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The application of quality guidelines of the European Society of Endodontology in dental practice in Poland.

INTRODUCTION
We analyzed the application of endodontic quality guidelines of the European Society of Endodontology by Polish dentists: endodontists, other specialists, and dental general practitioners (DGPs).


MATERIAL AND METHODS
A survey was done in 2008 among 544 dentists who attended hands-on sessions and lectures. The following data were collected: gender, professional experience, type of practice, specialization, and number of root fillings per week. Questions concerned the use of the rubber dam, electronic apex locator, radiographs, magnification by loupes or microscopes, nickel-titanium (NiTi) rotary system, warm gutta-percha, and treatment completed during no more than 2 visits. 3 response options were available: often, occasionally, never.


RESULTS
In the group we had 36.6% endodontists, 11.2% other specialists, and 52.2% DGPs. 95.9% of endodontists, 98.4% of other specialists, and 30.9% of DGPs (p <0.001) had at least 10 years of professional experience. 61.4% of endodontists performed more than 5 procedures per week, compared with 60% of DGPs and 42.4% of other specialists (p < 0.05). The use of radiographs, rubber dam, magnification, and NiTi rotary instruments was similar in the groups (p = NS). Dental general practitioners applied an electronic apex locator and completed the treatment during no more than 2 visits more often than endodontists and other specialists (p < 0.05). Dental general practitioners used warm gutta-percha more often than endodontists (p < 0.05). The percentage of dentists who declared use of all 7 procedures as "often" or "occasionally" was low (8.2% - other specialists, 6% - DGPs, and 3% - endodontists; p = NS).


CONCLUSIONS
The application of endodontic quality guidelines is not widespread among Polish dentists. Dentists who graduated more recently (DGPs) follow the guidelines more closely.