학술논문

Global survey of endodontic practice and adoption of newer technologies.
Document Type
Article
Source
International Endodontic Journal. Dec2023, Vol. 56 Issue 12, p1517-1533. 17p.
Subject
*CONE beam computed tomography
*ENDODONTICS
*GRADUATE students
Language
ISSN
0143-2885
Abstract
Aim: To investigate current endodontic practices, adoption of technologies and continuing education attendance within specialist endodontic practice globally and to identify geographic trends. Methodology: A web‐based survey of endodontic association members in Australia, Britain, Canada, Italy, New Zealand and the USA on routine treatment preferences, armamentarium and education attendance was conducted. Chi‐squared, independent sample t‐tests, Cochran's Q test and McNemar's test were performed. Results: The survey was completed by 543 endodontists or endodontic post‐graduate students. Almost all respondents used the dental operating microscope (DOM, 91.3%), engine‐driven nickel–titanium instruments (NiTi, 97.6%), electronic apex locators (EAL, 93.0%), cone‐beam computed tomography (CBCT, 91.2%) and calcium silicate‐based materials (CSBMs, 93.7%). Dental dam was always used by 99.1%. Over half used irrigation adjuncts (81.8%), warm vertical compaction (74.6%) and heat‐treated NiTi (60.2%). Geographic comparison between AP (Asia–Pacific, n = 78), AM (Americas, n = 402) and EM (Europe and Middle East, n = 63) was performed. AM and EM preferred single‐visit treatment more (p <.001) and used higher sodium hypochlorite concentrations than AP. AM had more access to CBCT in the workplace (86.6%) than AP (65.4%, p <.001) and used CBCT for routine preoperative assessment (39.6%) more than EM (7.3%, p <.001). Almost all of EM used irrigation adjuncts (95.2%), more than AM (78.1%, p =.001). AP used steroid/antibiotic medicaments most (p <.001) and had the highest attendance at continuing education programmes. Conclusion: Several endodontic‐specific armamentaria have reached almost complete adoption within global specialist endodontic practice, whilst the continued uptake of newer technologies should be followed over time. Some practising philosophies varied significantly across different geographic regions. [ABSTRACT FROM AUTHOR]