Australian endodontists’ perceptions of single and multiple visit root canal treatment

Introduction: Post-obturation pain is one of the primary problems following root canal treatment. Although in most cases pain does not last long, but could be a source of embarrassment to the dentist and annoying for the patient.Objectives: This prospective study was conducted to assess the incidence of postoperative pain after multivisit root canal treatment of teeth with vital and nonvital pulps.Methods: Total, 52 patients with teeth requiring endodontic treatment were identified and included in this study. The patients were randomly assigned and treated in a military hospital and in government dental college hospital into two groups. The teeth of patients in group 1 were with vital inflamed pulp; group 2 were with non-vital pulp with or without periapical radiolucency (0-5mm). Patients were treated in multiple visit procedure. They were asked whether they experienced any postoperative pain to rate the level of discomfort as no, mild, moderate, or severe pain. Data were analyzed statistically using the chi-square test.Results: No significant difference in postoperative pain was found between vital and non-vital pulps (p=0.2). Mild and moderate pain occurred in 4.34% and 4.34% respectively in teeth with vital pulp and 17.3% and 3.44% in teeth with non-vital pulp respectively. There was no significant difference in postoperative pain between the two groups (p>0.05).Conclusions: The incidence of postoperative pain did not differ between vital and non-vital teeth.Key words: Postoperative dental pain; root canal treatment; vital and non-vital pulp DOI: 10.3329/jafmc.v6i2.7271JAFMC Bangladesh. Vol 6, No 2 (December) 2010 pp.28-31

Download Full-text

Single-visit more effective than multiple-visit root canal treatment?.

Australian Dental Journal ◽

10.1111/j.1834-7819.2006.tb00428.x ◽

2006 ◽

Vol 51 (2) ◽

pp. 200-201

Author(s):

KEN M HARGREAVES

Keyword(s):

Root Canal ◽

Root Canal Treatment ◽

Single Visit ◽

Multiple Visit

Download Full-text

PENATALAKSANAAN GIGI PREMOLAR KEDUA MAKSILA DENGAN SALURAN AKAR VERTUCCI TIPE V - laporan Kasus

ODONTO Dental Journal ◽

10.30659/odj.1.1.53-56 ◽

2014 ◽

Vol 1 (1) ◽

pp. 53

Author(s):

Arlina Nurhapsari

Keyword(s):

Case Report ◽

Root Canal ◽

Root Canal Treatment ◽

Careful Examination ◽

Deep Knowledge ◽

Root Canals ◽

Multiple Visit ◽

Type V

Background: The aim of the case report is to demonstrate the importance of knowing the root canals configuration in the maxillary second premolars. Maxillary second premolars usually have one root canal, however in several cases there is more than one root canal with a variety of configurations. Method: multiple visit root canal treatment with a crown down technique on the maxillary second premolar with unusual root canals configuration which is confirmed using radiograph. Result: Based on radiograph, it was identified Vertucci type V root canal on the maxillary second premolars. After biomechanical preparation, obturation was conducted. When patient controlled, there were not problem and inflammation. Conclusion : This report described and discussed about the possibility of root canals variation on the maxillary second premolars. Careful examination using radiograph and deep knowledge, it is identified by the clinician in treating root canal treatment on that premolars.

Download Full-text

Single-visit versus multiple-visits endodontic treatment of apical periodontitis: A meta-analysis of outcome assessed by intra oral radiographs

10.21203/rs.2.16318/v1 ◽

2019 ◽

Author(s):

Bahar Dehghan Manshadi ◽

Asgeir Bårdsen

Keyword(s):

Root Canal ◽

Null Hypothesis ◽

Meta Analysis ◽

Primary Root ◽

Apical Periodontitis ◽

Root Canal Treatment ◽

Treatment Modalities ◽

National Library ◽

Single Visit ◽

Multiple Visit

Abstract The established multiple-visit treatment for necrotic teeth with apical periodontitis has been challenged by single-visit treatment. However, there is no clear support for the one or the other treatment in the literature. The aim of this meta-analysis was to investigate if non-surgical primary root canal treatment carried out in single-visit or multiple-visit makes any difference in terms of radiographic healing in necrotic teeth with apical periodontitis. The null hypothesis was: there is no difference in the rate of apical healing for the two treatment modalities The literature search was organized through the National Centre for Biotechnology Information (NCBI) at the U.S. National Library of Medicine (NLM the National Library of Medicine (NLM)) using PubMed database and EMBASE Ovid to select articles with single-visit or multiple-visit included teeth with pulp necrosis and apical periodontitis. Of the 60 identified studies, only eight studies were included in current meta-analysis. The main reasons for exclusions were teeth with other diagnosis except necrotic pulp and apical periodontitis, studies with no comparison between single- and multiple-visit endodontics within the same study and studies without healing rate appearance. Results from each of the included studies were entered into the statistical program Stata, Version 15 (Texas, USA). The odds ratio (OR) and the 95% confidence interval for each study were calculated (dependent variable: single-visit/multiple-visit, independent variables: healed/not healed based on intra oral radiographs) with the random effect model. There was no significant difference in radiographic evidence of periapical healing between single-visit endodontics and multiple-visit treatment modalities, of the primary root canal treatment in necrotic teeth with apical periodontitis (OR = 1.10, 95% CI: 0.67-1.83) as evaluated on intra oral radiographs. Thus, the null hypothesis could not be rejected.

