Healing Rate of Single-versus Multiple-visit Root Canal Treatment for Teeth with Infected Root Canals: A Meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

 ZHANGYang-yang , LIANGXue-ping ,  ZHAOJin

Department of Endodontology, the Affiliated Stomatological Hospital, Xinjiang Medical University, Urumqi 830054, China;

Corresponding author：

ZHAOJin, Email: merryljin@sina.com

Keywords：

Root canal treatment; Infected root canals; Healing rate; Systematic review; Meta-analysis; Randomized controlled trial

DOI：

10.7507/1672-2531.20150199

Video：

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Objective To systematically review the healing rate of single-versus multiple-visit root canal treatment for teeth with infected root canals. Methods PubMed, EMbase, EBSCO, MEDLINE, The Cochrane Library (Issue 3, 2015), CNKI, VIP, CBM and WanFang Data databases were searched from inception to March 2015, to collect randomized controlled trials (RCTs) concerning single-versus multiple-visit root canal treatment for teeth with infected root canals. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Then meta-analysis was performed using RevMan 5.3.5 software. Results A total of 9 RCTs involving 1 146 teeth were included. The results of meta-analysis showed that:the healing rates were 88.98% in the single-visit group, and 85.61% in the multiple-visit group, respectively. There were no significant difference between two groups (OR=1.36, 95%CI 0.95 to 1.96, P=0.09). Conclusion Current evidence shows that, the healing rate of single- and multiple-visit root canal treatment is similar for infected root canals. Due to the limited quantity of included studies, more high quality studies are needed to validate the above conclusion.

Citation： ZHANGYang-yang, LIANGXue-ping, ZHAOJin. Healing Rate of Single-versus Multiple-visit Root Canal Treatment for Teeth with Infected Root Canals: A Meta-analysis. Chinese Journal of Evidence-Based Medicine, 2015, 15(10): 1202-1206. doi: 10.7507/1672-2531.20150199 Copy

