respondent used cold lateral condensation. The average number of radiographs routinely taken for root canal treatment was four. Ninety-three per cent indicated that they usually completed a root canal treatment of molar teeth in three or more visits. Eighty-eight per cent of the practitioners preferred waiting for 1 or 2 weeks to restore the teeth permanently. Results of this study confirm that many general dental practitioners are not following quality guidelines for endodontic treatment.
本研究的目的是评估在沙特阿拉伯王国不同城市的私立牙科中心工作的普通牙科医生进行根管治疗的实践情况和知识深度。向400名普通牙科医生发放了问卷。对填写完整的问卷进行了简单汇总统计分析。共有252名(63%)医生做出了回应。大多数受访者是叙利亚人(59%)和埃及人(32%)。91%的受访者表示他们进行根管治疗。在进行根管治疗的医生中,只有7名医生(3%)使用橡皮障进行隔离。超过一半的受访者(55%)在治疗期间使用生理盐水冲洗根管。46%的医生使用甲醛甲酚作为复诊间封药。标准化和逐步后退预备技术是大多数受访者(91%)的首选方法。97%的医生使用不锈钢手动器械预备根管,大多数(92%)使用牙胶进行充填。74%的受访者使用冷侧向加压充填法。根管治疗常规拍摄的X线片平均数量为4张。93%的受访者表示他们通常需要三次或更多次就诊才能完成磨牙的根管治疗。88%的医生倾向于等待1至2周后再进行牙齿的永久修复。本研究结果证实,许多普通牙科医生未遵循牙髓治疗的质量指南。