Лекции SDM 2022

16:00 - 16:45, 08 окт (събота), 2022
Стая: Hall Septodont

"Лечeние в едно посещение"

Д-р Миле Чурлинов

Single-visit root canal treatment, very well accepted by the patients as being cost and time effective is a real
patient-centred approach (Maddalena Manfredi et al. 2016). Single- visit treatment reduces the risk of interappointment
infection and resulted in fewer flare-ups (Yingying Su et al. 2011). It is however a technique and
instruments-sensitive concept and it depends of clinician ability to isolate the working field, shape, clean and
obturate the root canal space in a single visit. If possible, restoration should be finished in the same session,
providing complete treatment.
Although two-visit protocol with an inter-appointment medication with calcium hydroxide resulted in improved
microbiological status of the root canal system when compared with a single-visit protocol (Jorge Vera et al.
2012 ), it still remains a controversial issue as some studies revealed that it has limited effectiveness in eliminating
bacteria from the root canal human teeth when assessed by culture techniques (Sathorn et al. 2007) and does not
eliminate the entire spectrum of microorganisms (de Souza et al. 2005).
Finally, there is no strong scientific evidence to favour the single-visit or the multiple-visit root canal treatment,
neither one can prevent 100% of short- and long-term complications (Figini Lara et al. 2008), therefore, it is a
critical to rationalize and prioritize evidence when comparing the single and multiple-visit treatment to make
feasible evidence-based decision for day-to-day practice. This means that the clinician needs to be aware of how
to develop an evidence-based rationale to shape the clinical decision-making process (De-Deus et al. 2016).
Sens