Single versus multiple visits for endodontic treatment of permanent teeth

Figini, Lara; Lodi, Giovanni; Gorni, F; Gagliani, Massimo

doi:10.1308/135576108785891015

Cited by 19 publications

(34 citation statements)

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“…This finding supports the evidence that single‐visit root canal treatment is an effective pain management strategy for teeth with irreversible pulpitis . A Cochrane systematic review report of single‐visit root canal treatment being associated with higher incidence of post‐treatment pain when compared with multiple‐visit treatment is contrary to the present finding . The reason for this varied observation is likely to be a result of the lower pre‐operative pain intensity for the patients included in the current study, which attributed to reduced post‐operative pain incidence.…”

Section: Discussionsupporting

confidence: 66%

Influence of anti‐inflammatory irrigant on substance P expression for single‐visit root canal treatment of teeth with irreversible pulpitis

Bamini¹,

Sherwood²,

Abbott

et al. 2019

Aust Endodontic J

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One of the main objectives of root canal treatment is to alleviate the pain associated with irreversibly inflamed pulps. However, some patients may have moderate to severe pain following treatment. The aim of this study was to compare and assess the effect of ketorolac tromethamine on substance P expression in the pulp and periapical tissues when used as a root canal irrigant for single-visit root canal treatment in teeth with irreversible pulpitis. Thirtysix patients were randomly allotted to three irrigant groupssaline (n = 14), 3% sodium hypochlorite (n = 11) and ketorolac tromethamine (n = 11). Pulp blood samples (S1) were collected on gaining access to the pulp, and periapical blood samples (S2) were collected after root canal preparation. Quantification of substance P was done by ELISA test. The ketorolac tromethamine group had greater reduction in substance P expression (S2). Post-operative pain levels were not significantly influenced by the different root canal irrigants.

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Section: Discussionsupporting

confidence: 66%

Influence of anti‐inflammatory irrigant on substance P expression for single‐visit root canal treatment of teeth with irreversible pulpitis

Bamini¹,

Sherwood²,

Abbott

et al. 2019

Aust Endodontic J

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show abstract

“…Measuring pain as an outcome is difficult; therefore, the questionnaire asked for a simple verbal categorization, as recommended in a recent Cochrane Review (Figini et al . ) of the intensity (mild, moderate and intense), which was defined by the need for and relief from an analgesic. In addition, using questionnaires answered and returned by patients has the inherent risk of bias because patients who experience more severe outcomes (especially higher levels of pain) will be more prone to answering them (Ferreira‐Valente et al .…”

Section: Discussionmentioning

confidence: 99%

“…) and reviewed (Figini et al . ). However, the majority of these studies analysed the association between individual factors related to patient (age, gender and medical evaluation) or to the affected tooth (type, pulp status, preoperative pain, periapical radiolucencies, previous emergency treatment, presence of occlusal contacts) and post‐endodontic pain primarily through chi‐square tests.…”

Section: Introductionmentioning

confidence: 97%

Predictive models of pain following root canal treatment: a prospective clinical study

et al. 2013

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Arias A, de la Macorra JC, Hidalgo JJ, Azabal M.Predictive models of pain following root canal treatment: a prospective clinical study. International Endodontic Journal, 46, 784-793, 2013. Aim To determine the probability of the incidence, intensity, duration and triggering of post-endodontic pain, considering factors related to the patient (age, gender, medical evaluation) and to the affected tooth (group, location, number of canals, pulp vitality, preoperative pain, periapical radiolucencies, previous emergency access, presence of occlusal contacts with antagonist). Methodology A total of 500 one-visit root canal treatments (RCTs) were performed on patients referred to an endodontist. Shaping of root canals was performed manually with Gates-Glidden drills and K-Flexofiles, and apical patency was maintained with a size 10 file. A 5% NaOCl solution was used for irrigation, and canals were filled with lateral compaction and AH-Plus sealer. Independent factors were recorded during the treatment, and characteristics of post-endodontic pain (incidence, intensity, type and duration) were later surveyed through questionnaires. Of the 500 questionnaires, 374 were properly returned and split in two groups for two different statistical purposes: 316 cases were used to adjust the logistic regression models to predict each characteristic of post-endodontic pain using predictive factors, and the remaining 58 cases were used to test the validity of each model. Results The predictive models showed that the incidence of post-endodontic pain was significantly lower when the treated tooth was not a molar (P = 0.003), demonstrated periapical radiolucencies (P = 0.003), had no history of previous pain (P = 0.006) or emergency endodontic treatment (P = 0.045) and had no occlusal contact (P < 0.0001). The probability of experiencing moderate or severe pain was higher with increasing age (P = 0.09) and in mandibular teeth (P = 0.045). The probability of pain lasting more than 2 days was increased with age (P = 0.1) and decreased in males (P = 0.007) and when a radiolucent lesion was present on radiographs (P = 0.1). Conclusions Predictive formulae for the incidence, the intensity and the duration of post-endodontic pain were generated and validated taking account of the interrelation of multiple concomitant clinical factors. A predictive model for triggering post-endodontic pain could not be established.

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“…, Figini et al . ) and, as an alternative, 2% chlorhexidine digluconate gel (CHX) has emerged (Barbosa et al . , Manzur et al .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of two intracanal dressings in adult Portuguese patients: a qPCR and anaerobic culture assessment

et al. 2013

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Single versus multiple visits for endodontic treatment of permanent teeth

Abstract: Single versus multiple visits for endodontic treatment of permanent teeth.

Cited by 19 publications

References 0 publications

Influence of anti‐inflammatory irrigant on substance P expression for single‐visit root canal treatment of teeth with irreversible pulpitis

Influence of anti‐inflammatory irrigant on substance P expression for single‐visit root canal treatment of teeth with irreversible pulpitis

Predictive models of pain following root canal treatment: a prospective clinical study

Effectiveness of two intracanal dressings in adult Portuguese patients: a qPCR and anaerobic culture assessment

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