SINGLE VISIT OR MULTIPLE VISIT IN ROOT CANAL TREATMENT?

Yıl 2017, Cilt: 6 Sayı: 1, 43 - 50, 30.04.2017

Tuba Su Greaves

Öz

In conventional endodontic treatment, the preferred method of root canal treatment was multi visit. However, today some clinicians argue that the single session root canal treatment is better. Both single and multi visit root canal treatments have their own advantages and disadvantages. Comparative research has been carried out in to both methods and has been videly published. This paper offers an overview of this research to date. Usually small sample size groups have been chosen and different methods and instruments used in root canal treatment. Despite differences in the research methods and materials, postoperative complications of single visit root canal treatment and multi visit root canal treatment have yielded similar results. Moreover, results of both the single visit and the multi visit root canal treatment are similar in terms of healing and/or success rate. In this study also, neither single visit root canal treatment nor multi visit root canal treatment has been shown to be able to guarantee the absence of postoperative pain. Because much of the research revealed significant limitations in materials and methods, and because materials and equipment used in endodontic treatment has varied in recent years, in the future, more randomized clinical trials will be necessary to re-evaluate the success rate of the single visit root canal treatment against multi visit root canal treatment. Of course, this will necessitate the review of the current statistic of postoperative pain.

Anahtar Kelimeler

Single visit endodontics, multi visit endodontics, nonsurgical endodontic therapy

KÖK KANAL TEDAVİSİNDE TEK SEANS MI ÇOK SEANS MI ?

Öz

Geleneksel endodontik tedavilerde, çok seanslı kök kanal tedavileri tercih edilmiştir fakat günümüzde bazı klinisyenler tek seanslı kök kanal tedavisinin daha iyi olduğunu ileri sürmektedirler. Tek seanslı kök kanal tedavisi ve çok seanslı kök kanal tedavisinin her ikisi de kendine göre avantajlara ve dezavantajlara sahiptir. Tek ve çok seanslı kök kanal tedavileri araştırmalarının karşılaştırıldığı literatürlerde genelde küçük örnek gruplarının ve değişik metod ve enstrümanların kullanıldığı kanal tedavilerinin sonuçları değerlendirilmiştir. Bu araştırma çeşitliliğine rağmen pek çok araştırmanın sonucunda, tek seanslı kök kanal tedavisi ve çok seanslı kök kanal tedavisinin operasyon sonrası komplikasyonlarının aynı olduğu görülmüştür. Dahası, tek seanslı kök kanal tedavisi ve çok seanslı kök kanal tedavisi, iyileşme ya da başarı oranı açısından değerlendirildiğinde de ikisininde sonuçları yakın çıkmıştır. Bu araştırmalarda ayrıca, ne tek seanslı kök kanal tedavisinin ne de çok seanslı kök kanal tedavisinin, postoperatif ağrının olmayacağını garanti edemeyeceği görülmüştür. Birçok araştırmanın materyal ve metod çalışması önemli kısıtlamalar ortaya koyduğu ve endodontik tedavide kullanılan materyal ve ekipmanlar son yıllarda büyük oranda değiştiği için, gelecekte daha çok randomize klinik çalışmalar yapılması, çok seanslı kök kanal tedavisine karşı tek seanslı kök kanal tedavisi başarı oranlarının ve her iki yaklaşım sonrası gelişen postoperatif ağrının istatistiki sonuçlarının yeniden değerlendirilmesi için gereklidir.

Anahtar Kelimeler

Tek seansta kök kanal tedavisi, çok seanslı kök kanal tedavisi, kök kanal tedavisi

Kaynakça

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