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Table of Contents
ORIGINAL ARTICLE
Year : 2022  |  Volume : 10  |  Issue : 4  |  Page : 88-90

Evaluation of the perception of single-visit root canal treatment and the reasons for taking the decision among the dental practitioners


Department of Conservative Dentistry, Sri Sankara Dental College, Varkala, Kerala, India

Date of Submission05-Dec-2022
Date of Acceptance11-Dec-2022
Date of Web Publication30-Dec-2022

Correspondence Address:
Rahul Sasidharan
Sri Sankara Dental College, Sun Temple Square Villa, Anchumukku Temple Road, Muttada, Thiruvananthapuram 695004, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INJO.INJO_26_22

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  Abstract 

Introduction: Even though the idea and technology behind doing root canal treatment (RCT) in a single appointment is not new, the majority of the currently approved methods focus on multivisit systems. A tooth’s root canals can be instrumented, cleaned, and sealed all in a single appointment with one-visit root canal therapy. The length of time a patient must visit an endodontist in order to finish a root canal procedure is a hotly contested topic in the field of endodontics. When it comes to this topic, people have a lot of diverse points of view. Objective: The purpose of this research was to learn how and why dentists decide to do root canals in a single appointment. Materials and Methods: After reaching out to all 200 dentists on file at the practice, we were able to secure the participation of 150 dentists, who were then sent a questionnaire to fill out in their own time. Economic and social factors, current therapeutic cycles, rationales, and proactive dispositions were also taken into account. Results: Majority of pulp vitality was cited as the primary reason for opting for the one-visit RCT by 65% of dentists, with patient preference accounting for 25%, patent and normal roots accounting for 5%, a non-vital tooth with a sinus for 3%, and other reasons accounting for 2%. When pulp vitality is not at risk, more dentists opt for a single-visit root canal procedure.

Keywords: Pulp vitality, RCT, single visit


How to cite this article:
Sasidharan R. Evaluation of the perception of single-visit root canal treatment and the reasons for taking the decision among the dental practitioners. Int J Oral Care Res 2022;10:88-90

How to cite this URL:
Sasidharan R. Evaluation of the perception of single-visit root canal treatment and the reasons for taking the decision among the dental practitioners. Int J Oral Care Res [serial online] 2022 [cited 2023 Feb 5];10:88-90. Available from: https://www.ijocr.org/text.asp?2022/10/4/88/366317




  Introduction Top


Endodontic treatment that just requires one office visit has been increasingly common in India in recent years. The goal of endodontic therapy, also known as root canal treatment (RCT), aims to remove diseased pulp tissue to prevent and detect pulpal/periradicular pathosis and safeguard the cleaned tooth from microbial reinfection. Because RCT not only helps normal teeth last longer but also has excellent clinical results, it is increasingly being used. It must be considered whenever it is warranted. In a single office visit, the root canal system can be instrumented, treated, and filled using an RCT. On the contrary, procedures in a multiple-visit RCT therapy are completed in at least three visits.[1],[2],[3],[4],[5] In addition, a drug used for disinfection is inserted into the canals in between appointments to further reduce microbial counts. While there are benefits to having therapy completed in a single visit rather than over the course of several, such as saving time and eliminating the need for anesthesia or rubber dam, this approach would have negative effects both immediately and in the long run. The advantages of RCT that can be completed in a single office visit are (a) fewer patient visits, (b) no chance of cross-contamination between sessions, (c) instant post-retention in the canal area, and (d) the dentist’s ability to complete the final restoration. However, there are, 2 things to think about when it comes to RCT therapy that just requires one visit: both (a) the frequency with which symptoms recur and (b) how well treatment generally holds up over time.[5],[6],[7],[8],[9],[10],[11],[12] The long-term effectiveness of one-visit therapy for pulp necrosed teeth is not well outlined, but recent studies have found no differences between single- and multiple-visit therapy in terms of meticulous nuances.[13],[14],[15] The purpose of this research is to learn how general dentists feel about single-visit endodontics, as well as what criteria went into their final choice.


  Materials and Methods Top


Two hundred dentists in southern India were issued a survey. This cross-sectional descriptive study was conducted. There are three parts to this questionnaire. (1) justifications for selecting single vs. numerous controlled-trial randomized initial consultations RCT completion time and predicted number of office visits vary based on (2) the state of the periapical region of the teeth and (3) RCT volume in the given month. Dentists in academia, private practice, and the public sector are all welcome to apply. Dentists who had shown no interest in participating in the survey met the criteria for elimination. Surveys of dentists were conducted by having them fill out an online survey that they were responsible for creating (WhatsApp, e-mail, Facebook, and Instagram). Everyone was briefed on the study’s goals. All procedures performed in the study were conducted in accordance with the ethics standards given in 1964 Declaration of Helsinki, as revised in 2013. The study proposal was submitted for approval and clearance was obtained from the ethical committee of our institution. A written informed consent was obtained from each participant. In this study, we utilized a valid and accurate questionnaire[14] to examine how different dentists in the Indian region feel about the possibility of doing root canal therapy in a single office visit. To determine whether to schedule a single appointment or several, we distributed a questionnaire outlining the various factors to consider. Data were analyzed by using the SPSS program (IBM, Chicago, Illinois). Percentages and frequency were used for the descriptive analysis that was carried out. All of the responses were saved and then placed into some sort of spreadsheet tool for analysis. Quantitative descriptions had been made.


