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| GUEST EDITORIAL |
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| Year : 2016 | Volume
: 3
| Issue : 1 | Page : 2 |
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Single-visit endodontic treatment in the management of pulpal disease
Dennis Chan
Head, Department of Conservative Dentistry, Faculty of Dentistry, University of Sumatera Utara, Sumatera Utara, Indonesia
| Date of Web Publication | 12-Apr-2016 |
Correspondence Address:
Dr. Dennis Chan
Head, Department of Conservative Dentistry, Faculty of Dentistry, University of Sumatera Utara, Sumatera Utara
Indonesia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2348-2915.180103
How to cite this article:
Chan D. Single-visit endodontic treatment in the management of pulpal disease. J Dent Res Rev 2016;3:2 |
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 | |  |
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| 9. | Pekruhn RB. The incidence of failure following single-visit endodontic therapy. J Endod 1986;12:68-72. [ PUBMED] |
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