Single versus two visits with 1-week intracanal calcium hydroxide medication for endodontic treatment: One-year post-treatment results from a multicentre randomised controlled trial

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Fältnamn	Indikatorer	Metadata
000		05262naa a2200529 4500
001		oai:gup.ub.gu.se/252978
003		SwePub
008		240528s2017 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://gup.ub.gu.se/publication/2529782 URI
040		a (SwePub)gu
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Fonzar, F.4 aut
245	1 0	a Single versus two visits with 1-week intracanal calcium hydroxide medication for endodontic treatment: One-year post-treatment results from a multicentre randomised controlled trial
264	1	c 2017
520		a Purpose: To evaluate whether it is more effective to complete endodontic treatment in a single visit or in two visits with 1-week intracanal calcium hydroxide medication in symptomatic teeth and teeth with periapical lesions. Materials and methods: One hundred and ninety-nine patients, with one symptomatic tooth or a tooth with a periapical lesion, were randomised, according to a parallel group design, to receive a complete endodontic treatment in a single visit (99 patients) or in two visits with 1-week intracanal calcium hydroxide medication (100 patients), at two centres. Patients were followed for up to 1 year post-treatment and the outcome measures were tooth loss, radiographic healing, any complication, post-treatment pain and amount of painkillers used. Results: Seven patients dropped out from the single-visit and ten patients from the two-visit group (all patients from one centre only). One patient lost his tooth from the single-visit and two patients from the two-visit group (difference in proportion = -0.01; 95% Cl: -0.05 to 0.03; P = 0.619). Five single-visit patients and nine two-visit patients experienced one complication each (difference in proportion = -0.05; 95% Cl: -0.12 to 0.03; P = 0.278). There were no statistically significant differences in tooth loss and complications. One year after treatment, complete radiographic healing was observed in 22 patients of the single-visit group and in 19 patients of the two-visit group; improvement in 43 patients of the single-visit group and in 54 patients of the two-visit group; and no changes/worsening in 24 patients of the single-visit group and in 15 patients of the two-visit group. There were no statistically significant differences in radiographic healing between the two groups (P = 0.509). Pre-treatment pain was reported by 68 single-visit patients and by 68 two-visit patients; 1-week post-treatment pain was reported by 27 single-visit patients and by 46 two-visit patients, and 2-week post-treatment pain was reported by 2 single-visit patients and 11 two-visit patients. For the first week, an average of 0.53 +/- 1.23 tablets was taken by single-visit patients and 1.44 +/- 3.32 tablets by two-visit patients. For the second week, no single-visit patients needed tablets and in the two-visit group the average was 0.37 +/- 1.72 tablets. Patients of the two-visits group had statistically significant more post-treatment pain at 1 (P = 0.002) and 2 weeks (P = 0.011), and took more ibuprofen tablets at 1 (difference = -0.92; 95% Cl: -1.62 to -0.21; P = 0.011) and 2 weeks after treatment (difference = -0.37; 95% Cl: -0.72 to -0.03; P = 0.033), than in patients treated in a single visit. Conclusions: One year after treatment, both groups achieved similar clinical results; however, patients endodontically treated in a single visit suffered less postoperative pain and took less analgesics than patients treated in two visits, therefore a single-visit treatment should be recommended.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Medicinsk bioteknologix Biomaterialvetenskap0 (SwePub)304032 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Medical Biotechnologyx Biomaterials Science0 (SwePub)304032 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Odontologi0 (SwePub)302162 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Dentistry0 (SwePub)302162 hsv//eng
653		a apical periodontitis
653		a radiographic evaluation
653		a randomised controlled trial
653		a root canal treatment
653		a single
653		a root-canal treatment
653		a apical periodontitis
653		a radiographic evaluation
653		a postobturation pain
653		a postoperative pain
653		a necrotic teeth
653		a clinical-trial
653		a therapy
653		a pulps
653		a Dentistry
653		a Oral Surgery & Medicine
700	1	a Mollo, A.4 aut
700	1	a Venturi, M.4 aut
700	1	a Pini, P.4 aut
700	1	a Fonzar, R. F.4 aut
700	1	a Trullenque-Eriksson, A.4 aut
700	1	a Esposito, Marco,d 1965u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för biomaterialvetenskap,Institute of Clinical Sciences, Department of Biomaterials4 aut0 (Swepub:gu)xespom
710	2	a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för biomaterialvetenskap4 org
773	0	t European Journal of Oral Implantologyg 10:1, s. 29-41q 10:1<29-41x 1756-2406
856	4 8	u https://gup.ub.gu.se/publication/252978

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Av författaren/redakt...: Fonzar, F.; Mollo, A.; Venturi, M.; Pini, P.; Fonzar, R. F.; Trullenque-Eriks ...; visa fler...; Esposito, Marco, ...; visa färre...

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