One-visit Root Canal Can Be Successful
MELVILLE, NEW YORK - Single-visit root canal treatment can be as successful as two-visit treatment, and having the right tools at that one visit can be the key to implementation, according to a speaker here.
Garry Bey, DDS, who spoke at the Updates in Contemporary Dentistry Meeting held here recently, noted that a paper that was recently accepted for publication has demonstrated how effective the one-visit treatment can be.
In the study, Dr. Bey reported, 300 nonvital teeth were treated in two separate groups, either a one-visit or two-visit root canal. Patients were brought back after a 2-year period to determine if the treatment was successful or not. Of those in the one-visit group, 141 of 146 were healed, 4 of 146 were uncertain, and none did not heal. In the two-visit group, 121 of 136 were healed, 11 of 136 were uncertain, and 2 of 136 did not heal.
Dr. Bey said that these results show that one-visit treatment can be successful but, he added, it is important for clinicians to first arm themselves with the right equipment for success.
One of the basics of endodontic dentistry is that for a solution to be mechanically effective in removing all the particles, it has to create a current force, reach the apex and carry the particles away, Dr. Bey stated.
He noted that he has had success with the EndoVac, from SybronEndo, which he noted is able to get deep into the root when performing a procedur, and to clean out more debris and particles than other products. The EndoVac system is able to safely deliver the irrigant to working length.
Traditional methods of performing root canal irrigation use 33% positive pressure and 66% negative pressure. The EndoVac is able to provide 100% negative pressure, one of the reasons it is so effective, he noted.
Dr. Bey, who reported that his presentation was supported through unrestricted educational grants from Instrumentarium and Sybron Axis, said that he is a recent adopter of cone beam into his practice, which he stated is a great way to get needed images before embarking on any endodontic procedure.