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Original Article

ECB. 2022; 11(6): 107-117


KNOWLEDGE, ATTITUDE AND PRACTICE AMONG SPECIALISTS ON ROTARY ENDODONTIC INSTRUMENTATION

Shamly M, Sindhu Ramesh.




Abstract

Introduction: Nickel–titanium (NiTi) rotary devices have greatly enhanced the quality of root canal cleaning and
shaping over the last two decades because of its superelasticity. This makes them more suitable for effective instrumentation. The
purpose of this study is to determine the level of awareness and current state of knowledge among specialists regarding rotary
endodontic instrumentation. Methodology: An online survey of endodontists was conducted to determine their skills, attitudes,
and understanding of rotary instrumentation. A total of 20 questions were included in the survey, including open-ended and closedended questions about use, favourite brand, and properties. Data was collected from each participant based on their clinical
experience with the rotary systems in order to get insight into the thoughts of endodontists and ideas about the current technology
of rotary NiTi equipment.Statistical analysis: Data were subjected to appropriate statistical measures and analyzed. Results:
According to the survey, 39.3 percent of endodontists prefer both manual and rotary instrumentation in their practice, while 32.7
percent prefer only rotary instrumentation, and the key drawbacks for rotary endodontic instrumentation are file fracture (51.9
percent) and excess dentin removal (32.7 percent). Overuse was cited by 43.9 percent of endodontists as the primary cause of rotary
Ni-Ti file separation, while complex root canal anatomy was cited by 21.5 percent. The occurrence of file separation can be reduced
by using a handpiece with speed and torque control, according to 83.2 percent of respondents. In addition, 46.7 percent said that
proper irrigation protocol helps to avoid file separation.ProTaper was chosen by 30.4 percent of endodontists as their favourite
rotary file brand. Conclusion: Even though file fracture was a common occurrence among respondents, endodontists continued to
use rotary instrumentation. According to the findings of this study, endodontists' implementation of new endodontic technology,
as well as proper protocols and procedures, has significantly contributed to the progress of endodontic care by improving quality
and reducing procedural errors.

Key words: Ni-Ti, rotary instrumentation, file separation, root canal anatomy, quality of life, knowledge






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