Title |
Single-Visit And Multiple-Visit Endodontic Therapy Do Not Differ In Effectiveness When Evaluated By Pain Or Radiography |
Clinical Question |
In patients with apical peridodontitis, is single-visit endodontic therapy better than multiple-visit endodontic therapy when evaluated by pain or radiography? |
Clinical Bottom Line |
Single-visit and multiple-visit endodontic therapy do not differ in effectiveness when evaluated by pain or radiography. (See Comments on the CAT below) |
Best Evidence |
|
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
17943848 | Figni/2007 | | Meta-Analysis | Key results | There was no significant difference between single- and multiple- visit treatment in the frequency of postoperative pain nor in the frequency of success as measured radiographically. | |
Evidence Search |
"Root Canal Therapy"[Mesh] AND single Limits: Meta-Analysis "Root Canal Therapy"[Mesh] AND single Limits: Systematic Review "Root Canal Therapy"[Mesh] AND single Limits: Randomized Controlled Trial |
Comments on
The Evidence |
The reviewers reported explicit criteria for searching and selecting/rejecting studies. This review included randomized and quasi-randomized trials comparing single- to multiple- visit endodontic therapy. 12 trials were included for review, including six studies (1047 patients)evaluating pain and five studies (647 patients) evaluating radiographic outcome. Four studies had low risk of bias; four studies had moderate risk of bias, and four studies had high risk of bias. |
Applicability |
The review included patients over 10 years old undergoing root canal therapy; all included teeth had fully formed apices and no internal resorption. Cases of surgical endodontic treatment were excluded from the review. All studies except one were performed in university clinics; most treatments were performed by endodontists, but some were performed by postgraduate students or general practitioners. |
Specialty |
(Endodontics) (General Dentistry) |
Keywords |
Endodontic therapy, root canal, single visit, multiple visits
|
ID# |
828 |
Date of submission |
03/22/2011 |
E-mail |
althumairy@gmail.com |
Author |
Riyadh Althumairy |
Co-author(s) |
|
Co-author(s) e-mail |
|
Faculty mentor |
S. Thomas Deahl, II, DMD, PhD |
Faculty mentor e-mail |
DEAHL@uthscsa.edu |
|
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Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
by S. Tom Deahl (San Antonio, TX) on 07/10/2012 Thank you for your comment. Yes, the Figini article in J Endod that you cite is a write-up of the same systematic review as the one described in our CAT. This is a nice example of how Cochrane reviews may be published both in the Cochrane database, according to their format, and then re-published in a journal in a somewhat different format but with essentially the same content. So this is an exception to the expectation that the same data will not be published twice. | by Obadah Austah (San Antonio, TX) on 07/09/2012 I conducted a PubMed search on the topic July 2012 and I found An updated Cochrane systematic review published by Figini L, J Endod 2008 (PMID: 18718362) and it has the same conclusion of the CAT, with patients undergoing a single visit might experience slightly more frequency of facial swelling and analgesic use. | |