title: A survey of adoption of endodontic nickel-titanium rotary instrumentation part 1: general dental practitioners in Wales.
abstract: OBJECTIVE
  To assess adoption of endodontic nickel-titanium (NiTi) rotary technology by general dental practitioners and identify factors influencing its uptake.
  
  
  METHODS
  Postal questionnaire.
  
  
  METHODS
  General dental practitioners working in Wales.
  
  
  METHODS
  General dental practitioners (n = 584) were approached regarding their usage or otherwise of nickel-titanium rotary instrumentation during root canal shaping. The postal questionnaire took the form of an anonymous survey comprising 13 questions. These questions covered usage parameters, satisfaction, training issues and reasons for avoidance of NiTi instruments.
  
  
  RESULTS
  The response rate was 71%. Nickel-titanium rotary instruments were used routinely by 67% of those responding practitioners. Principle factors cited as being implicated in the decision to not adopt NiTi use included cost (65% of responses), lack of training and the perceived risk of instrument fracture.
  
  
  CONCLUSIONS
  Over two thirds of dental practitioners in Wales use rotary NiTi endodontic technology with the majority having converted to such systems more than three years ago. There was, however, a significant disparity in NiTi usage between solely NHS practitioners (42%) and private practitioners (90%). Continued provision of high quality hands-on practical workshops may be of benefit in facilitating a positive initial NiTi experience in order to assist the transfer to these newer technologies.
authors: Clinical Lecturer, Tissue Engineering and Reparative Dentistry, Heath Park, Cardiff, CF14 4XY. lockem1@cardiff.ac.uk
authors: M
authors: M
authors: Locke
authors: M B
authors: MB
authors: Thomas
authors: P M H
authors: PM
authors: Dummer
mesh_terms: D003762:Dental Instruments / Q000706:statistics & numerical data; D004059:Diffusion of Innovation; D005792:General Practice, Dental / Q000295:instrumentation* / Q000706:statistics & numerical data; D006801:Humans; D009532:Nickel; D019239:Practice Patterns, Dentists' / Q000706:statistics & numerical data*; D018915:Root Canal Preparation / Q000295:instrumentation*; D013222:State Medicine; D011795:Surveys and Questionnaires; D014025:Titanium; D014852:Wales
chemical_list: C040654:titanium nickelide; D009532:Nickel; D014025:Titanium