Use of Bioceramic Sealers in Clinical Practice Among Dentists in Saudi Arabia: A Cross-Sectional Analysis

Background Bioceramic sealers have recently gained attention in endodontic therapy due to their superior biological and physicochemical properties compared to traditional sealers. However, adoption of these sealers and awareness among the dental practitioners in Saudi Arabia remain underexplored. This study aims to assess the prevalence, knowledge, and patterns of bioceramic sealer use among dentists in Saudi Arabia and to identify factors influencing their clinical application. Methods It is a cross-sectional survey that was conducted among 75 dentists who practice in Saudi Arabia. All the data were collected using a structured questionnaire, which covered demographic characteristics, familiarity, knowledge, use patterns, advantages, and barriers related to bioceramic sealers. Associations between demographic variables and sealer awareness and use were analyzed using chi-square and logistic regression tests via IBM SPSS Statistics software, version 29.0.0 (IBM Corp., Armonk, NY, USA). Results Out of 75 dentists, most of them were familiar with the bioceramic sealers (65, 86.7%), and 49 (65.3%) reported that they were using them in practice. The main perceived advantages included biocompatibility (32.9%), antimicrobial effect (18.7%), and ease of use (17.4%). High cost (34.2%) and unfamiliarity (18.4%) were the most reported barriers. Use of bioceramic sealers was significantly associated with gender (p=0.030) and years of clinical experience (p=0.027). Although awareness was high across all groups, logistic regression showed no significant predictors of high knowledge (p > 0.05). Conclusion The dentists in Saudi Arabia demonstrated very high awareness but moderate use of the bioceramic sealers. Cost and limited training are the main obstacles to the broader adoption of these sealers. Expanding continuing education and improving material accessibility may enhance clinical integration and optimize endodontic outcomes using bioceramic sealers.