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Introduction:Updates in endodontics have led to innovations in contemporary practice that bears little resemblance to endodontic practice of a decade ago. Hence, there is a need for standardisation of techniques. However, before outlining standard guidelines for acceptable endodontic treatment from all dental practitioners in Nepal, we need to explore clinical practice among endodontists.

Objective:The objective was to assess the routine practice among Nepalese endodontists.

Materials and Method: A descriptive cross-sectional study was carried out among all registered endodontists (56). Convenience sampling technique was utilised for census data collection. Data were collected in a questionnaire-based proforma, entered in Microsoft Excel and results were presented as frequencies and percentages.

Result:Cotton roll (42, 75%) was the commonest isolation method used. Combination of radiograph and apex locator (49, 87.5%) was popular for working-length determination. Rotary (49, 87.5%) root canal system was used by most and Universal protaper (36, 64.3%) in that. Almost all endodontists preferred glide path (52, 92.9%) and all (56, 100%) used sodium hypochlorite for irrigation. Calcium hydroxide was the commonest (55, 98.2%) intracanal medicament used. Most endodontists used AH Plus (40, 71.4%) sealer and mineral trioxide aggregate, MTA (46, 82.1%) as retrograde filling. However, only 27 (48.2%) used PRF in apicoectomy and the commonest complication encountered was mid-treatment pain by 33 (58.9%).

Conclusion: Endodontic practice by Nepalese endodontists are similar to international guidelines. However, there is no uniformity among endodontists themselves. Hence, we need to have a consensus among Nepalese endodontists regarding uniform pattern in routine endodontic practice.

Biomechanical preparation; dentistry, endodontic practice, survey, isolation.