Alzamzami Ziyad T, Alqurashi Assalah A, Almansour Lolo A, Ashi Heba M, Abulhamael Ayman M, Alghamdi Faisal T, Albahiti Maysoon T
Endodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, SAU.
Dental Services, King Fahad Armed Forces Hospital, Jeddah, SAU.
Cureus. 2022 Dec 3;14(12):e32168. doi: 10.7759/cureus.32168. eCollection 2022 Dec.
Introduction Chemical irrigation is a crucial component of endodontic therapy, and irrigation adjuncts increase the efficiency of non-surgical root canal system disinfection, reduce microbial loads, and enhance the penetration of irrigants throughout the root canal system. This study aimed to determine the current trends in chemical irrigation and its adjunct use during root canal therapy by general dental practitioners (GDPs) and endodontic specialists in both government and private sectors in the city of Jeddah, Saudi Arabia. Methods This cross-sectional study used a self-administered survey sent to GDPs and endodontic specialists in both government and private sectors in the city of Jeddah, Saudi Arabia. Responses were accepted from November 2019 till May 2020. The survey was randomly distributed to consenting participants. The results are presented using descriptive statistics. Results A total of 302 participants responded to the survey, with a 44% response rate. The majority of responses were from GDPs (54%), while 46% were from endodontic specialists. Regarding the workplace, 59% of respondents were public sector professionals, 25% were private sector professionals, and 16% were both public and private sector professionals. Around 30% of the respondents used sodium hypochlorite (NaOCI) as their primary irrigation solution during root canal treatment, with 52% using it at its full-strength concentration and 18% and 17% preferring to use it in combination with Ethylenediaminetetraacetic acid (EDTA) only or EDTA and saline, respectively. When asked to rank the reasons for choosing their irrigant of choice during therapy; antibacterial capability and tissue dissolution were the most crucial factors to 80% and 57% of participants, respectively. Half of the respondents irrigated the canal to 2 mm from the apex and 21% irrigated to 1 mm from the apex. Three-quarters of participants aimed to remove the smear layer during root canal treatment. Only 47% of respondents used adjuncts to irrigation, and 71% reported that their choice of irrigation solution would differ depending on whether the apex is open or closed. Conclusion Most respondents used full-strength NaOCI concentration as the main irrigation solution and routinely removed the smear layer during root canal treatment. Only 47% of respondents used irrigation adjuncts such as ultrasonics.
引言 化学冲洗是根管治疗的关键组成部分，冲洗辅助剂可提高非手术根管系统消毒的效率，减少微生物负荷，并增强冲洗剂在整个根管系统中的渗透。本研究旨在确定沙特阿拉伯吉达市公立和私立部门的普通牙科医生（GDPs）和牙髓病专家在根管治疗期间化学冲洗及其辅助剂使用的当前趋势。
方法 本横断面研究采用自行填写的调查问卷，发送给沙特阿拉伯吉达市公立和私立部门的GDPs和牙髓病专家。2019年11月至2020年5月接受回复。调查问卷随机分发给同意参与的参与者。结果采用描述性统计呈现。
结果 共有302名参与者回复了调查问卷，回复率为44%。大多数回复来自GDPs（54%），而46%来自牙髓病专家。关于工作场所，59%的受访者是公共部门专业人员，25%是私营部门专业人员，16%是公共和私营部门专业人员。约30%的受访者在根管治疗期间使用次氯酸钠（NaOCI）作为主要冲洗液，52%以其全强度浓度使用，18%和17%分别倾向于仅将其与乙二胺四乙酸（EDTA）或EDTA和盐水联合使用。当被要求对治疗期间选择冲洗液的原因进行排序时；抗菌能力和组织溶解分别是80%和57%的参与者认为的最关键因素。一半的受访者将根管冲洗至距根尖2毫米处，21%冲洗至距根尖1毫米处。四分之三的参与者旨在在根管治疗期间去除玷污层。只有47%的受访者使用冲洗辅助剂，71%报告说他们选择的冲洗液会因根尖是否开放而不同。
结论 大多数受访者使用全强度NaOCI浓度作为主要冲洗液，并在根管治疗期间常规去除玷污层。只有47%的受访者使用超声等冲洗辅助剂。
