Evaluation of Post-Operative Pain and Healing in Single-Visit versus Multiple-Visit Root Canal Therapy.

IF 0.7 Q4 PHARMACOLOGY & PHARMACY Journal of pharmacy & bioallied sciences Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI:10.4103/jpbs.jpbs_278_24
Mubashir Baig Mirza, Prasanthi Cherukuri, Tony Mathew, Nagaratna Bagewadi, Vamshi V Krishna, Hitesh Chohan, Radhika Thakkar
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Abstract

Background: "Root canal therapy (RCT)" is a common endodontic procedure targeted at preserving teeth compromised by pulp infection. The debate over the optimal number of visits for RCT remains inconclusive, with single- and multiple-visit approaches both being advocated.

Methods: A prospective research was conducted on 100 subjects undergoing RCT at a tertiary care center. Subjects were randomly ascribed to the single-/multiple-visit group. Post-operative pain was assessed using a "visual analog scale," and healing outcomes were evaluated through peri-apical radiographs.

Results: Post-operative pain levels were comparable between the single- and multiple-visit clusters at all time points. However, healing outcomes differed significantly, with a higher percentage of healed cases observed in the single-visit group compared to the multiple-visit group.

Conclusion: While both single-visit and multiple-visit RCT protocols resulted in similar post-operative pain levels, the single-visit approach demonstrated superior healing outcomes. These findings emphasize the need for personalized treatment approaches based on patient characteristics and clinical considerations in endodontic practice.

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评估单次根管治疗与多次根管治疗的术后疼痛和愈合情况
背景:"根管治疗 (RCT) "是一种常见的牙髓治疗方法,旨在保护因牙髓感染而受损的牙齿。关于根管治疗最佳就诊次数的争论仍无定论,单次就诊和多次就诊两种方法均被提倡:方法:在一家三级医疗中心对 100 名接受 RCT 的受试者进行了前瞻性研究。受试者被随机分配到单次/多次就诊组。使用 "视觉模拟量表 "评估术后疼痛,并通过根尖周X光片评估愈合效果:结果:在所有时间点,单次就诊组和多次就诊组的术后疼痛程度相当。然而,愈合结果却有显著差异,与多次就诊组相比,单次就诊组的愈合率更高:结论:虽然单次就诊和多次就诊的 RCT 方案导致的术后疼痛程度相似,但单次就诊方法的愈合效果更好。这些发现强调了在牙髓治疗实践中根据患者特征和临床考虑因素采取个性化治疗方法的必要性。
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