The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 6 ( June, 2020 ) > List of Articles

ORIGINAL RESEARCH

Single-session Endodontic Treatment is a Reality in Low-income Areas in Brazil?

Juliana Y Nagata, Fernanda B Fagundes, Eliseu A Münchow, Maria TP Albuquerque

Keywords : Continuing education, Endodontics, Questionnaire, Single visit

Citation Information : Nagata JY, Fagundes FB, Münchow EA, Albuquerque MT. Single-session Endodontic Treatment is a Reality in Low-income Areas in Brazil?. J Contemp Dent Pract 2020; 21 (6):657-665.

DOI: 10.5005/jp-journals-10024-2861

License: CC BY-NC 4.0

Published Online: 23-07-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The present study aimed to investigate the total number of visits required to conclude root canal treatments (RCTs) as well as the motivations associated to the choice of dentists practicing in low-income areas of Brazil. Materials and methods: A total of 3,103 questionnaires were electronically and individually delivered to professionals of Salvador, Sergipe, and Alagoas (Brazil). The questionnaire encompassed sociodemographic data and questions regarding the number of sessions required to conclude RCT. Also, postoperative pain, professional qualification, the use of technological resources, and time for one-visit treatment were evaluated. Data were analyzed using Chi-square and Poisson regression analyses (p < 0.05). Results: A total of 326 responses were obtained with higher prevalence of specialists in the field of endodontics (36.8%). Dentists reported greater preference for rotary instrumentation (Alagoas 54.6%, Aracaju 62.1%, and Salvador 83.5%), and most of the participants reported multiple visits to treat root canals with the necrotic pulp tissue associated or not to periapical radiolucency, excluding Salvador (53.8%). Dentists who graduated in public dental schools were less likely to perform RCT of necrotic teeth with periapical lesion in one clinical appointment (p = 0.034). The single-session therapy was positively associated to continuing education attendance (p = 0.004) and to the occurrence of clinical complications (p < 0.001). Dentists who graduated in lato sensu programs were more likely to conclude RCT in less than 60 minutes (p < 0.001), although the occurrence of postoperative pain was more likely observed upon this scenario (p < 0.001). Conclusion: Despite the social inequalities in the analyzed area, professionals have been seeking for knowledge by means of continuing education programs and the implementation of technological resources in their clinical routine, although this fact has poorly influenced the acceleration of RCT. Clinical significances: The total number of visits to conclude endodontic treatment may be influenced by both professional and biological parameters such as the attendance to postgraduation programs and the use of technology as well as to the biological condition of the pulp and the occurrence of postoperative complications.


