Outcome of one-visit and two-visit endodontic treatment of necrotic teeth with apical periodontitis: a randomized controlled trial with one-year evaluation.

Abstract:

:The choice of one-visit versus two-visit root canal therapy for necrotic teeth with apical periodontitis is a source of current debate. The primary objective of this randomized controlled clinical trial was to compare radiographic evidence of periapical healing after root canal therapy completed in one visit or two visits with an interim calcium hydroxide/chlorhexidine paste dressing. Ninety-seven patients met the inclusion criteria and consented to participate in this study. Patients were randomly assigned to either the one-visit or two-visit group, and root canal therapy was performed with a standardized protocol. Patients in the two-visit group received an intracanal dressing of calcium hydroxide/chlorhexidine paste. Sixty-three patients, 33 in the one-visit group and 30 in the two-visit group, were evaluated at 12 months. The primary outcome measure was change in apical bone density by using the periapical index (PAI). Secondary outcome measures were proportion of teeth healed or improved in each group. Both groups exhibited equally favorable periapical healing at 12 months, with no statistically significant differences between groups.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Penesis VA,Fitzgerald PI,Fayad MI,Wenckus CS,BeGole EA,Johnson BR

doi

10.1016/j.joen.2007.12.015

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

251-7

issue

3

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(07)01167-3

journal_volume

34

pub_type

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