Single-visit or multiple-visit root canal treatment: systematic review, meta-analysis and trial sequential analysis

Schwendicke, Falk; Göstemeyer, Gerd

doi:10.1136/bmjopen-2016-013115

Cited by 67 publications

(65 citation statements)

References 54 publications

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“…However, a correlation between single visit and flare-ups has been shown in the past. [ 18 19 20 ] Hence, in the present study, we compared single visit and multiple visit endodontics and found no significant difference in flare-up rates between them which is in agreement with the majority of studies. [ 1 4 12 21 ]…”

Section: Discussionsupporting

confidence: 90%

Incidence of endodontic flare-ups and its related factors: A retrospective study

Nair

Mathew

2017

J Int Soc Prevent Communit Dent

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Section: Discussionsupporting

confidence: 90%

Incidence of endodontic flare-ups and its related factors: A retrospective study

Nair

Mathew

2017

J Int Soc Prevent Communit Dent

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“…Except for the study by Paredes-Vieyra & Enriquez [50], which presented a significant risk (odds ratio of 3.5) in favour of single-visit endodontics, all other included studies showed no significant difference between the treatment modalities. The same finding was reported in a meta-analysis by Schwendicke & Gostemeyer [44]. In this study, the aim was to study several factors such as pain and flare-ups related to one-visit versus multiple-visit root canal treatment.…”

supporting

confidence: 66%

Single-visit versus multiple-visits endodontic treatment of apical periodontitis: A meta-analysis of outcome assessed by intra oral radiographs

Manshadi¹,

Bårdsen²

2019

Preprint

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The established multiple-visit treatment for necrotic teeth with apical periodontitis has been challenged by single-visit treatment. However, there is no clear support for the one or the other treatment in the literature. The aim of this meta-analysis was to investigate if non-surgical primary root canal treatment carried out in single-visit or multiple-visit makes any difference in terms of radiographic healing in necrotic teeth with apical periodontitis. The null hypothesis was: there is no difference in the rate of apical healing for the two treatment modalities The literature search was organized through the National Centre for Biotechnology Information (NCBI) at the U.S. National Library of Medicine (NLM the National Library of Medicine (NLM)) using PubMed database and EMBASE Ovid to select articles with single-visit or multiple-visit included teeth with pulp necrosis and apical periodontitis. Of the 60 identified studies, only eight studies were included in current meta-analysis. The main reasons for exclusions were teeth with other diagnosis except necrotic pulp and apical periodontitis, studies with no comparison between single- and multiple-visit endodontics within the same study and studies without healing rate appearance. Results from each of the included studies were entered into the statistical program Stata, Version 15 (Texas, USA). The odds ratio (OR) and the 95% confidence interval for each study were calculated (dependent variable: single-visit/multiple-visit, independent variables: healed/not healed based on intra oral radiographs) with the random effect model. There was no significant difference in radiographic evidence of periapical healing between single-visit endodontics and multiple-visit treatment modalities, of the primary root canal treatment in necrotic teeth with apical periodontitis (OR = 1.10, 95% CI: 0.67-1.83) as evaluated on intra oral radiographs. Thus, the null hypothesis could not be rejected.

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“…In general, different studies have evaluated finishing root canal treatment in a one visit or more. 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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Single-visit or multiple-visit root canal treatment: systematic review, meta-analysis and trial sequential analysis

Cited by 67 publications

References 54 publications

Incidence of endodontic flare-ups and its related factors: A retrospective study

Incidence of endodontic flare-ups and its related factors: A retrospective study

Single-visit versus multiple-visits endodontic treatment of apical periodontitis: A meta-analysis of outcome assessed by intra oral radiographs

Lower First Permanent Molar with an Additional Root Diagnosis and Management

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