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Updated: May 4, 2026

Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
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Do general dental practitioners leave teeth on 'open drainage'?

S Eliyas1,2, M W Barber3, I Harris2

  • 1Head and Neck Rehabilitation Fellow in Restorative Dentistry, Central Manchester University Hospitals NHS Foundation Trust, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Aintree University Hospitals NHS Foundation Trust.

British Dental Journal
|December 21, 2013
PubMed
Summary

Many general dental practitioners still use open drainage for endodontic treatment, despite a lack of evidence-based guidelines. Further research is needed to establish clear, evidence-based recommendations for this dental practice.

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Area of Science:

  • Dentistry
  • Endodontics
  • Evidence-Based Practice

Background:

  • The use of evidence-based dentistry is crucial for tailoring dental education and practice.
  • The specific practice of 'open drainage' in endodontic treatment requires evaluation within primary dental care settings.

Purpose of the Study:

  • To evaluate the current use of open drainage as a component of endodontic treatment within primary dental care in South Yorkshire.
  • To identify the prevalence of this practice among general dental practitioners (GDPs).

Main Methods:

  • A questionnaire survey was distributed to 141 randomly selected GDPs in South Yorkshire.
  • The survey was conducted between January 2012 and January 2013, with a response rate of 79%.

Main Results:

  • 41% of respondents reported never using open drainage.
  • 29% of respondents indicated they sometimes use open drainage.
  • Among those who use open drainage, 68% do so for one to two days or less.

Conclusions:

  • The practice of leaving teeth on open drainage persists in general dental practice.
  • Current dental guidelines do not address the use of open drainage.
  • There is a need for UK-wide data to develop evidence-based guidelines for this endodontic technique.