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Abstract：
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.
摘要：
化学灌洗是牙髓治疗的重要组成部分，和辅助冲洗提高了非手术根管系统消毒的效率，减少微生物负荷，并增强灌洗剂在整个根管系统中的渗透。这项研究旨在确定吉达市政府和私营部门的普通牙科医生（GDPs）和牙髓专家在根管治疗期间化学冲洗及其辅助使用的当前趋势，沙特阿拉伯。方法这项横断面研究使用了一项自我管理的调查，该调查发送给吉达市政府和私营部门的GDP和牙髓专家，沙特阿拉伯。从2019年11月至2020年5月接受回复。调查随机分配给同意的参与者。结果使用描述性统计呈现。结果共有302名参与者回答了调查,44％的反应率。大多数回答来自GDP（54%），而46%来自牙髓专家。关于工作场所,59%的受访者是公共部门的专业人士，25%是私营部门的专业人士，16%是公共和私营部门的专业人士。大约30％的受访者在根管治疗期间使用次氯酸钠（NaOCI）作为主要的冲洗溶液，52％的人在其全强度浓度下使用它，18％和17％的人更喜欢将其与乙二胺四乙酸（EDTA）或EDTA和盐水组合使用，分别。当被问及在治疗期间选择他们选择的冲洗剂的原因时，抗菌能力和组织溶解是80%和57%参与者的最关键因素，分别。一半的受访者将运河灌溉至距顶点2毫米，而21％的受访者将运河灌溉至距顶点1毫米。四分之三的参与者旨在在根管治疗期间去除涂抹层。只有47%的受访者使用灌溉助剂，71％的人报告说，他们对灌溉溶液的选择会根据顶点是打开还是关闭而有所不同。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涂抹层。只有47％的受访者使用了超声波等灌溉辅助手段。
