The practice of continuous rotation in endodontics: The current situation

Abstract

Introduction: Due to the very marked disparity in the adoption of continuous rotation and its perceived lack of use in developing countries, the present study aims to determine the factors preventing the adoption of continuous rotation in endodontic practice in Madagascar. Methods: This is a retrospective cross-sectional descriptive study conducted from November 2022 to October 2023, on 45 Odontostomatologists from the Haute Matsiatra region, selected on an exhaustive basis. Results: The study reported that no practitioner in the region practiced continuous rotation, mainly due to the high cost of equipment (63.6%), lack of practitioner training (63.6%) and limited knowledge of the technique (48.9%), the unavailability of equipment (50%), frequent power cuts (22.7%), the unprofitability of the technique (18.2%) and practitioners' lack of dexterity (4.5%). Conclusion: An in-depth study throughout Madagascar would be desirable to determine the prevalence of its use and assess the factors behind its inaccessibility.