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An international survey on the use of calcium silicate-based sealers in non-surgical endodontic treatment

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Abstract

Objectives

To gain insight on the current clinical usage of bioceramic root canal sealers (BRCS) by general dental practitioners (GDPs) and endodontic practitioners (EPs) and to determine if BRCS clinical application is in accordance with the best available evidence.

Material and methods

An online questionnaire of 18 questions addressing BRCS was proposed to 2335 dentists via a web-based educational forum. Participants were asked about socio-demographic data, clinical practice with BRCS, and their motivation for using BRCS. Statistical analysis (chi-squared test or Fisher’s exact test) was applied, as appropriate, to assess the association between the variable categories (p value < 0.05).

Results

The response rate was 28.91%. Among respondents, 94.8% knew BRCS (EPs more than GDPs, p < 0.05) and 51.70% were using BRCS. The primary reason for using BRCS was their belief of its improved properties (87.7%). Among BRCS users, single-cone technique (SCT) was the most employed obturation method (63.3%) which was more applied by GDPs (p < 0.05); EPs utilized more of the thermoplasticized obturation techniques (p < 0.05). A proportion of 38.4% of BRCS users indicated the usage of SCT with BRCS regardless of the root canal anatomy (GDPs more than EPs p < 0.05) and 55.6% considered that BRCS may influence their ability to re-establish apical patency during retreatment (GDPs more than EPs p < 0.05).

Conclusions

This study highlights wide variation in the clinical use of BRCS which is not in accordance with the current literature.

Clinical relevance

This inconsistency among EPs and GDPs on BRCS clinical application requires further clarifications to better standardize their use and improve their future evaluation.

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Author information

Authors and Affiliations

  1. Aix Marseille Univ, EFS/CNRS, ADES, Marseille, France; APHM, Hôpital Timone, Service d’Odontologie, 13005, Marseille, France

    M. Guivarc’h

  2. Aix Marseille Univ, CNRS, ISM, Inst Movement Sci, Marseille, France

    C. Jeanneau & I. About

  3. Aix Marseille Univ, CNRS, ISM, Inst Movement Sci, Marseille, France; APHM, Hôpital Timone, Service d’Odontologie, Marseille, France

    T. Giraud & Frédéric Bukiet

  4. Faculté d’odontologie de Marseille, Assistance Publique des Hôpitaux de Marseille, 27 Bd Jean-Moulin, 13385, Marseille, France

    L. Pommel

  5. Department of Periodontics & Endodontics, School of Dental Medicine, University at Buffalo, Buffalo, NY, USA

    A.A. Azim

Authors
  1. M. Guivarc’h
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  2. C. Jeanneau
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  3. T. Giraud
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  4. L. Pommel
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  5. I. About
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  6. A.A. Azim
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  7. Frédéric Bukiet
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Corresponding author

Correspondence to Frédéric Bukiet.

Ethics declarations

Conflict of interest

Dr. Maud Guivarc’h declares that she has no conflict of interest. Dr. Charlotte Jeanneau declares that she has no conflict of interest. Dr. Thomas Giraud declares that he has no conflict of interest. Dr. Ludovic Pommel declares that he has no conflict of interest. Prof Imad About declares that he has no conflict of interest. Dr. Adham A Azim declares that he has no conflict of interest. Prof Frédéric Bukiet declares that he has no conflict of interest.

Ethical approval

This survey was approved by the Ethics Committee of Aix-Marseille University, France (reference 2018-06-02-002).

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Guivarc’h, M., Jeanneau, C., Giraud, T. et al. An international survey on the use of calcium silicate-based sealers in non-surgical endodontic treatment. Clin Oral Invest 24, 417–424 (2020). https://doi.org/10.1007/s00784-019-02920-1

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  • DOI: https://doi.org/10.1007/s00784-019-02920-1

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