The knowledge and attitude of general dental practitioners toward the proper standards of care while managing endodontic patients in Saudi Arabia

Aim: The aim of this study was to assess the knowledge and attitude of general dental practitioners (GDPs) toward performing the proper standards of care while managing patients undergoing endodontic treatment in Saudi Arabia. Materials and Methods: An e-questionnaire was distributed among GDPs in Saudi Arabia (n = 650). The e-questionnaire questions covered the assessment of knowledge, attitude, and performance of GDPs toward practicing the proper standards of endodontic treatment in their clinic. Data were analyzed using SPSS version 22, and the relationships between categorical variables were established using Chi-square test. Results: Most of the participants reported obtaining full medical history before root canal treatment (RCT, 82.3%; P < 0.05). However, only 12.2% of the participants regularly measure the blood pressure for their patients before starting RCT. Only 56.3% of the participated dentists are applying rubber dam isolation during RCT, while 24.2% believe that partial isolation is sufficient for such a procedure (P < 0.05). Furthermore, 42.8% of the surveyed GDPs use cold test to confirm the endodontic diagnosis, while 55.5% think that percussion is a reliable method for diagnosis (P < 0.05). Surprisingly, 37.3% of the dentists still prefer leaving the tooth open for pain relief and drainage in abscess cases. Finally, only 28.7% of the participants mentioned performing regular follow-up after RCT. Conclusions: Our data show a clear deficiency in the standards of care provided by GDPs when performing RCT in Saudi Arabia. We hope that this publication will help highlight key areas where lack of knowledge and poor attitude exist while performing RCT by the GDPs in Saudi, thereby helping to raise treatment standards and improve treatment outcomes