PDF Share
  1. Siqueira JF, Rôças IN. Clinical implications and microbiology of bacterial persistence after treatment procedures. J Endod 2008;34(11):1291–1301. DOI: 10.1016/j.joen.2008.07.028.
  2. Zandi H, Petronijevic N, Mdala I, Kristoffersen AK, Enersen M, Rôças IN, et al. Outcome of endodontic retreatment using 2 root canal irrigants and influence of infection on healing as determined by a molecular method: a randomized clinical trial. J Endod 2019;45(9):1089–1098. DOI: 10.1016/j.joen.2019.05.021.
  3. Edionwe JI, Shaba OP, Umesi DC. Single visit root canal treatment: a prospective study. Niger J Clin Pract 2014;17(3):276–281. DOI: 10.4103/1119-3077.130210.
  4. Paredes-Vieyra J, Enriquez FJ. Success rate of single- versus two-visit root canal treatment of teeth with apical periodontitis: a randomized controlled trial. J Endod 2012;38(9):1164–1169. DOI: 10.1016/j.joen.2012.05.021.
  5. Eyuboglu TF, Olkay K, Ozcan M. A clinical study on single-visit root canal retreatments on consecutive 173 patients: frequency of periapical complications and clinical success rate. Clin Oral Investig 2017;21(5):1761–1768. DOI: 10.1007/s00784-016-1957-2.
  6. Schwendicke F, Göstemeyer G. Single-visit or multiple-visit root canal treatment: Systematic review, meta-analysis and trial sequential analysis. BMJ Open 2017;7(2):e013115. DOI: 10.1136/bmjopen-2016-013115.
  7. Moreira MS, Anuar ASNS, Tedesco TK, et al. Endodontic treatment in single and multiple visits: an overview of systematic reviews. J Endod 2017;43(6):864–870. DOI: 10.1016/j.joen.2017.01.021.
  8. Riaz A, Maxood A, Abdullah S, et al. Comparison of frequency of post-obturation pain of single versus multiple visit root canal treatment of necrotic teeth with infected root canals. A randomized controlled trial. J Pak Med Assoc 2018;68(10):1429–1433.
  9. Manfredi M, Figini L, Gagliani M, et al. Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst Rev 2016;12(12):CD005296. DOI: 10.1002/14651858.CD005296. pub3.
  10. Wong AWY, Zhang S, Zhang CF, et al. Perceptions of single-visit and multiple-visit endodontic treatment: a survey of endodontic specialists and general dentists in Hong Kong. J Investig Clin Dent 2016;7(3):263–271. DOI: 10.1111/jicd.12154.
  11. Sathorn C, Parashos P, Messer H. Australian endodontists’ perceptions of single and multiple visit root canal treatment. Int Endod J 2009;42(9):811–818. DOI: 10.1111/j.1365-2591.2009.01587.x.
  12. Al-Nahlawi T, Doumani M, Alalo HA, et al. Dentists’ knowledge, attitude and practice of root canal treatment procedure: survey-based research. J Contemp Dent Pract 2019;20(3):347–354. DOI: 10.5005/jp-journals-10024-2521.
  13. Saliba NA, Nayme JGR, Moimaz SAS, et al. Organization of the demand for a centre of dental specialties. Rev Odontol UNESP 2013;42(5):317–323. DOI: 10.1590/S1807-25772013000500001.
  14. Rabello DGD, Corazza BJM, Ferreira LL, et al. Does supplemental photodynamic therapy optimize the disinfection of bacteria and endotoxins in one-visit and two-visit root canal therapy? a randomized clinical trial. Photodiagnosis Photodyn Ther 2017;19: 205–211. DOI: 10.1016/j.pdpdt.2017.06.005.
  15. Pasqualini D, Corbella S, Alovisi M, Taschieri S, Del Fabbro M, Migliaretti G, et al. Postoperative quality of life following single-visit root canal treatment performed by rotary or reciprocating instrumentation: a randomized clinical trial. Int Endod J 2016;49(11):1030–1039. DOI: 10.1111/iej.12563.
  16. Makanjuola JO, Umesi DC, Oderinu OH. Comparison of the incidence of flare-up and time efficiency in single visit root canal treatment employing either rotary or manual step-back canal preparatory technique. Niger Postgrad Med J 2018;25(2):100–104. DOI: 10.4103/npmj.npmj_8_18.
  17. Almeida DO, Chaves SCL, Souza RA, et al. Outcome of single- vs multiple-visit endodontic therapy of nonvital teeth: a meta-analysis. J Contemp Dent Pract 2017;18(4):330–336. DOI: 10.5005/jp-journals-10024-2041.
  18. Alomaym MA, Aldohan MM, Alharbi M, et al. Single versus multiple sitting endodontic treatment: incidence of postoperative pain – a randomized controlled trial. J int Soc prevent Communit Dent 2019;9(2):172–177. DOI: 10.4103/jispcd.JISPCD_327_18.
  19. Wong AW, Zhang C, Chu CH. A systematic review of nonsurgical single-visit versus multiple-visit endodontic treatment. Clin Cosmet Investig Dent 2014;6:45–56. DOI: 10.2147/CCIDE.S61487.
  20. Patil AA, Joshi SB, Bhagwat SV, et al. Incidence of postoperative pain after single visit and two visit root canal therapy: a randomized controlled trial. J Clin Diagn Res 2016;10(5):ZC09–ZC12. DOI: 10.7860/JCDR/2016/16465.7724.
  21. Albuquerque MTP, Silva JV, Poppe DJO, et al. Endodontic tendencies in a very-low-income population area of northeastern Brazil. Int J Dent 2019. 9543593. DOI: 10.1155/2019/9543593.
  22. Palmer NOA, Ahmed M, Grieveson B. An investigation of current endodontic practice and training needs in primary care in the north west of England. Br Dent J 2009;206(22):1–6. DOI: 10.1038/sj.bdj.2009.473.
  23. Bird DC, Chambers D, Peters OA. Usage parameters of nickel-titanium rotary instruments: a survey of endodontists in the United States. J Endod 2009;35(9):1193–1197. DOI: 10.1016/j.joen.2009. 05.027.
  24. Locke M, Thomas MB, Dummer PMH. A survey of adoption of endodontic nickel-titanium rotary instrumentation part 1: general dental practitioners in Wales. Br Dent J 2013;214(6):1–10. DOI: 10.1038/sj.bdj.2013.108.
  25. Household income in Brazil at 2018 [Internet]. Brazil: IBGE [cited 2018]. Available from: https://g1.globo.com/economia/noticia/2019/02/27/renda-domiciliar-per-capita-no-brasil-foi-de-r-1373-em-2018-mostra-ibge.ghtml.
  26. Kawashima N, Wadachi R, Suda H, et al. Root canal medicaments. Int Dent J 2009;59(1):5–11.
  27. Mohammadi Z, Farhad A, Tabrizizadeh M. One-visit versus multiple-visit endodontic therapy–a review. Int Dent J 2006;56(5):289–293. DOI: 10.1111/j.1875-595x.2006.tb00103.x.
  28. Vale EB, Mendes ACG, Moreira RS. Self-perceived oral health among adults in northeastern Brazil. Rev Saude Publica 2013;47(suppl 3): 98–108. DOI: 10.1590/s0034-8910.2013047004893.
  29. Vargas AMD, Paixão HH. The loss of teeth and its meaning in the quality of life of adults who use the municipal oral health services of the boa Vista health center, in Belo Horizonte. Ciência Saúde Coletiva 2005;10(4):1015–1024. DOI: 10.1590/S1413-81232005000400024.
  30. Al-Madi EM, Al Saleh SA, Bukhary SM, et al. Endodontic and restorative treatment patterns of pulpally involved immature permanent posterior teeth. Int J Dent 2018. 2178535. DOI: 10.1155/2018/2178535.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.