Prognosis of initial endodontic therapy

Friedman, Shimon

doi:10.1034/j.1601-1546.2002.20105.x

Cited by 230 publications

(242 citation statements)

References 135 publications

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“…9,10 Other studies have found no difference in success rates between singleand multiple-visit therapy in nonvital teeth with apical periodontitis. 6,7,11 Therefore, there is no consensus on the adoption of single-visit endodontic therapy for the care of these patients. In addition to this controversy, there is a lack of metaanalyses involving studies with adequate sample sizes to compare these techniques for the treatment of teeth with nonvital pulp.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

Almeida¹,

Chaves²,

Souza³

et al. 2017

The Journal of Contemporary Dental Practice

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Introduction: Endodontic therapy is a specialized procedure more demanded by patients within public oral health care in the country. Then, single-visit endodontic therapy may offer advantages to the health care services, to the professionals, and to the patients by reducing access barriers. Materials and methods:A meta-analysis was done and the variables evaluated were periapical repair, microbiological control, and postobturation pain in randomized clinical trials (RCTs) involving endodontic treatment of nonvital teeth at single-or multiple visits.Results: About 17 RCTs were included. There were no differences found in periapical repair or microbiological control in single-and multiple-visit therapy. Single-visit endodontic therapy resulted in 21% less postobturation pain (relative risks = 0.79; 95%, confidence interval: 0.66-0.94). Conclusion:There was less postobturation pain in the single-visit endodontic therapy group. In the public dental care, this analysis favors the adoption of this one therapy because it will be possible to increase the patient access and the supply of this therapy. Clinical significance:It is possible to get a better cost-effectiveness for the patients and the health care service. This is very important because the reduction of the cost to the patient allows it to become a complete treatment. The health service, in turn, is able to be better used, with a greater supply of this service.

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Section: Introductionmentioning

confidence: 99%

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

Almeida¹,

Chaves²,

Souza³

et al. 2017

The Journal of Contemporary Dental Practice

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“…One-year, 5-year, and 10-year survival rates of 96%, 92%, and 86%, respectively, represent survival rates similar to those of previous studies. 3,7,11 It is important to bear in mind that basing failure on untoward events yields a higher percentage of overall failure than what is actually present. The incorporation of nonsurgical retreatment and apical surgery into the criteria for failure generates a higher number of failed cases, even though these teeth are receiving adjunctive therapies that may ultimately result in tooth retention and accessed by following the link in the citation at the bottom of the page.…”

mentioning

confidence: 99%

“…Varying study models, materials, techniques, evaluation methods, etc may be responsible for this wide variation. 3,9,10 A modern trend in endodontic literature has been a heavier reliance on tooth survival as an outcomes descriptor. 11 Survival of an endodontically treated tooth has been defined as continued presence and painless function.…”

mentioning

confidence: 99%

“…1 An integral therapeutic option in the treatment and prevention of apical periodontitis, nonsurgical root canal therapy (NSRCT) has been proven to be effective in retaining teeth that would otherwise be lost. 2,3,4,5,6,7 Successful endodontic healing has classically been based on satisfying the criteria of reducing or eliminating apical lesions and an absence of clinical symptoms. 8 Even when adhering to the rigorous standard of healing, success rates of NSRCT have been shown to be 56%-96%.…”

mentioning

confidence: 99%

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Outcomes of Primary Endodontic Therapy Provided by Endodontic Specialists Compared with Other Providers

Burry

Stover

Eichmiller

et al. 2016

Journal of Endodontics

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Introduction: The objective of this study was to compare the outcomes of initial nonsurgical root canal therapy for different tooth types provided by both endodontists and other providers. Methods: By using an insurance company database, 487,476 initial nonsurgical root canal therapy procedures were followed from the time of treatment to the presence of an untoward event indicated by Current Dental Terminology codes for retreatment, apical surgery, or extraction. Population demographics were computed for provider type and tooth location. KaplanMeier survival estimates were calculated for 1, 5, and 10 years. Hazard ratios for provider type and tooth location were calculated by using the Cox proportional hazards model. Results:The survival of all teeth collectively was 98% at 1 year, 92% at 5 years, and 86% at 10 years. Significant differences in survival on the basis of provider type were noted for molars at 5 years and for all tooth types at 10 years. The greatest difference discovered was 5% higher survival rate at 10 years for molars treated by endodontists. A hazard ratio of 1.394 was found when comparing other providers' success with that of endodontists within this 10-year molar group. Conclusions: These findings show that survival rates of endodontically treated teeth are high at 10 years after treatment regardless of provider type. Molars treated by endodontists after 10 years have significantly higher survival rates than molars treated by non-endodontists.

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“…Ng et al (2011) found an increase in healed rates from 72% to 91 % by increasing the follow up duration from one to two years. Friedman (2002) found signs of healing at the one year mark but stated three to four years may be necessary to observe healing. This study did not calculate a functional success rate, only healed rates using both clinical symptoms and strict PAI criteria.…”

Section: Lrrigant Usedmentioning

confidence: 99%

Smear Layer Outcome on Healing

Rumford¹

2015

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Prognosis of initial endodontic therapy

Cited by 230 publications

References 135 publications

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

Outcomes of Primary Endodontic Therapy Provided by Endodontic Specialists Compared with Other Providers

Smear Layer Outcome on Healing

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