E-ISSN 2548-0839
European Endodontic Journal Current Trends in the Use of Irrigant Activation Techniques Among Endodontists & Post-Graduate Dental Students in India - A Knowledge, Attitude and Practice Based Survey []
. 2020; 5(2): 73-80 | DOI: 10.14744/eej.2020.98698

Current Trends in the Use of Irrigant Activation Techniques Among Endodontists & Post-Graduate Dental Students in India - A Knowledge, Attitude and Practice Based Survey

Velmurugan Natanasabapathy1, Archana Durvasulu1, Jogikalmat Krithikadatta1, Ambalavanan Namasivayam1, Kandaswamy Deivanayagam2, Srinivasan Manali3, Nivedhitha Malli Sureshbabu4
1Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education and Research, Meenakshi Ammal Dental College, Chennai, India
2Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, India
3Department of Conservative Dentistry and Endodontics, Sri Venkateshwara Dental College and Hospital, Chennai, India
4Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha University, Chennai, India

Objective: The aim of this survey was to examine the practice/use of Irrigant Activation Techniques (IAT) among Endodontists and post-graduate dental students in India.
Methods: An invitation to participate in this survey was sent by electronic mail to 902 members of Indian Endodontic society. A total of 32 questions were finalized for the survey after validation by five endodontic experts. Survey contained 2 demographic questions, 7 knowledge based questions, 11 questions on attitude and 12 questions on practice of IAT. The reliability was checked by randomly asking 10 participants to fill the survey forms again after 15 days. The data was analyzed using chi-square test (P<0.05).
Results: The overall response rate for the survey was 30.5%. The content validity ratio for the questionnaire was 0.972 & the reliability calculated using Kappa scores was 0.978. Most of the respondents (87.3%) use IAT, while 4.7% do not use IAT. Most commonly used IAT was Manual dynamic agitation (MDA) used by 28.7%, followed by Ultrasonics in 17.2%. Sonic & negative pressure (EndoVac) was used by less than 10% of respondents. Combination of IAT was used by 39%. In 23 (5 on knowledge, 9 on attitude & 9 on practice) out of the 32 questions in this survey, there was a statistically significant difference (P<0.05) in the answers between the groups, with post-graduate dental students opting the correct choices. Sodium hypochlorite (NaOCl) is the preferred choice of irrigant for IAT according to 48.6%, Chlorhexidine (CHX) is used by 4.2% & Ethylene diamine tetra acetic acid (EDTA) by 2.4%. Combination of two irrigants is used by 28.7% and 6% use all the three irrigants.
Conclusion: Vast majority of the Endodontist in India use some form of IAT to improve the efficacy of irrigation. MDA is the most commonly used IAT.

Keywords: Irrigation, irrigant activation, isthmi, KAP survey

Velmurugan Natanasabapathy, Archana Durvasulu, Jogikalmat Krithikadatta, Ambalavanan Namasivayam, Kandaswamy Deivanayagam, Srinivasan Manali, Nivedhitha Malli Sureshbabu. Current Trends in the Use of Irrigant Activation Techniques Among Endodontists & Post-Graduate Dental Students in India - A Knowledge, Attitude and Practice Based Survey. . 2020; 5(2): 73-80

Corresponding Author: Velmurugan Natanasabapathy
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