head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue4
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2022284.4704
Published online: 29 November 2022

Original article
J of IMAB. 2022 Oct-Dec;28(4):4704-4710
Jasmina MironovaORCID logo Corresponding Autoremail, Elka RadevaORCID logo,
Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria.

Introduction: The endodontic therapy is performed with appropriate preparation techniques, irrigation solutions and intracanal medications, with the aim of eliminating residual microorganisms.
The purpose of the survey is to evaluate the level of awareness and clinical use of intracanal medicaments, and ways to remove them among dentists.
Material and methods: The subject of the survey is the opinion of 249 dentists with different work experience and work orientations. Questions to identify the most commonly used intracanal medicaments in the course of endodontic treatment by general dentists are included. Identify the clinical situations in which they are most commonly used, as well as the preferred techniques and solutions for their elimination. The data were processed with the statistical software IBM SPSS Statistics 26.
The results of the survey show that most of the respondents practice general dentistry and 98% of the respondents use intracanal medications in their practice. The most commonly used intracanal medicament is calcium hydroxide in single and combined form, 49% and 75%, respectively. According to 96.7%, medications affect the healing process. Syringe and needle irrigation with 2-5.25% NaOCI is one of the most commonly used methods for removing intracanal medicaments (96.3%). 74% of the respondents have difficulties in removing intracanal medicaments.
Conclusion: Based on their clinical experience, respondents indicated that they have difficulty in the complete removal of intracanal medicaments, and half of them believe that not all methods for their removal are available. At the same time, the respondents point out that the incomplete removal of intracanal drugs affects the adhesion of the canal filling material to the walls of the root canal.

Keywords: intracanal medicaments, survey, techniques for intracanal medicaments removing,

pdf - Download FULL TEXT /PDF 1188 KB/
Please cite this article as: Mironova J, Radeva E. A questionnaire survey among dentists on the use of intracanal medicaments in orthograde endodontic treatment. J of IMAB. 2022 Oct-Dec;28(4):4704-4710. DOI: 10.5272/jimab.2022284.4704

Corresponding AutorCorrespondence to: Assist. Prof. Jasmina Mironova, Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University –Sofia; 17. Vrabcha Str., 1st floor, Sofia, Bulgaria; E-mail: jmironova@abv.bg

1. Savitha A, SriRekha  A, Vijay R, Ashwija, Champa C, Jaykumar T. An in vivo comparative evaluation of antimicrobial efficacy of chitosan, chlorhexidinegluconate gel and their combination as an intracanal medicament against Enterococcus faecalis in failed endodontic cases using real-time polymerase chain reaction (qPCR). Saudi Dental J. 2019; 31, 360–366. [PubMed]
2. Mironova J, Radeva E. Factors affecting removal efficiency of intracanal medicaments-a literature review. IJSR. 2021 Jun;10(6):301-304. [Internet]
3.  Mironova J, Radeva E. Removal of Intracanal Medicaments. Dental medicine.  2020(1): 63-70 (in Bulgarien)
4. Albuquerque MTP, Silva JV, Poppe DJO, Santos CS, Santos TP, Münchow EA, et al. Endodontic Tendencies in a Very-Low-Income Population Area of Northeastern Brazil. Int J Dent. 2019 Sep 5;2019:9543593. [PubMed]
5. Madarati A, Zafar M,  Sammani A, Mandorah A, Bani-Younes H. Preference and usage of intracanal medications during endodontic treatment. Saudi Med J. 2017 Jul;38(7):755-763. [PubMed]
6. Jernström C, Svanelind E. General dental practitioners’ experience of endodontic treatment, difficulties and barriers. A survey study. umu.diva-portal.org. 28 Jan.2021. [Internet]
7. Topkara C, Özyürek T,  Demiryürek E,  Bursalı T,  Özler M.  Attitudes, materials, and methods preferred in root canal treatment in Turkey: a survey. Turk Endod J. 2017; 2(2):31-37. [Crossref]
8. Fuladi K, Shenoi P, Badole G, Khode R, Edbor P. To assess the predominant protocol for contemporary endodontic practices among endodontists in central India. Int J Sci Res.2019 Jan;8(1):26-28. 
 9. Lodhi S,  Ehsan S, Rafique A, Saleem M.Trends in Endodontic Protocols Amongst Dentists in Lahore. JPDA. 2020 Oct-Dec;29(4):239-245. [Crossref]
10. Zaugg LK, Savic A, Amato M, Amato J, Weiger R, Connert T. Endodontic Treatment in Switzerland. A National Survey. Swiss Dent J.2019 Dec 23;130(1):18-29. [PubMed]
11. Alserhan MA,  Alzahrani AH,  Alzahrani AS,  Alzahrani SS.  Awareness and endodontic clinical practice of the general dental practitioners in Albaha region. Saudi Endod J. 2021 May-Aug;11(2):202-13. [Internet]
12.   Kayastha P,  Shakya M, Shrestha L. Survey of standard protocols for endodontic treatment in Chitwan, Nepal. JCMC. 2021 Apr-Jun;11(36):7-14. [Crossref]
13. Mandorah AO, Aljohani MA, Moria GA, Sheayria MF, Alsulami MF, Alzahrani KT. Difficulties concerning endodontic non-surgical root canal treatment steps in Kingdom of Saudi Arabia. Ann Dent Spec. 2020 Oct-Dec;8(4): [Internet]
14. Basudan SO, Alghamdi SH,  Alsultan HS. Effect of case diagnosis and professional training on endodontic irrigant selection. Saudi Endod J. 2018 Sep-Dec;8(3):196-201. [Interneta]

Received: 07 March 2022
Published online: 29 November 2022

back to Online Journal