How does a single visit compare with multiple visits for endodontic treatment of permanent teeth?

Mojtaba Dorri

Research output: Other contribution

Abstract

Question:
How does a single visit compare with multiple visits for endodontic treatment of permanent teeth?

Clinical Answer:
Randomized clinical trials provide no clear evidence of a difference between single-visit and multiple-visit (most commonly, two visits) root canal treatment (RoCT) in terms of radiologic failure (presence of periapical radiolucency) and short-term and long-term postoperative complications (including extraction due to RoCT, pain incidence, pain score, swelling [flare-up], and persistent sinus tract or fistula). However, the quality of evidence for these outcomes was low or very low, precluding any conclusions regarding equivalence of the two protocols. Contrary to direct assessments of pain, moderate-quality evidence shows that people are more likely to take analgesics after a single-visit RoCT (on average, 228 per 1000 people) than after a multiple-visit RoCT (on average, 97 per 1000 people); the type of analgesic administered remains unclear.

It is important to note that, apart from pain incidence (up to one week), pain score (up to 72 hours), and radiologic failure (longer than 1 year), study follow-up periods were not reported for most outcomes.
Original languageEnglish
TypeCochrane Clinical Answer
PublisherCochrane Collaboration
DOIs
Publication statusPublished - 2017

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