title: An investigation of current endodontic practice and training needs in primary care in the north west of England.
abstract: OBJECTIVE
  To investigate current endodontic clinical practice in the north west of England and evaluate practitioner's training needs.
  
  
  METHODS
  A questionnaire was posted to 702 primary care dentists in the north west of England in January 2006. The questionnaire investigated aspects of dentists' endodontic clinical practice, the provision of endodontics within their practice, their recent postgraduate training in endodontics and their training needs.
  
  
  RESULTS
  Responses to the questionnaire were received from 498 (70.9%) primary care dentists, of which 449 questionnaires contained useful information. Only 30% of respondents use rubber dam for isolation in all endodontic cases. The majority used radiographs either as the only method for establishing the working length (57.3%) or in conjunction with an apex locator (34.5%). Most dentists used sodium hypochlorite solution as an irrigant during the root canal treatment. Almost 55% used a combination of conventional hand files and rotary files to prepare root canals. Fifty-eight percent used the crown down technique while 35% used the step back technique for canal preparation. Almost two-thirds routinely used non-setting calcium hydroxide as an intra-canal medicament. Lateral condensation technique was the popular obturation method and the vast majority of respondents routinely took postoperative radiographs. Almost 25% of respondents had not received any teaching or training in endodontics in the past two years.
  
  
  CONCLUSIONS
  The results of this study suggest that primary care dentists in the north west of England have embraced modern techniques and follow most aspects of accepted endodontic practice. Despite the majority having postgraduate training in the last two years, only a minority used rubber dam routinely for endodontic treatment.
authors.affiliation: Mersey Deanery, Blundellsands, Liverpool. Nikolaus.Palmer@btinternet.com
authors.forename: N O A
authors.initials: NO
authors.lastname: Palmer
authors.forename: M
authors.initials: M
authors.lastname: Ahmed
authors.forename: B
authors.initials: B
authors.lastname: Grieveson
mesh_terms: D000328:Adult; D002126:Calcium Hydroxide / Q000627:therapeutic use; D003786:Dental Pulp Cavity / Q000000981:diagnostic imaging; D004498:Education, Dental, Continuing; D004708:Endodontics / Q000193:education*; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D019239:Practice Patterns, Dentists'; D011320:Primary Health Care; D011331:Private Practice; D011859:Radiography; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012388:Root Canal Irrigants / Q000627:therapeutic use; D012389:Root Canal Obturation / Q000379:methods; D018915:Root Canal Preparation / Q000295:instrumentation / Q000379:methods; D012390:Root Canal Therapy; D016733:Rubber Dams; D012973:Sodium Hypochlorite / Q000627:therapeutic use; D013218:State Dentistry; D011795:Surveys and Questionnaires; D019227:Tooth Apex / Q000000981:diagnostic imaging
chemical_list: D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; D012973:Sodium Hypochlorite; D002126:Calcium Hydroxide