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 Table of Contents  
GUEST EDITORIAL
Year : 2016  |  Volume : 3  |  Issue : 1  |  Page : 2

Single-visit endodontic treatment in the management of pulpal disease


Head, Department of Conservative Dentistry, Faculty of Dentistry, University of Sumatera Utara, Sumatera Utara, Indonesia

Date of Web Publication12-Apr-2016

Correspondence Address:
Dr. Dennis Chan
Head, Department of Conservative Dentistry, Faculty of Dentistry, University of Sumatera Utara, Sumatera Utara
Indonesia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2348-2915.180103

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How to cite this article:
Chan D. Single-visit endodontic treatment in the management of pulpal disease. J Dent Res Rev 2016;3:2

How to cite this URL:
Chan D. Single-visit endodontic treatment in the management of pulpal disease. J Dent Res Rev [serial online] 2016 [cited 2021 Dec 1];3:2. Available from: https://www.jdrr.org/text.asp?2016/3/1/2/180103

Endodontic treatment is frequently preferred by clinicians to be performed in multiple visits, but now this paradigm has changed. At present root canal treatment can be completed in one visit, but this has raised controversy. [1],[2] Endodontists advocate that all root canal treatments should be completed in one visit while others do not consider it even in cases of vital pulp therapy. [1],[2],[3] Recent studies have reported statistically insignificant difference between multiple and single-visit endodontics regarding survival rate, postoperative pain or flare ups, and long-term prognosis. [4] It depends on the preference of the clinicians to apply single- or multiple-visit endodontics in their daily practice. [5]

Single-visit endodontic therapy is defined as "the conservative and nonsurgical root canal treatment of an involved tooth consisting of complete chemomechanical preparation and obturation of the root canal system in one visit." [6] With the new instrumentation techniques, material science and technology, it is no more an empirical procedure for obturation of root canals. [7] However, with the introduction of magnifying loupes, surgical microscopes, NiTi rotary instrument systems, ultrasonic devices, newer obturation systems (injectable obturation system), it is now considered as an acceptable alternative treatment procedure for endodontic problems. [8] Although a number of clinical research studies have shown favorable results with single-visit protocols, evidence-based studies do report that there is a lack of clinical evidence to support these results. [9] Thus, it is still a dilemma for the contemporary general practitioner as well as the specialist as to when and how to proceed with single-visit endodontics. [3],[10],[11]

Single-visit root canal treatment is safe regarding postoperative pain as well as secondary infection as far as many studies and clinical reports are concerned. This treatment is safe in both inflamed and necrotic teeth, and even teeth with periapical pathosis. A thorough understanding of the basic endodontic principles is important in decision making as to whether or not it can be completed in one visit.

The effectiveness of single-visit and multiple-visit root canal treatment is not substantially different. Therefore, the use of an interappointment intracanal medication might be unnecessary when the operator, during a single visit, carefully debrides the canals, uses adequate antimicrobial irrigants, and accomplishes an effective obturation of the root canal system. The incidence of postoperative discomfort/pain is also similar, although patients undergoing single visit randomized controlled trial might experience a higher frequency of swelling and are more likely to take analgesics. Long-term success using radiographic assessment is also similar to both the groups.

 
  References Top

1.
Kakehashi S, Stanley H, Fitzgerald R. The effect of surgical exposures of dental pulps in germ free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1965;20:340-9.  Back to cited text no. 1
    
2.
Möller AJ, Fabricius L, Dahlén G, Ohman AE, Heyden G. Influence on periapical tissues of indigenous oral bacteria and necrotic pulp tissue in monkeys. Scand J Dent Res 1981;89:475-84.  Back to cited text no. 2
    
3.
Weiger R, Rosendahl R, Löst C. Influence of calcium hydroxide intracanal dressings on the prognosis of teeth with endodontically induced periapical lesions. Int Endod J 2000;33:219-26.  Back to cited text no. 3
    
4.
Cohen S, Burns RC. Pathways of the Pulp. 8 th ed. St. Louis, MO: Mosby; 2002.  Back to cited text no. 4
    
5.
Sathorn C, Parashos P, Messer HH. Effectiveness of single- versus multiple-visit endodontic treatment of teeth with apical periodontitis: A systematic review and meta-analysis. Int Endod J 2005;38:347-55.  Back to cited text no. 5
    
6.
Peters LB, Wesselink PR. Periapical healing of endodontically treated teeth in one and two visits obturated in the presence or absence of detectable microorganisms. Int Endod J 2002;35:660-7.  Back to cited text no. 6
    
7.
Field JW, Gutmann JL, Solomon ES, Rakusin H. A clinical radiographic retrospective assessment of the success rate of single-visit root canal treatment. Int Endod J 2004;37:70-82.  Back to cited text no. 7
    
8.
Nair PN, Henry S, Cano V, Vera J. Microbial status of apical root canal system of human mandibular first molars with primary apical periodontitis after "one-visit" endodontic treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:231-52.  Back to cited text no. 8
    
9.
Pekruhn RB. The incidence of failure following single-visit endodontic therapy. J Endod 1986;12:68-72.  Back to cited text no. 9
[PUBMED]    
10.
Peters LB, Wesselink PR, Moorer WR. The fate and the role of bacteria left in root dentinal tubules. Int Endod J 1995;28:95-9.  Back to cited text no. 10
    
11.
Sjögren U, Figdor D, Persson S, Sundqvist G. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J 1997;30:297-306.  Back to cited text no. 11
    



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