Mirza Mubashir Baig, Cherukuri Prasanthi, Mathew Tony, Bagewadi Nagaratna, Krishna Vamshi V, Chohan Hitesh, Thakkar Radhika
Conservative Dental Science Department, College of Dentistry, Prince Sattam Bin AbdulAziz University, AlKharj, Kingdom of Saudi Arabia.
Department of Orthodontics and Dentofacial Orthopedics, Dr. Sudha and Nagesawar Rao Siddhartha Institute of Dental College and Hospital, Dr. NTR Medical University, Vijayawada, Andhra Pradesh, India.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2381-S2384. doi: 10.4103/jpbs.jpbs_278_24. Epub 2024 Jul 31.
" (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.
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.
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.
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.
“根管治疗术（RCT）”是一种常见的牙髓治疗方法，旨在保留因牙髓感染而受损的牙齿。关于根管治疗术最佳就诊次数的争论尚无定论，单就诊和多就诊方法均有人主张。
在一家三级护理中心对100名接受根管治疗术的受试者进行了一项前瞻性研究。受试者被随机分配到单就诊/多就诊组。使用“视觉模拟量表”评估术后疼痛，并通过根尖周X线片评估愈合结果。
在所有时间点，单就诊组和多就诊组的术后疼痛水平相当。然而，愈合结果有显著差异，与多就诊组相比，单就诊组愈合病例的百分比更高。
虽然单就诊和多就诊根管治疗术方案导致的术后疼痛水平相似，但单就诊方法显示出更好的愈合结果。这些发现强调了在牙髓治疗实践中需要根据患者特征和临床考虑采取个性化治疗方法。
