COMPARING SINGLE VISIT OR MULTIPLE VISIT ROOT CANAL TREATMENT: PREFERENCES AMONG THE ENDODONTISTS’ IN THEIR PRACTICE

Abstract

Introduction: Single visit or multiple visit approach are considered in treatment planning for root canal treatment RCT. The technique, Operators’ choice, number of roots, complexity of root canal anatomy, treatment time available, patient compliance, clinician’s skills and Pre-Treatment Symptoms are among the factors to be considered. The objective of our study is to evaluate Endodontists’ perspectives on single and multiple visit RCT, analyzing the factors that influence their treatment choices, including operator preference, biological factors, and patient-related factors. Additionally, the study aims to establish treatment goals, aiding clinicians in effectively organizing the treatment process.

Methods: This descriptive Cross-sectional study involved 81 dentists in Multan, Pakistan, who had post-graduate training or a fellowship in Operative dentistry & Endodontics. A self-administered questionnaire was used to collect data on dentists’ preferences for single or multiple visit root canal treatment in various aspects of Endodontics. The data was analyzed using SPSS-26 software with descriptive statistics and chi-square testing.

Results: The study found that 64.2% of endodontists preferred single visit root canal treatment, while 35.8% preferred multiple visit treatment based on operator choice. Preferences varied depending on factors such as technique, tooth type, acute or chronic conditions, elective endodontics, retreatment cases, patient compliance, complex root anatomy, and traumatic dental injuries.

Conclusions: There were statistically significant differences in preferences for single or multiple visit RCT in various aspects, but long-term evaluation outcome did not significantly differ between the two approaches.