Single visit root canal treatment: a prospective study

Area of Science:

• Endodontics
• Dental Treatments
• Clinical Dentistry

Background:

• Root canal treatment (RCT) is essential for managing irreversible pulpitis and apical periodontitis.
• Patient compliance with follow-up appointments can be a challenge, potentially leading to treatment failure.
• Single-visit endodontics aims to improve treatment success rates and patient management.

Purpose of the Study:

• To evaluate the success rate of single-visit root canal treatment (RCT).
• To encourage wider adoption of single-visit RCT by clinicians.
• To assess the efficacy of single-visit RCT for teeth with irreversible pulpitis or apical periodontitis.

Main Methods:

• A longitudinal clinical study was conducted on teeth requiring RCT.
• Teeth with irreversible pulpitis or apical periodontitis underwent single-visit RCT and obturation.
• Patients were monitored for 6 months post-treatment.

Main Results:

• A 90.5% favorable outcome was observed at 6 months.
• The 6-month success rate was 100% for irreversible pulpitis and 83.3% for apical periodontitis.
• Treatment time varied from 77 to 132 minutes based on canal number.

Conclusions:

• Single-visit RCT is a viable and effective treatment for irreversible pulpitis and apical periodontitis.
• This approach is suitable regardless of tooth type or the number of root canals.
• Single-visit endodontics enhances treatment prognosis by minimizing patient loss to follow-up.