The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 18 , ISSUE 4 ( April, 2017 ) > List of Articles

META ANALYSIS

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

Dulce O Almeida, Sônia CL Chaves, Ronaldo A Souza, Felipe F Soares

Citation Information : Almeida DO, Chaves SC, Souza RA, Soares FF. 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

Published Online: 01-08-2017

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

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.

How to cite this article

Almeida DO, Chaves SCL, Souza RA, Soares FF. Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis. J Contemp Dent Pract 2017;18(4):330-336.


PDF Share
  1. Oral health policies in Brazil. Braz Oral Res 2009 Jun;23(Suppl 1):9-16.
  2. Política nacional de saúde bucal: acessibilidade e utilização de serviços odontológicos especializados. Rev Baiana Saúde Pública 2010 Jun;34(2):371-387.
  3. Assessing the supply and use of secondary care in specialized dental clinics in Bahia State, Brazil. Cad Saude Publica 2011 Jan;27(1):143-154.
  4. Development of secondary dental care: a study on specialized dental clinics in Pernambuco State, Brazil. Cad Saude Publica 2009 Feb;25(2):259-267.
  5. One-visit endodontic therapy: a critical view. J Bras Endod 2003;4:345-350.
  6. Single versus multiple-visits for endodontic treatment of permanent teeth: a Cochrane systematic review. J Endod 2008 Sep;34(9):1041-1047.
  7. Healing rate and post-obturation pain of single-versus multiple-visit endodontic treatment for infected root canals: a systematic review. J Endod 2011 Feb;37(2):125-132.
  8. ; Lopes, HP.; Elias, CN. Obturação dos canais radiculares. In: Lopes HP, Siqueira JF Jr, editors. Endodontia: biologia e técnica. 3th ed. Rio de Janeiro: Guanabara Koogan; 2010. p. 641-670.
  9. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J 1997 Sep;30(5):297-306.
  10. Factors affecting the long-term results of endodontic treatment. J Endod 1990 Oct;16(10):498-504.
  11. Prognosis of initial endodontic therapy. Endod Top 2002 Jul;2(1):59-88.
  12. ; Green, S.; editors. Cochrane handbook for systematic reviews of interventions, Version 5.1.0. The Cochrane collaboration; 2011. [cited 2011 Mar]. Available from: http://www.cochrane-handbook.org .
  13. Is dental health education effective? A systematic review of current evidence. Community Dent Oral Epidemiol 1996 Aug;24(4):231-235.
  14. Clinical and radiographic evaluation of one-and two-visit endodontic treatment of asymptomatic necrotic teeth with apical periodontitis: a randomized clinical trial. J Endod 2007 Oct;33(10):1145-1148.
  15. Success rate of single- versus two-visit root canal treatment of teeth with apical periodontitis: a randomized controlled trial. J Endod 2012 Sep;38(9):1164-1169.
  16. Outcome of one-visit and two-visit endodontic treatment of necrotic teeth with apical periodontitis: a randomized controlled trial with one-year evaluation. J Endod 2008 Mar;34(3):251-257.
  17. Periapical healing of endodontically treated teeth in one and two-visits obturated in the presence or absence of detectable microorganisms. Int Endod J 2002 Aug;35(8):660-667.
  18. Endodontic treatment of teeth with apical periodontitis: single vs. multi-visit treatment. J Endod 1999 May;25(5):345-350.
  19. Influence of calcium hydroxide intracanal dressings on the prognosis of teeth with endodontically induced periapical lesions. Int Endod J 2000 May;33(3):219-226.
  20. Microbiological evaluation of one-and two-visit endodontic treatment of teeth with apical periodontitis: a randomized, clinical trial. J Endod 2004 Aug;30(8):572-576.
  21. Effects of instrumentation, irrigation and dressing with calcium hydroxide on infection in pulpless teeth with periapical bone lesions. Int Endod J 2002 Jan;35(1):13-21.
  22. Clinical efficacy of treatment procedures in endodontic infection control and one year follow-up of periapical healing. J Endod 2005 Dec;31(12):863-866.
  23. Postobturation pain after single-and multiple-visit endodontic therapy. A prospective study. J Dent 1998 Mar;26(3):227-232.
  24. Flare-ups incidence and severity after using calcium hydroxide as intracanal dressing. N Y State Dent J 2006 Jun-Jul;72(4):24-28.
  25. Flare up rate related to root canal treatment of asymptomatic pulpally necrotic central incisor teeth in patients attending a military hospital. J Dent 2006 Oct;34(9):635-640.
  26. Incidence of post-operative pain after single-and multi-visit endodontic treatment in teeth with vital and non-vital pulp. Eur J Dent 2009 Oct;3(4):273-279.
  27. Incidence of post-operative pain after one-appointment endodontic treatment of asymptomatic pulpal necross in single-rooted teeth. J Endod 1982 Aug;8(8):370-375.
  28. Comparative evaluation of pain, tenderness and swelling followed by radiographic evaluation of periapical changes at various intervals of time following single and multiple-visit endodontic therapy: an in vivo study. J Contemp Dent Pract 2011 May;12(3):187-191.
  29. Post-obturation pain and associated factors in adolescent patients undergoing one-and two-visit root canal treatment. J Dent 2008 Nov;36(11):928-934.
  30. Incidence of post-operative pain after single-visit and multiple-visit root canal treatment: a randomized controlled trial. J Conserv Dent 2012 Oct-Dec;15(4):323-327.
  31. Effectiveness of single-versus multiple-visit endodontic treatment of teeth with apical periodontitis: a systematic review and meta-analysis. Int Endod J 2005 Jun;38(6):347-355.
  32. Radiographic features and outcome of root canal treatment carried out in the Lódz region of Poland. Int Endod J 2003 Jan;36(1):27-32.
  33. Long-term evaluation of endodontic and periodontal treatment. Int Endod J 1995 Sep;28(5):249-254.
  34. A comparison of antimicrobial effects of calcium hydroxide and iodine-potassium iodide. J Endod 1985 Oct;11(10):454-456.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.