Should root canal treatment be performed in one dental visit or over several visits?

This study found no difference between treatment in one visit or treatment over multiple visits (1/117 single ‐visit participants lost a tooth versus 2/103 multiple‐visit participants; odds ratio (OR) 0.44, 95% confidence interval (CI) 0.04 to 4.78; very low‐quality evidence). We found no evidence of a difference between single ‐visit and multiple‐visit treatment in terms of radiological failure (risk ratio (RR) 0.91, 95% CI 0.68 to 1.21; 1493 participants, 11 studies, I2 = 18%; low ‐quality evidence); immediate postoperative pain (dichotomous outcome) (RR 0.99, 95% CI 0.84 to 1.17; 1560 participants, 9 studies, I2 = 33%; moderate ‐quality evidence); swelling or flare‐up incidence (RR 1.36, 95% CI 0.66 to 2.81; 281 participants, 4 studies, I2 = 0%; low ‐quality evidence); sinus tract or fistula formation (RR 0.98, 95% CI 0.15 to 6.48; 345 participants, 2 studies, I2 = 0%; low ‐quality evidence); or complications (RR 0.92, 95% CI 0.77 to 1.11; 1686 participants, 10 studies, I2 = 18%; moderate ‐quality evidence). The studies suggested people undergoing RoCT in a single visit may be more likely to experience pain in the first week than those whose RoCT was over multiple visits (RR 1.50, 95% CI 0.99 to 2.28; 1383 participants, 8 studies, I2 = 54%), though the quality of the evidence for this finding is low. Moderate ‐quality evidence showed people undergoing RoCT in a single visit were more likely to use painkillers than those receiving treatment over mult...
Source: Dental Technology Blog - Category: Dentistry Source Type: news