Usage of Chelating Gels in Root Canal Preparation: A Survey of Australian Clinicians

Chelating gels may initially assist in root canal preparations to help establish a glide path. While irrigation surveys have investigated liquid chelators and gels to a minor extent, no endodontic survey has focused on EDTA gels and why clinicians use them. All 395 members of the Australian Society...

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Main Authors: Patricia P. Wright, Elise S. Diamond, Ove A. Peters
Format: Article
Language:English
Published: MDPI AG 2024-07-01
Series:Oral
Subjects:
Online Access:https://www.mdpi.com/2673-6373/4/3/26
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author Patricia P. Wright
Elise S. Diamond
Ove A. Peters
author_facet Patricia P. Wright
Elise S. Diamond
Ove A. Peters
author_sort Patricia P. Wright
collection DOAJ
description Chelating gels may initially assist in root canal preparations to help establish a glide path. While irrigation surveys have investigated liquid chelators and gels to a minor extent, no endodontic survey has focused on EDTA gels and why clinicians use them. All 395 members of the Australian Society of Endodontology (ASE) were emailed an 11-question survey concerning chelation gel usage via Qualtrics. Paper copies were also distributed at ASE events. Descriptive statistics were performed for practitioner and chelating gel data. Cross-tabulations of the practitioner type with the case percentage usage of gels were analyzed with the chi square test (adjusted <i>p</i> value < 0.0083). The overall response rate was 181/395 (46%). For 174 eligible responses, those who never/rarely used a gel were as follows: endodontic residents 12/14 (86%), endodontists 53/71 (75%), general dentists 39/86 (45%), and other members 0% (0/3). Most gel users said that gels helped establish a glide path. Those who never/rarely used chelating gels commented that they held no benefits over liquid EDTA. Endodontists were less likely to use a chelation gel than general dentists (<i>p</i> < 0.0083). Older clinicians had higher gel usage than younger ASE members (<i>p</i> < 0.0083), indicating a possible trend to diminished gel usage over time amongst ASE members. In conclusion, most ASE members find no need for a chelating gel, raising questions about their clinical effectiveness. Studies would therefore be warranted to investigate gel efficacy and improved clinical outcomes.
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spelling doaj-art-aadeb6aa9b4c4c9582e95d891245e42d2025-08-20T01:55:45ZengMDPI AGOral2673-63732024-07-014331532410.3390/oral4030026Usage of Chelating Gels in Root Canal Preparation: A Survey of Australian CliniciansPatricia P. Wright0Elise S. Diamond1Ove A. Peters2School of Dentistry, The University of Queensland, Brisbane 4006, AustraliaIpswich City Dental, Ipswich 4305, AustraliaSchool of Dentistry, The University of Queensland, Brisbane 4006, AustraliaChelating gels may initially assist in root canal preparations to help establish a glide path. While irrigation surveys have investigated liquid chelators and gels to a minor extent, no endodontic survey has focused on EDTA gels and why clinicians use them. All 395 members of the Australian Society of Endodontology (ASE) were emailed an 11-question survey concerning chelation gel usage via Qualtrics. Paper copies were also distributed at ASE events. Descriptive statistics were performed for practitioner and chelating gel data. Cross-tabulations of the practitioner type with the case percentage usage of gels were analyzed with the chi square test (adjusted <i>p</i> value < 0.0083). The overall response rate was 181/395 (46%). For 174 eligible responses, those who never/rarely used a gel were as follows: endodontic residents 12/14 (86%), endodontists 53/71 (75%), general dentists 39/86 (45%), and other members 0% (0/3). Most gel users said that gels helped establish a glide path. Those who never/rarely used chelating gels commented that they held no benefits over liquid EDTA. Endodontists were less likely to use a chelation gel than general dentists (<i>p</i> < 0.0083). Older clinicians had higher gel usage than younger ASE members (<i>p</i> < 0.0083), indicating a possible trend to diminished gel usage over time amongst ASE members. In conclusion, most ASE members find no need for a chelating gel, raising questions about their clinical effectiveness. Studies would therefore be warranted to investigate gel efficacy and improved clinical outcomes.https://www.mdpi.com/2673-6373/4/3/26cohort effectEDTAendodontic chelating gelsendodontic surveyglide pathpractitioner usage
spellingShingle Patricia P. Wright
Elise S. Diamond
Ove A. Peters
Usage of Chelating Gels in Root Canal Preparation: A Survey of Australian Clinicians
Oral
cohort effect
EDTA
endodontic chelating gels
endodontic survey
glide path
practitioner usage
title Usage of Chelating Gels in Root Canal Preparation: A Survey of Australian Clinicians
title_full Usage of Chelating Gels in Root Canal Preparation: A Survey of Australian Clinicians
title_fullStr Usage of Chelating Gels in Root Canal Preparation: A Survey of Australian Clinicians
title_full_unstemmed Usage of Chelating Gels in Root Canal Preparation: A Survey of Australian Clinicians
title_short Usage of Chelating Gels in Root Canal Preparation: A Survey of Australian Clinicians
title_sort usage of chelating gels in root canal preparation a survey of australian clinicians
topic cohort effect
EDTA
endodontic chelating gels
endodontic survey
glide path
practitioner usage
url https://www.mdpi.com/2673-6373/4/3/26
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