Perfil clínico e práticas adotadas por Cirurgiões-Dentistas no manejo de fratura de instrumentos endodônticos: estudo piloto

Abstract

Introduction: Endodontics is the area of dentistry that seeks to treat root canal infections and restore the health of periapical tissues. During cleaning, disinfection, and canal preparation, complexities can occur, such as: perforations, instrument fractures inside the canal, ledge formation, accidents with irrigating solutions, among others. Instrument fracture is a complex accident that can interfere with the success of endodontic treatment. Objective: To evaluate the professional profile, clinical practices, and prevention and management strategies used by Brazilian dentists related to endodontic instrument fracture. Material and method: A survey was conducted using a Google Forms questionnaire with 122 dentists who perform endodontic treatment, with twenty-four open and closed questions to assess the profile, practice, prevention and management strategies regarding endodontic instrument fractures. Data were collected and descriptive analysis was performed. Results and discussion: The dentists participating in the research provided results consistent with the literature. Conclusion: From the research conducted, we observed that endodontists preferentially use mechanized systems for preparation and have a low frequency of intracanal instrument fractures. The topic of fractures is rarely addressed in undergraduate studies, being more studied in postgraduate programs. Furthermore, the most frequently used instrument removal techniques were bypass and ultrasound, consistent with previous studies.