Single-or multiple-visit endodontics: Which technique results in fewest postoperative problems?

Abstract

Data Sources The Cochrane Central Register of Controlled Trials, Medline, Embase, six thesis databases (Networked Digital Library of Theses and Dissertations, Proquest Digital Dissertations, OAlster, Index to Theses, Australian Digital Thesis Program and Dissertation.com) and one conference report database (BIOSIS Previews) were searched. There were no language restrictions.Study selectionStudies were included if subjects had a noncontributory medical history; underwent nonsurgical root canal treatment during the study; there was comparison between single- and multiple-visit root canal treatment; and if outcome was measured in terms of pain degree or prevalence of flare-up.Data extraction and synthesisData were extracted using a standard data extraction sheet. Because of variations in recorded outcomes and methodological and clinical heterogeneity, a meta-analysis was not carried out, although a qualitative synthesis was presented.ResultsSixteen studies fitted the inclusion criteria in the review, with sample size varying from 60–1012 cases. The prevalence of postoperative pain ranged from 3–58%. The heterogeneity of the included studies was far too great to yield meaningful results from a meta-analysis.ConclusionsCompelling evidence is lacking to indicate any significantly different prevalence of postoperative pain or flare-up following either single- or multiple-visit root canal treatment. © 2009 EBD.