Priyank Harsh, Devi T M Chaitra, Goel Pallavi, Sahu Nivedita, Nihalani Shweta, Shandilya Ashutosh
Department of Conservative Dentistry and Endodontics Hazaribagh College of Dental Sciences & Hospital, Hazaribagh Jharkhand, India, Phone: +919648886633, e-mail:
Department of Conservative Dentistry and Endodontics, College of Dental Science, Bhavnagar, Gujarat, India.
J Contemp Dent Pract. 2016 Oct 1;17(10):849-852. doi: 10.5005/jp-journals-10024-1942.
Endodontic therapy is one of the commonly used procedures for treating the teeth affected by various pathologies. One of the major problems for endodontists despite the advancements in the root canal procedures is the posttreatment endodontic flare-ups. Much debate exists regarding the completion of endodontic therapy in a single sitting or multiple sittings. Hence, we assessed the incidence of endodontic flare-ups in patients undergoing single-sitting root canal therapies.
The present study included 200 patients who underwent single-sitting endodontic therapy. Clinical details and conditions of each and every tooth of every patient were recorded before and after the completion of endodontic therapy. Irrigation during the root canal procedures was done by 2.5% NaOCl solution in most of the cases while others were irrigated with various combinations of ethylenediaminetetraacetic acid (EDTA) and cycloheximide (CHX) solutions. Follow-up records and readings of the patents were noted and were subjected to statistical analysis.
Four groups were formed which divided the patients equally on the basis of their age. Out of 50 patients in the age group of 21 to 30 years, only 4 showed posttreatment endodontic flare-ups, while no endodontic flare-up was recorded in patients with age group of 31 to 50 years. Only two male and four females showed flare-ups postoperatively. A nonsignificant correlation was obtained when flare-up cases were compared on the basis of type of irrigation solution used during canal preparation.
Single-sitting endodontic therapy appears to be a successful procedure with good prognosis and minimal posttreatment flare-up results, even in patients with periapical pathologies.
Single-sitting root canal procedures can be successfully carried in patients with vital or nonvital pulp tissues and also in patients with periapical lesions.
牙髓治疗是治疗受各种病变影响牙齿的常用方法之一。尽管根管治疗技术有所进步，但牙髓病医生面临的主要问题之一仍是治疗后牙髓炎症突发。关于牙髓治疗是一次完成还是分多次完成存在很多争论。因此，我们评估了接受一次性根管治疗患者的牙髓炎症突发发生率。
本研究纳入了200例接受一次性牙髓治疗的患者。在牙髓治疗完成前后，记录每位患者每颗牙齿的临床细节和状况。在大多数情况下，根管治疗过程中的冲洗使用2.5%的次氯酸钠溶液，而其他患者则用乙二胺四乙酸（EDTA）和环己酰亚胺（CHX）溶液的各种组合进行冲洗。记录患者的随访记录和读数，并进行统计分析。
根据年龄将患者平均分为四组。在21至30岁年龄组的50名患者中，只有4例出现治疗后牙髓炎症突发，而在31至50岁年龄组的患者中未记录到牙髓炎症突发。术后只有两名男性和四名女性出现炎症突发。根据根管预备期间使用的冲洗液类型比较炎症突发病例时，未获得显著相关性。
即使对于患有根尖周病变的患者，一次性牙髓治疗似乎也是一种预后良好且治疗后炎症突发结果最小的成功方法。
一次性根管治疗可成功应用于牙髓组织有活力或无活力的患者以及患有根尖周病变的患者。
