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    Single Vs Multiple Visits in Pulpectomy

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    Hudh Hud
    Single visit endodontic therapy is ideal for vital teeth without symptoms or periapical changes, cases where a temporary seal cannot be provided, and fractured anterior or premolar teeth requiring a temporary restoration. Anatomical anomalies, procedural difficulties, physical or mental disabilities, non-vital teeth with apical periodontitis, and re-treatment cases are better suited for multiple visits. While single visits reduce appointments and contamination risks, they can be tiring and difficult to complete cases with complications in one sitting. Multiple visits allow management of issues that arise but require additional time commitment.

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    Single Vs Multiple Visits in Pulpectomy

    Uploaded by

    Hudh Hud
    853 views7 pages
    Single visit endodontic therapy is ideal for vital teeth without symptoms or periapical changes, cases where a temporary seal cannot be provided, and fractured anterior or premolar teeth requiring a temporary restoration. Anatomical anomalies, procedural difficulties, physical or mental disabilities, non-vital teeth with apical periodontitis, and re-treatment cases are better suited for multiple visits. While single visits reduce appointments and contamination risks, they can be tiring and difficult to complete cases with complications in one sitting. Multiple visits allow management of issues that arise but require additional time commitment.

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    Single vs Multiple Visits in Pulpectomy

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    Single visit endodontic therapy is ideal for vital teeth without symptoms or periapical changes, cases where a temporary seal cannot be provided, and fractured anterior or premolar teeth requiring a temporary restoration. Anatomical anomalies, procedural difficulties, physical or mental disabilities, non-vital teeth with apical periodontitis, and re-treatment cases are better suited for multiple visits. While single visits reduce appointments and contamination risks, they can be tiring and difficult to complete cases with complications in one sitting. Multiple visits allow management of issues that arise but require additional time commitment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    853 views7 pages

    Single Vs Multiple Visits in Pulpectomy

    Uploaded by

    Hudh Hud
    Single visit endodontic therapy is ideal for vital teeth without symptoms or periapical changes, cases where a temporary seal cannot be provided, and fractured anterior or premolar teeth requiring a temporary restoration. Anatomical anomalies, procedural difficulties, physical or mental disabilities, non-vital teeth with apical periodontitis, and re-treatment cases are better suited for multiple visits. While single visits reduce appointments and contamination risks, they can be tiring and difficult to complete cases with complications in one sitting. Multiple visits allow management of issues that arise but require additional time commitment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
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    The passage discusses the indications, contraindications and advantages/disadvantages of single-visit endodontic therapy.

    Vital teeth without symptoms or periapical changes, cases where a temporary seal cannot be provided between appointments, fractured anterior/premolar teeth, and cases requiring endodontic therapy for restorative reasons are indications for single-visit therapy.

    Anatomical anomalies, procedural difficulties, physical or mental disabilities, non-vital teeth with/without apical periodontitis and re-treatment cases are contraindications for single-visit therapy.

    Single visits vs multiple visits in pulpectomy

    Single visit indications


    Vital teeth Teeth having pulp exposures caused by trauma,caries, or mechanical reasons, without any symptoms(tender on percussion) or peri-apical changes, are the ideal candidates for single-visit endodontic therapy Cases where a temporary seal cannot be provided between appointments Usually in vital teeth with subgingival breakdown,teeth with multiple missing coronal walls, and teeth having full coverage restorations with decayed margins, the extent of lost tooth structure is quite extensive. This makes it extremely difficult and time-consuming to secure well fitting temporary restorations on teeth.

    Fractured anterior or premolar teeth These teeth are present in the aesthetic zone of the mouth. Fracture of these teeth is thus of aesthetic concern to the patient and a temporary restoration(temporary post and crown) is often required. Cases requiring endodontic therapy for restorative reasons These include teeth that serve as overdenture abutments,mandibular anterior teeth requiring full jacket crowns and teeth with severe coronal breakdown (severe attrition) that require a restoration (whose preparation would result in pulp exposure) to obtain a desired alignment for the designed restoration.

    Medically compromised and disabled patients Physically disabled patients who cannot return for recall appointments, patients who require sedation and/or operating room treatment and patients with heart valve damage or prosthetic implants that require repeated regimens of prophylactic antibiotics, should be considered for single-visit endodontic therapy.

    Single visit contraindication and Multiple visits indication


    Anatomical anomalies or procedural difficulties A variety of anatomical problems such as receding pulp chambers, calcified canals, severely curved canals, bifurcated canals and dilacerations or procedural errors including broken instruments, perforations and ledge formation, make it virtually impossible at times to perform endodontic therapy in one visit. Physical or mental disabilities Patients who suffer from diseases of the muscle tissues, such as muscular dystrophy, temporomandibular joint disorders, mental illness such as attentiondeficit disorder or any other neuromuscular disorder may require longer appointments for their treatment. Long appointments may be extremely taxing to both the patient and the practitioner. Non-vital teeth with or without apical periodontitis and re-treatment cases This particular condition is probably the most controversial in terms of whether or not a single-visit

    Advantages of single-visit endodontic therapy


    Number of patient appointments is reduced,leading to increased level of patient comfort. The chances of inter-appointment microbial contamination and associated flare-ups caused by leakage or loss of the temporary seal are reduced An immediate aesthetic replacement can be given for anterior teeth. No need for refamiliarisation with the canal anatomy at the recall appointment. The therapy is cost-effective as there is reduction in clinic time. Patients pre-appointment anxiety, apprehension during the appointment and post-operative discomfort are minimised.

    Disadvantages of single-visit endodontic therapy


    A single long appointment can be tiring and uncomfortable to some patients, especially those with temporomandibular dysfunction. It is difficult to manage flare-up cases. If haemorrhaging or exudation occurs, it may be difficult to control and complete the treatment at the same visit. Treatment of difficult cases of extremely fine,calcified, multiple canals may cause undue stress for both the patient and the clinician. Expertise is required by the clinician to efficiently and properly treat a case in a single visit.

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