Single versus multiple visits for endodontic treatment of permanent teeth

Manfredi, Maddalena; Figini, Lara; Gagliani, Massimo; Lodi, Giovanni

doi:10.1002/14651858.cd005296.pub3

Cited by 128 publications

(123 citation statements)

References 61 publications

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“…Although single-visit endodontic treatment under general anesthesia has been considered a feasible treatment option [28], root canal treatment was not performed in the collective surveyed in the present study. According to internal directives, the risk of complications of endodontic treatment such as pain, swelling, fistula, radiologic failure, and consecutive tooth extraction [29] was not taken, in order to prevent clinical conditions necessitating further DGA. Both, the immanent risk of anesthetic complications of DGA in patients with special needs [15][16][17] and the hospital's limited capacity for (repeated) DGA supported the decision in favor of extraction of profoundly carious teeth (versus endodontic treatment) under DGA in this special clientele.…”

Section: Discussionmentioning

confidence: 99%

Dental treatment under general anesthesia in adults with special needs at the University Hospital of Dental Prosthetics and Restorative Dentistry of Innsbruck, Austria: a retrospective study of 12 years

Schnabl

Guarda

et al. 2019

Clin Oral Invest

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Objectives Special needs patients are prone to insufficient oral care and subsequent caries or periodontitis. The aim of this retrospective study was the assessment of demand for restorative therapy and tooth extractions under general anesthesia in adults with intellectual and/or physical disablement (IPD) or psychiatric disorders (PDs) with inherent dentist phobia at the University Hospital of Innsbruck with regard to demographic factors. Materials and methods A total of 444 consecutive cases of scheduled dental general anesthesia (DGA) in adults from 2003 to 2014 were included. From patient files, demographic data, the presence of either IPD or a PD, attested by a mandatory certificate, and restorative therapy and tooth extractions performed under DGA were obtained. Data analysis was carried out by means of descriptive and comparative statistics. Results Four hundred two cases (mean age 37.5 ± 13.87 years) assigned to 283 individuals with IPD and 42 cases (mean age 36.09 ± 13.03 years) assigned to 39 individuals with PDs arose in the observed period. Patients with PDs required significantly more restorations (in 7.98 ± 5.4 versus 5.34 ± 4.41 teeth; p = 0.002; Mann-Whitney U test) and extractions (of 4.86 ± 4.51 versus 2.6 ± 3.96 teeth; p < 0.001; Mann-Whitney U test) than patients with IPD. Conclusions Demand for dental treatment was high in the collective of special needs patients. Oral health status was worse in patients with PDs than in patients suffering IPD. Clinical relevance While in patients with severe disablement, DGA presents the only treatment option, specific preventive programs should be implemented for patients with minor disablement or dentist phobia. In these patients, alternative approaches should be promoted.

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Section: Discussionmentioning

confidence: 99%

Dental treatment under general anesthesia in adults with special needs at the University Hospital of Dental Prosthetics and Restorative Dentistry of Innsbruck, Austria: a retrospective study of 12 years

Schnabl

Guarda

et al. 2019

Clin Oral Invest

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“…The clinicians can complete the treatment in one or multiple visits [14]. There is no evidence suggesting that it is better to complete the root canal treatment in a single visit or in multiple visits [15].…”

Section: Discussionmentioning

confidence: 99%

Lower First Permanent Molar with an Additional Root Diagnosis and Management

Riyahi

2019

Case Reports in Dentistry

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Three rooted lower first permanent molar represents one of the main anatomical variants which is a treatment challenge of clinicians. This study is aimed at presenting a case of a lower first molar with an additional root that was diagnosed and managed successfully using new techniques in endodontics. Tooth #46 was diagnosed as a necrotic pulp with symptomatic apical periodontitis. Different angle radiographs were obtained, and they clearly showed three roots. The procedure was completed under magnification and illumination using an operating microscope. The access cavity was modified to achieve straight line access for all the canals. Careful step-by-step instrumentation was performed using flexible NiTi rotary files. The canals were irrigated using 6% sodium hypochlorite. Afterwards, three-dimensional obturation was completed using warm vertical compaction. Knowledge of the anatomy and an early diagnosis are required to achieve high-quality root canal treatment.

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“…To overcome this shortcoming radiographic evaluation in our study was performed by two examiners with a substantial level of intra-and inter-examiner agreement. One-year observation period for radiological outcome in this study was chosen as most of the teeth with preoperative apical periodontitis heal during the first year after treatment [21,22].…”

Section: Discussionmentioning

confidence: 99%

Influence of different forms of calcium hydroxide and chlorhexidine intracanal medicaments on the outcome of endodontic treatment of teeth with chronic apical periodontitis

et al. 2018

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Introduction/Objective The aim of this study was to determine clinical and radiographic periapical healing of teeth with apical periodontitis treated with different formulations of calcium hydroxide (CH)-paste (CH-paste) and gutta-percha points (CH-GP)-as well as those of chlorhexidine (CHX)-gel (CHXgel) and gutta-percha points (CHX-GP)-12 months after therapy. Methods Eighty patients with chronic apical periodontitis were randomly allocated to four treatment groups according to the intracanal medicament used: CH-paste, CH-GP, CHX-gel, and CHX-GP group. Seventy-eight patients were analyzed clinically and radiographically 12 months postoperatively. The periapical index (PAI) was used for the radiographic evaluation of treatment. Results Overall outcome was classified according to radiographic evaluation only, since clinical success was observed in all the patients. In all the groups, significant reduction in PAI scores was observed (p < 0.001). The proportions of healed teeth (PAI ≤ 2) were 73.7%, 60%, 68.4%, and 65% in CH-paste, CH-GP, CHX-gel and CHX-GP group, respectively, with no significant differences between the groups. Conclusion The results suggest that there are no differences between investigated CH-and CHX-delivery systems regarding treatment outcome of teeth with apical periodontitis.

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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 128 publications

References 61 publications

Dental treatment under general anesthesia in adults with special needs at the University Hospital of Dental Prosthetics and Restorative Dentistry of Innsbruck, Austria: a retrospective study of 12 years

Dental treatment under general anesthesia in adults with special needs at the University Hospital of Dental Prosthetics and Restorative Dentistry of Innsbruck, Austria: a retrospective study of 12 years

Lower First Permanent Molar with an Additional Root Diagnosis and Management

Influence of different forms of calcium hydroxide and chlorhexidine intracanal medicaments on the outcome of endodontic treatment of teeth with chronic apical periodontitis

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