Root Canal Irrigation Trends When Using Sodium Hypochlorite: A Nationwide Survey Amongst Indian Dentists.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Introduction. It is a well known fact that microorganisms either remaining in the root canal space after endodontic therapy or recolonizing the canal system post-therapy are the main cause of endodontic failure. While most practitioners spend a great deal of time on shaping procedures, not much emphasis is paid on irrigation. There is a great deal of confusion regarding the choice of irrigant, methods and protocols followed during irrigation of the canal systems. The purpose of the current survey was to find the various irrigation techniques and protocols followed by practitioners nationwide and discuss sodium hypochlorite as an irrigant. Methodology: An anonymous questionnaire with ten questions covering all aspects of irrigation protocols pertaining to sodium hypochlorite was formulated using google forms® (http://docs.google.com/forms) and was sent to the intended participants across different platforms like whatsapp® , facebook® and email, responses to which were duly noted. Results. We received 818 responses giving us a response rate of 40.9%. Majority of practitioners who took the survey were general dentists. A total of 45.7% of dentists said they used 5.25% sodium hypochlorite as their irrigant of choice, and 67.7% of the respondents said they stored the irrigant in its original container. 59.2% of the dentists taking the survey used side vented needles for the purpose of irrigation. 56.2% of the respondents claimed to use 5ml of irrigant per canal. When questioned regarding the adjuncts used for irrigation 43.8% dentists said they used Manual Dynamic Agitation Technique for agitation. When questioned regarding the most common complication witnessed, 61.5% dentists complained of damaged clothing. 62.4% of the practitioners said they used sodium hypochlorite in retreatment cases. Conclusion. Dental practitioners in the country use sodium hypochlorite with a majority of them preferring 5.25% concentration as a primary irrigant. Also, during retreatment cases most of them use sodium hypochlorite which calls for attention. The major complications witnessed by the dentists were damaged clothing
Authors and Affiliations
Urvashi Sunil Keswani, Ajinkya Mansingh Pawar
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