Download Full-text

Incidence of post-operative pain after single visit and multiple visit root canal treatment: A randomized controlled trial

Journal of Conservative Dentistry ◽

10.4103/0972-0707.101888 ◽

2012 ◽

Vol 15 (4) ◽

pp. 323 ◽

Cited By ~ 6

Author(s):

Aniket Garg ◽

Smita Singh

Keyword(s):

Randomized Controlled Trial ◽

Root Canal ◽

Controlled Trial ◽

Root Canal Treatment ◽

Single Visit ◽

Randomized Controlled ◽

Post Operative Pain ◽

Multiple Visit

Download Full-text

Assessment of post-operative pain with use of rotary and conventional root canal instruments in single and multiple visit root canal treatment

International Journal of Science and Research Archive ◽

10.30574/ijsra.2021.2.2.0077 ◽

2021 ◽

Vol 2 (2) ◽

pp. 216-224

Author(s):

Sheenam Markan ◽

Gurvanit Kaur Lehl

Keyword(s):

Root Canal ◽

Root Canal Treatment ◽

Single Visit ◽

Post Operative Pain ◽

Subgroup Ii ◽

Multiple Visit ◽

Significant Difference ◽

Group A ◽

Group B ◽

Post Hoc

Aim: To compare the post-operative pain after the use of rotary and conventional root canal instruments in single and multiple visit root canal treatment Materials and Method: 168 patients requiring Root Canal Treatment [RCT] in maxillary and mandibular 1st molar were involved in the study. On the basis of vitality and radiographic features two groups were made, multiple visit (Group A n=72), single visit (Group B n=96). Then the patients were randomly divided into 4 subgroups. Subgroup I n=36 (multiple visit conventional RCT), Subgroup II n=36 (multiple visit rotary RCT), Subgroup III n=48 (single visit Conventional RCT) and Subgroup IV n=48 (single visit rotary RCT). In subgroup I & Subgroup III Canal preparation was done with stainless steel K files in step back manner. In subgroup II & Subgroup IV, rotary Protaper Next was used. Irrigation was done with 3 % NaOCl and Ethylenediamine tetraacetic acid (EDTA) alternatively followed by obturation. The postobturation pain was recorded at 6hr, 12hr, 24hr, 1 week using visual analogue scale. Statistical Analysis was done using Tukey HSD Post Hoc Test and ANOVA Test. Results: Within 24 hours there was statistically significant difference between the groups (p< 0.05) but after 7 days no statistically significant difference was there (p>0.05). Conclusion: Patients in the groups either in single and multiple visit experience less postobturation pain if the canal preparation was done with the rotary files at all the time intervals (6hrs, 12hrs, 24hrs ) but after 7 days no statistical difference was found.

Download Full-text

To compare post obturation endodontic flare-ups following single and multiple visit root canal treatment.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.07.4618 ◽

2020 ◽

Vol 27 (07) ◽

pp. 1516-1520

Author(s):

Sajjad Ali Darvesh ◽

Irum Naz ◽

Abdul Razzaq Ahmed ◽

Farhan Butt ◽

Wasey Latif ◽

...

Keyword(s):

Experimental Study ◽

Study Design ◽

Root Canal ◽

University Hospital ◽

Root Canal Treatment ◽

P Value ◽

Anterior Teeth ◽

Multiple Visit ◽

Quasi Experimental ◽

Study Setting

Objective: To compare post obturation endodontic flare-ups following single and multiple visit root canal treatment. Study Design: Quasi experimental study. Setting Operative dentistry department, DOW university hospital Karachi. Period: 2nd October 2017 to 2nd April 2018. Material & Methods: A total of 100 patients of permanent exposed anterior teeth with positive pup response / vital, either gender were included. Patients divided into two groups according to single and multiple visit root canal treatment. At each post obturation recall visit the patients were interviewed and inspected to determine whether or not there are symptoms. Results: A total of 100 patients came for root canal treatment. At 1st post obturation day, out of 50 patients treated in one visit, four experienced a flare-up (8%). Out of 50 patients treated in two visits, eight experienced a flare-up (16%) (P-value=0.12). At 3rd post obturation day, out of 50 patients treated in one visit, three experienced a flare-up (6%). Out of 50 patients treated in two visits, five experienced a flare-up (10%) (P-value=0.37). Conclusion: We conclude that almost same results for single and multiple visit endodontics were achieved not statistically significant.

Download Full-text