One-step methods of periodontitis treatment - review of the literature

Abstract

INTRODUCTION: Due to the fact that most of the endodontic problems are of microbial origin, their removal is considered the most important step in root canal therapy. The number of visits to treat infected root canals is a largely discussed topic in endodontics. For that reason, an alternative protocol, including one visit, is proposed. MATERIALS AND METHODS: The aim of this paper is to investigate the effectiveness of the one-stage treatment of apical periodontitis and to follow the healing process. RESULTS: After reviewing all articles and studies, we find that the one-visit treatment is considered a good alternative to the endodontic treatment. This is due to the introduction of new and advanced technologies and materials in endodontics, including microscopes, NiTi instruments, newer and more reliable detection devices, isolation and modern obturator systems. Most of the presented studies conclude that there are statistically significant differences based on gender, age, position of the tooth in the jaw relative to the healing process. CONCLUSION: The available evidence based on a systematic review of literature suggests that endodontic treatment of teeth diagnosed with asymptomatic apical periodontitis in one visit may be feasible in certain cases.