A comparative study on endodontic flare-ups in single visit vs multiple visits endodontic treatment: a systematic review

Introduction: Endodontic treatment involves the complete removal of the dental pulp followed by shaping, cleaning, and obturation of a tooth. The use of contemporary endodontics techniques along with use of rubber dam, magnifying devices, electronic apex locators and engine-driven rotary nickel titanium files among other equipment’s has increased the success rate of endodontic treatment by also shortening the time needed for the treatment. Hence, single visit endodontic treatment can therefore be done in most of the cases.Flare-ups is a subset of postoperative pain which is moderate to severe postoperative pain that begins 12 to 48 hours after treatment and lasts at least 48 hours which is disruptive to the patient’s routine. It is anunpleasant situation for both the dentist and the patient requiring an unscheduled visit by the patient and active treatment by the dentist.
Aims and Objectives: The purpose of this review is to analyse the effect of certain factors like gender, teeth type, intracanal medicaments, vitality of the teeth and preoperative pain on the post Endodontic flare-ups in single visit and multiple visits root canal therapy.
Methodology: This review was conducted as per the PRISMA and JBI guidelines. A total of nine randomized clinical trials published over a period of past 6 years were included in qualitative synthesis.
Results: A total of 1652 vital and non-vital permanent teeth pooled from nine papers each reporting postoperative pain in single visit and multiple visits root canal therapy were studied. The evidence for an association between certain factors like gender, teeth type, intracanal medicaments, vitality of the teeth and preoperative pain, on the post Endodontic flare-ups in single visit and multiple visits root canal therapy appears conclusive. The study found that though there was a small association, there was no significant difference for an association between gender, teeth type, intracanal medicaments, vitality of the teeth and pre-operative pain on the post Endodontic flare-ups in single visit and multiple visits root canal therapy.
Conclusion: The study found that there is no significant association between certain factors like gender, teeth type, intracanal medicaments, vitality of the teeth and pre-operative pain on the post Endodontic flare-ups in single visit and multiple visits root canal therapy.