  Results Top


Even though we reached out to 200 dentists through various social media channels (Facebook, email, and WhatsApp), only 150 of them filled out our survey. It was composed of 65% males and 35% females. There were 32% endodontists, 58% general dentists, and 10% from other dental specialities who responded to the survey. Monthly RCTs performed by dentists with less than 20 teeth average 45%, those with 21%–30 teeth average 30%, and those with more than 30 teeth average 25% [Figure 1]. The percentages of those who opted for one RCT against another show the breakdown of preferences in [Table 1]. Majority of patients’ preferences (25%), patent and normal roots (5%), non-vital teeth (3%), and other factors (2%) trailed behind the vitality of the pulp (65%) as the rationale for choosing the single-visit RCT among dentists.
Figure 1: Average RCTs performed in a month by way of the dental practitioners have being

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Table 1: Reason for choosing the single-visit RCT by the dental practioner

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  Discussion Top


Moderate noncautious treatment of an endodontically affected tooth including full biomechanical purifying, shaping, and obturation of the root channel structure in a single office visit is “how one definition of one-visit endodontic treatment puts it.” Now that tools, materials science, and technology have advanced to the point that a root trench may be completed in one sitting,[1],[2],[3],[4],[5] this previously laborious task can be completed in a single afternoon. The data analysis revealed that 65% of dental experts who opt for the one-visit RCT do so because they prefer Imperative mash. Single-visit dentistry has become a more viable option because of the development of more refined rotating NiTi records, dental working magnifying lenses with new ages of zenith finders, and carefully updated radiography.[5],[6],[7],[8],[9],[10],[11],[12],[13],[14],[15] A second factor that contributed to the patient opting for the single-visit RCT was the availability of other treatment options (25%). Similar findings from another research[14] corroborate this one. The patients’ desire for fewer sessions and the resulting worry about post-operative discomfort are also factors in the decision. Most dental practitioners also prefer multivisit RCTs when examining pulp necrosis. Previous research by Araújo Filho and Sendra[6] echoes these findings. According to a recent poll conducted in the United States, most patients would rather just need to make one hospital visit rather than many ones.[10] The poll found, however, that people would be open to several visits if dentists could demonstrate a higher success rate than with a single appointment. I encourage research into the factors that determine whether or not a single endodontic appointment is sufficient or if more appointments are necessary.


  Conclusion Top


The majority of dentists in the southern Indian area treat the vital pulp with a single visit to the dentist, but treat the necrotic pulp with numerous visits, as shown by the results of this survey. The health of the pulp is the most important factor in deciding to go with a one-visit endodontic treatment.

Financial support and sponsorship

Not applicable.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Oliet S Single-visit endodontics: A clinical study. J Endod 1983;9:147-52.  Back to cited text no. 1
    
2.
Jurcak JJ, Bellizzi R, Loushine RJ Successful single-visit endodontics during operation desert shield. J Endod 1993;19:412-3.  Back to cited text no. 2
    
3.
Inamoto K, Kojima K, Nagamatsu K, Hamaguchi A, Nakata K, Nakamura H A survey of the incidence of single-visit endodontics. J Endod 2002;28:371-4.  Back to cited text no. 3
    
4.
Ashkenaz PJ One-visit endodontics. Dent Clin North Am 1984;28:853-63.  Back to cited text no. 4
    
5.
Bhagwat S, Mehta D Incidence of post-operative pain following single visit endodontics in vital and non-vital teeth: An in vivo study. Contemp Clin Dent 2013;4:295-302.  Back to cited text no. 5
    
6.
Araújo Filho WR, Sendra MC Tratamento endodôntico em sessão única. Avaliação clínico-radiográfica. Rev Cient OCEx 1998;2:6-8.  Back to cited text no. 6
    
7.
Buchanan SL The art of endodontics: Selected case histories, part 2. Dent Today 1997;16:50-1.  Back to cited text no. 7
    
8.
Davini F, Cunha RS, Fontana CE, Silveira CFM, Bueno CES Radix entomolaris – A case report. RSBO 2012;9:340-4.  Back to cited text no. 8
    
9.
Eleazer PD, Eleazer KR Flare-up rate in pulpally necrotic molars in one-visit versus two-visit endodontic treatment. J Endod 1998;24:614-6.  Back to cited text no. 9
    
10.
Vela KC, Walton RE, Trope M, Windschitl P, Caplan DJ Patient preferences 324 regarding 1-visit versus 2-visit root canal therapy. J Endod 2012;38:1322-5.  Back to cited text no. 10
    
11.
Field JM, Gutmann JL, Solomon ES, Rakusin H A clinical radiographic retrospective assessment of the success rate of single-visit root canal treatment. Int Endod J 2004;37:70-82.  Back to cited text no. 11
    
12.
Figini L, Lodi G, Gorni F, Gagliani M Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst Rev 2007;34:1041-7.  Back to cited text no. 12
    
13.
Fontana CE, Ibanéz CDM, Davini F, De Martin AS, Silveira CFM, Rocha DGP, et al. Endodontic therapy of maxillary second molar showing an unusual internal anatomy. RSBO 2012;9:213-7.  Back to cited text no. 13
    
14.
Friedman S Success and failure of initial endodontic therapy. Ont Dent 1997;74:35-8.  Back to cited text no. 14
    
15.
Hulsmann M, Heckendorff M, Lennon A Chelating agents in root canal treatment: Mode of action and indications for their use. Int Endod J 2003;36:810-30.  Back to cited text no. 15
    


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