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Endodontic infection control routines among general dental practitioners in Sweden and Norway: a questionnaire survey

Journal article
Authors L. Malmberg
E. Hagg
Annika E. Björkner
Published in Acta Odontologica Scandinavica
Volume 77
Issue 6
Pages 434-438
ISSN 0001-6357
Publication year 2019
Published at Institute of Odontology
Pages 434-438
Language en
Keywords Endodontics, infection control, rubber dam, root canal therapy, hand hygiene, root-filled teeth, variables, canals, Dentistry, Oral Surgery & Medicine
Subject categories Dentistry


Objective: The purpose of this study was to investigate endodontic infection prevention and control routines among general dental practitioners in Sweden and Norway.Materials and methods: A questionnaire was sent by email to 1384 general dental practitioners employed in Sweden and Norway. The participants were asked questions concerning different aspects of infection prevention and control during endodontic treatment; use of rubber dam, sealing of rubber dam, antibacterial solutions, and use of hand disinfectant and gloves.Results: The response rate was 61.4% (n: 819). 96.9% reported routinely using rubber dam during endodontic treatment. 88.3% reported always, or sometimes, sealing the area between rubber dam and tooth. Most disinfected the endodontic operative field, but the antibacterial solutions used varied. 11.9% did not use gloves at all during treatment, and 10.5% did not use hand disinfectant during treatment.Conclusions: Most of the general dental practitioners took measures to establish and maintain aseptics during endodontic treatment, which infers an awareness of the importance of endodontic infection prevention and control. But the results were self-reported and there may be a gap between claimed and actual behaviour. Further studies using observation methodologies are needed to assess how infection control routines are performed in everyday clinical practice.

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