Treatment outcomes of single-visit versus multiple-visit non-surgical endodontic therapy: a randomised clinical trial. Issue 1 (December 2015)

• Record Type: Journal Article
• Authors: Wong, Amy; Tsang, Cissy; Zhang, Shinan; Li, Kar-Yan; Zhang, Chengfei; Chu, Chun-Hung
• Is Part Of: BMC oral health. Volume 15:Issue 1(2015)
• Page Start: 1
• Page End: 11
• Publication Date: 2015-12
• Subjects: Deferred endodontic treatment -- Single visit -- Clinical trial -- Root canal therapy; Oral medicine -- Periodicals; 617.522005
• DOI: 10.1186/s12903-015-0148-x
• Languages: English
• ISSNs: 1472-6831

Abstract

Abstract Background Clincians have been providing single-visit and multiple-visit endodontic treatments for their patients. This study aims to compare the success rate, prevalence of postoperative pain and chairside time of single-visit and multiple-visit endodontic treatments. Method Patients who required primary endodontic treatment in a university dental clinic were randomly allocated to two general dentists for single-visit or multiple-visit treatments using the same materials and procedures. Ni-Ti rotary files were used to prepare the root canals, which were subsequently obturated with a core-carrier technique. The chairside time was recorded. The treated teeth were followed up every 6 months on clinically signs and symptoms including pain, tenderness to percussion, sinus tract, mobility and abscess. Periapical radiographs were taken to assess periapical pathology. Successful treatments were neither clinical signs/symptoms noted nor radiographic periapical pathology found postoperatively. Results A total of 220 teeth from patients aged 46.4 ± 14.1 were followed up for at least 18 months. The mean (±SD) follow-up period was 29.4 ± 9.3 months. The success rates of single-visit and multiple-visit treatments were 88.9 and 87.4 %, respectively (p = 0.729, effect size odds ratio = 1.156). Maxillary teeth had odds ratios of 3.16 (95 % CI: 1.33 to 7.46;p = 0.009) and absence of preoperative apical periodontitis had odds ratios of 4.35 (95 % CI: 1.43 to 13.24;p = 0.010) were identified from logistic regression as having a higher success rate. The average chairside times of single-visit and multiple-visit treatments were 62.0 and 92.9 min, respectively (mean difference = −30.9, 95 % CI: −39.4 to −22.4, p < 0.001, effect size odds ratio = −0.996). Single-visit and multiple-visit treatment had no significant difference in the prevalence of postoperative pain within 7 days (21 and 12 %, p = 0.055, effect size odds ratio = 2.061) and after at least 18 months (0.9 and 1.0 %, p > 0.999, effect size odds ratio = 0.879). Conclusions The success rate and prevalence of postoperative pain of single-visit or multiple-visit treatment had no significant difference. The chairside time for single-visit treatment was shorter than multiple-visit treatment. Trial registration Clinical Trials (WHO)ChiCTR-IOR-15006117 registered on 20 March 2015.