Evaluation and Perception of Digital Technologies in Endodontic Practice by Specialists in Ecuador

Abstract To analyze the implementation and perception of digital technologies in endodontic practice among specialists in Ecuador through a structured and validated survey, evaluating their impact, level of knowledge, frequency of use, and factors influencing their integration into clinical practice. Three hundred eighty-three endodontic specialists were surveyed using a validated questionnaire previously used by The American Association of Endodontists and the Royal Dutch Dental Association. The survey was distributed electronically and analyzed using descriptive statistics. The results showed that 98.7% of professionals use digital radiography, 72.3% use apex locators with radiographic confirmation, 71.3% use ultrasonic irrigation systems, and 46.48% use CBCT frequently. High acceptance was reported for surgical microscopy and CAD/3D printing technologies. Most professionals (77.26%) believe digital technologies significantly reduce clinical errors, 71.28% consider treatments more predictable, and 74.15% believe these technologies increase positive patient perception. The analysis revealed significant associations between age groups and microscope use (χ² = 18.34, p = 0.005) and between experience level and modern obturation techniques (χ² = 22.78, p = 0.001). This research concludes that endodontic practice in Ecuador is transitioning toward sustained digitalization with significant levels of knowledge and technological tool usage. However, challenges persist regarding equitable access, continuous training, and implementation standardization. These results suggest that digital technology integration effectiveness depends on professional training and infrastructure availability, being more beneficial when accompanied by systematic education programs.