Is single visit endodontic treatment considered quality dental care?

[osamajamal]

hi all
for my self , am doing the single visit ttt since 2004 with protaper system, and really i have a very little percent of failure ,,, i don't have statistics ,,, but withen that no. of cases ,,, i can say it is very very benefitial to obturate in one session.

no need to comlicate things

best regards

[Dgipg]

Let me just give my 2 cents.

In my opinion there are only advantages in doing single visit. Is it always possible? No.
If Patient doesnt cooperate and cant handle long periods or, more important, and the factor that usually makes me decide going single or not, are the biological objectives met? Do I have clean canals? Do I see hypochloride bubbling in the pulp chamber under the microscope? Am I able to dry my canals?

It has so many variables that usually only during the appointment we can make a clinical rational decision. For me it is always better to push the single visit if biological objectives are met because:

-Avoid placing a temporary filling that might infiltrate and then all my infection control hard work is gone.
- Delaying treatments raises the change of coronal fractures and complications in future rehabilitation of the tooth. It is never pleasant when the refering collegue calls and says that the tooth we are doing a RCT fractured and now the treatment plan is compromised.

Regards,
Diogo

[endodontist]

Originally Posted by Khaled Balto

I have seen many many cases done here and there in single visit...I did re-treatment in many of them...and upon interviewing the patients...they said the doctor did it in single visit. Some of them were impressed and lots of them were surprised....is this enough !!!

It seems there is a growing trend for dentists to work against the clock in doing RCTs. I wanted to present this clinical behavior for discussion.....is doing such an approach considered to be among the standards of care? I mean in the way I presented above.

dr.khalid
are you really in a team of evidence base !!
define what you mean by single-visit ??
10 min. - 60min.
single-visit by definition is a whole endodontics
it is a matter of what concept you adopted sir.
for your knowledge & with all due respect to every published paper about
prognosis & success/failure issue, these are non-decisive
the only desicision can be made on any case is by the treatment provider only
he is the decider & dont give me EBE or R.C.T & this or that
for the statement about retreatment cases
e very one of us had already re-treat others many & many cases this is fact & no one can deny it it had been explained long time ago 1956 strindberg no 100% success.
good luck

[Khaled Balto]

Good luck to you too..it sounds that you are still in the phase didactic endodontics and your hands are not wet yet with endo cases.
You wanna take a look one more time to the discussion above and my conclusion to know what you are missing in Practical endodontics
and just a reminder that we are sharing thoughts and discussion and not attacking each other.

[Dgipg]

What I understood Dr. Balto was refering is that sometimes many clinicians tend to rush the treatment which usually results in failure. I agree that is a fact, specially in general practitioners.

In my opinion this discussion among Endodontists does not make sense.Every Endodontist can and should decide weather it is possible to perform single treatment or if more treatment sessions are required to achieve the RCT objectives. Every Endodontist have specific training to be able to make a diagnostic and a treatment plan according to the best standard of care for the patient.

One appointment, 2 appointments, whatever. Does that make someone more capable than other?

Bottom line we are trained to provide quality treatments in the best possible way according to the clinical situation.

Just my opinion.
Best to all.

Diogo

[Khaled Balto]

Thanks so much for your great sense Diogo. The issue of single Vs. multiple visits is a big one among GP and endodontists. I have been involved in several scenarios in which an endodontist will try to sell his treatment in a higher prices because he will do it in a single visit. Having said that...this practitioner will be pushing himself/herself hard to finish in that visit....We all know that we can finish all our cases in one visit specially if you have low rate of patient appointments...but the fact that there is a possibility that not every thing will be finished in that time might lead to compromised results. Let me remind you all in some countries performing single visit endo is NOT acceptable,

Taking it all together may I conclude that performing single visit endo is acceptable practice as long as predefined biologic and mechanical goals are attained and that the treatment is performed within the COMFORT ZONE of the practitioner