WHAT IS A SINGLE VISIT ROOT CANAL TREATMENT? AM I A CANDIDATE FOR IT?
Mostly we all have experienced the terrible and unbearable pain of a tooth once in a life. Earlier, treatment like extraction was more popular if you have tooth pain. Nevertheless, in modern dentistry, root canal treatment is the best treatment to save and repair your natural tooth if infected or damaged. Basically, during a treatment, the nerve or pulp are removed, and the canal is cleaned and sealed. This treatment is more acceptable in these modern times to save our tooth.
RCT can be done in a single or multi-visit. However, that is usually decided by the dentist. In general, in single visit rct, cleaning, shaping, and filling of a canal Can be done whereas, in multi-visit, all these activities can be done in two or three sittings depending on the signs and symptoms. In the first appointment, cleaning is done, and intra-canal medications are also placed and then the canal is sealed on next appointment. According to research, both the treatments have demonstrated equivalent outcomes. But the selection of either single or multiple visits is usually decided by practitioner after consideration of some factors. Here are some factors to decide whether you are a candidate for single visit root canal or mult-visit treatment.
● PREOPERATIVE PAIN
For patients, who are experiencing severe pain with or without swelling, it may be necessary to avoid a single lengthy appointment. So, in such cases, the prime aim is to alleviate pain with minimal instrumentation during the first visit. Once pain subsides, the canal is sealed on the next visit. Moreover, having multiple-visit treatment in severe pain allows your doctor to assess symptom resolution during the second appointment. So, in such case, treatment will become easier for both, patient, and doctor.
● PRESENCE OF INFECTION
Because of caries, bacterial infection may be present in some cases. Some people have pain but no swelling. But in x-ray, infection can be observed by the clinician. While some of us also have swelling of gums or face. Sometimes, pus discharge can be seen too. So, in the case of infection, the dentist puts intra-canal medications to heal the infection area. Once the symptoms subside, rct can be completed. Therefore, multiple-visit treatment is the choice of treatment in case of infection.
● VITAL CANALS OR INTENTIONAL ROOT CANAL TREATMENT
RCT must be done for various reasons. Caries is not the only reason for it. In certain scenarios, there is a need for more tooth reduction to provide esthetic or functional restoration. In such cases, it is sometimes mandatory for the doctor to perform intentional rct. For some patients, extreme tooth erosion or attrition is the cause of severe tooth sensitivity which does not get alleviated by anti-sensitivity medicaments and thus require treatment as a last resort. So, in these types of treatments, canals are bacteria-free, and doctors can do single visit.
● CASE COMPLEXITY
RCT is not the same for all teeth. Root curvatures and calcification of canals vary from patient to patient. There is a chance that doctors cannot clean and shape canals in a single visit. Some people have limited mouth opening, in such cases treating back teeth becomes a little difficult for practitioners. Or if the patient has problems with TMJ, he/she cannot open their mouth for a longer time. Basically, single visit treatment takes longer time so it will be difficult for patients and doctors to handle the different complexity in a single visit.
● MEDICAL AND DENTAL HISTORY
Medical histories such as poorly controlled diabetes, myocardial infarction, or patients on immunosuppressive drugs require multi-visit treatment. Infection level is generally high in the patients with poorly controlled diabetes. Generally, clinicians should avoid long treatments for heart patients, and patients should be on antibiotic drugs coverage too.
History of local anesthesia is also necessary to know. The patient who is diagnosed with symptomatic irreversible pulpitis that is also called hot tooth, is usually difficult to anesthetize with a single dose. It may require an additional dose of anesthesia at different places in the mouth. That can increase chair side time. Thus, in such cases, consideration should be given to performing multi-visit.
Some patients are extremely scared of dental treatment, and some had bad experiences in the past regarding dental treatment. Those want to get their treatments done under general anesthesia. For them, single visit is done to avoid the frequency of general anesthesia.
History of trauma is equally important to know. Cases presenting with minimal difficulty, such as uncomplicated crown fracture, may be performed in single visit. However, challenging cases where tooth is mobile or avulsed, bone fractures, severe damage of soft tissues, multi-visit rct is advisable to handle hard and soft tissues trauma.
There are several surveys to decide the best procedure of the rct. The data of multiple researches shows the success rate of either single or multi-visit is equal. The decision should be taken by the dentist considering various factors. But now we all are aware about the success, reasons, and consequences of both the types of treatment.
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