Single vs multiple visit treatments

Single vs multiple treatment visits for endodontics: Deciding on the optimal approach

Overview

This video explores the decision-making process behind choosing single vs. multiple visit endodontic treatments. It stresses that the evidence is inconclusive as to which is better and it depends upon factors such as clinician's skill and time, as well as the case itself.

Key topics covered

• Review of the literature on single vs. multiple visit endodontics and acknowledgment of the lack of consensus,
• Identification of ‘case-led’ factors that necessitate multiple visits,
• Management of wet canals,
• Importance of using calcium hydroxide with ‘dissolution’ properties (with the advantages of having antibacterial properties and the use of varying sizes of delivery tips),
• The importance of using strong temporary materials,
• Management of uncontrolled bleeding,
• Assessment of whether any accessory canals/offshoots have been missed/cleaned/shaped and addressed in a treatment;

Clinical relevance

The video assists clinicians in navigating the choice between single and multiple visit endodontic treatments. It highlights key factors and encourages pragmatic decision-making based on individual case characteristics and clinician abilities.

Learning outcomes

After watching this video, dentists will be able to:

• Understand the lack of definitive evidence favouring single or multiple visit endodontics,
• Assess case-related factors, such as wet canals and uncontrolled bleeding,
• Use calcium hydroxide as an antimicrobial,
• Determine when a single visit is appropriate and when multiple visits may be necessary;