Aseptic Practices in Non-Surgical Endodontics: A Survey Across 3 Practitioner Groups

Area of Science:

• Dental surgery
• Infection control
• Endodontics

Background:

• Aseptic techniques are crucial for preventing iatrogenic infections during endodontic procedures.
• Variations in aseptic practices among general dental practitioners, endodontic residents, and specialist endodontists may impact treatment outcomes.

Purpose of the Study:

• To evaluate and compare the adherence to aseptic practices during non-surgical root canal treatment among general dental practitioners (GDPs), postgraduate endodontic residents (ERs), and specialist endodontists (SEs).

Main Methods:

• A cross-sectional online survey was conducted with 815 dental professionals.
• Sixteen questions assessed adherence to aseptic protocols for dental dams, gloves, instruments, and obturation supplies.
• Data were analyzed using chi-square tests to compare responses across professional groups.

Main Results:

• Specialist endodontists exhibited higher systematic dental dam use (97.2%) compared to general dental practitioners (78.1%).
• Inconsistent disinfection of dental dams, glove changes, and instrument replacement were noted across all groups.
• Gutta-percha disinfection was less frequent among GDPs than SEs and ERs, and overall compliance was incomplete.

Conclusions:

• Aseptic practices during non-surgical root canal treatment are variable, with critical steps frequently overlooked, even by specialists.
• There is a need for clearer guidelines and continuous education emphasizing asepsis throughout endodontic procedures.
• Simple, cost-effective measures for enhancing asepsis are readily implementable in clinical practice.