1.	Sathorn C, Parashos P, Messer H. Australian endodontists' perceptions of single and multiple visit root canal treatment. Int Endod J, 2009, 42(9):811-818.
2.	Vera J, Siqueira JF Jr, Ricucci D, et al. One-versus two-visit endodontic treatment of teeth with apical periodontitis:a histobacteriologic study. J Endod, 2012, 38(8):1040-1052.
3.	Kvist T, Molander A, Dahlén G, et al. Microbiological evaluation of one- and two-visit endodontic treatment of teeth with apical periodontitis:a randomized, clinical trial. J Endod, 2004, 30(8):572-576.
4.	Xavier AC, Martinho FC, Chung A, et al. One-visit versus two-visit root canal treatment:effectiveness in the removal of endotoxins and cultivable bacteria. J Endod, 2013, 39(8):959-964.
5.	Goldfein J, Speirs C, Finkelman M, et al. Rubber dam use during post placement influences the success of root canal-treated teeth. J Endod, 2013, 39(12):1481-1484.
6.	AAE Special Committee to Develop a Microscope Position Paper. AAE Position Statement. Use of microscopes and other magnification techniques. J Endod, 2012, 38(8):1153-1155.
7.	Parekh V, Taluja C. Comparative study of periapical radiographic techniques with apex locator for endodontic working length estimation:an ex vivo study. J Contemp Dent Pract, 2011, 12(2):131-134.
8.	Cheung GS, Liu CS. A retrospective study of endodontic treatment outcome between nickel-titanium rotary and stainless steel hand filing techniques. J Endod, 2009, 35(7):938-943.
9.	Wong AW, Zhang C, Chu CH. A systematic review of nonsurgical single-visit versus multiple-visit endodontic treatment. Clin Cosmet Investig Dent, 2014, 6:45-56.
10.	Sathorn C, Parashos P, Messer H. The prevalence of postoperative pain and flare-up in single- and multiple-visit endodontic treatment:a systematic review. Int Endod J, 2008, 41(2):91-99.
11.	Sathorn C, Parashos P, Messer HH. Effectiveness of single-versus multiple-visit endodontic treatment of teeth with apical periodontitis:a systematic review and meta-analysis. Int Endod J, 2005, 38(6):347-355.
12.	Su Y, Wang C, Ye L. Healing rate and post-obturation pain of single-versus multiple-visit endodontic treatment for infected root canals:a systematic review. J Endod, 2011, 37(2):125-132.
13.	Figini L, Lodi G, Gorni F, et al. Single versus multiple visits for endodontic treatment of permanent teeth:a Cochrane systematic review. J Endod, 2008, 34(9):1041-1047.
14.	Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[updated March 2011]. The Cochrane Collaboration, 2011. Available at:http://handbook.cochrane.org/.
15.	Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses:the PRISMA statement. Ann Intern Med, 2009, 151(4):264-269.
16.	Weiger R, Rosendahl R, Löst C. Influence of calcium hydroxide intracanal dressings on the prognosis of teeth with endodontically induced periapical lesions. Int Endod J, 2000, 33(3):219-226.
17.	Paredes-Vieyra J, Enriquez FJ. Success rate of single-versus two-visit root canal treatment of teeth with apical periodontitis:a randomized controlled trial. J Endod, 2012, 38(9):1164-1169.
18.	Trope M, Delano EO, Orstavik D. Endodontic treatment of teeth with apical periodontitis:single vs. multivisit treatment. J Endod, 1999, 25(5):345-350.
19.	肖丹, 张德辉. 感染根管一次性根管治疗的疗效观察. 华西口腔医学杂志, 2010, 28(1):57-60.
20.	邓风章, 汪昌宁. 根管治疗一次法与两次法的近期疼痛与远期疗效对比研究. 中国医药导报, 2012, 9(33):34-35.
21.	杜姣, 郭家平, 王虎中, 等. 年轻恒磨牙一次性根管治疗的临床评价. 临床口腔医学杂志, 2012, 28(3):166-168.
22.	罗苑辉, 黄艳阳, 曾为旭, 等. 一次性根管治疗慢性根尖周炎的疗效. 实用临床医学, 2011, 12(4):84-86.
23.	李宝珍. 一次性根管治疗术治疗根尖周炎的临床观察. 中国现代医生, 2011.49(5):142-144.
24.	方溢云, 林正梅. 一次性和多次性根管治疗应用于根尖周炎的临床评价. 口腔医学, 2009, 29(7):372-374.
25.	Peters LB, Wesselink PR. Periapical healing of endodontically treated teeth in one and two visits obturated in the presence or absence of detectable microorganisms. Int Endod J, 2002, 35(8):660-667.
26.	Penesis VA, Fitzgerald PI, Fayad MI, et al. Outcome of one-visit and two-visit endodontic treatment of necrotic teeth with apical periodontitis:a randomized controlled trial with one-year evaluation. J Endod, 2008, 34(3):251-257.
27.	Molander A, Warfvinge J, Reit C, et al. Clinical and radiographic evaluation of one- and two-visit endodontic treatment of asymptomatic necrotic teeth with apical periodontitis:a randomized clinical trial. J Endod, 2007, 33(10):1145-1148.
28.	Schulz KF, Altman DG, Moher D. CONSORT 2010 statement:updated guidelines for reporting parallel group randomized trials. Ann Intern Med, 2010, 152(11):726-732.

1. Sathorn C, Parashos P, Messer H. Australian endodontists' perceptions of single and multiple visit root canal treatment. Int Endod J, 2009, 42(9):811-818.
2. Vera J, Siqueira JF Jr, Ricucci D, et al. One-versus two-visit endodontic treatment of teeth with apical periodontitis:a histobacteriologic study. J Endod, 2012, 38(8):1040-1052.
3. Kvist T, Molander A, Dahlén G, et al. Microbiological evaluation of one- and two-visit endodontic treatment of teeth with apical periodontitis:a randomized, clinical trial. J Endod, 2004, 30(8):572-576.
4. Xavier AC, Martinho FC, Chung A, et al. One-visit versus two-visit root canal treatment:effectiveness in the removal of endotoxins and cultivable bacteria. J Endod, 2013, 39(8):959-964.
5. Goldfein J, Speirs C, Finkelman M, et al. Rubber dam use during post placement influences the success of root canal-treated teeth. J Endod, 2013, 39(12):1481-1484.
6. AAE Special Committee to Develop a Microscope Position Paper. AAE Position Statement. Use of microscopes and other magnification techniques. J Endod, 2012, 38(8):1153-1155.
7. Parekh V, Taluja C. Comparative study of periapical radiographic techniques with apex locator for endodontic working length estimation:an ex vivo study. J Contemp Dent Pract, 2011, 12(2):131-134.
8. Cheung GS, Liu CS. A retrospective study of endodontic treatment outcome between nickel-titanium rotary and stainless steel hand filing techniques. J Endod, 2009, 35(7):938-943.
9. Wong AW, Zhang C, Chu CH. A systematic review of nonsurgical single-visit versus multiple-visit endodontic treatment. Clin Cosmet Investig Dent, 2014, 6:45-56.
10. Sathorn C, Parashos P, Messer H. The prevalence of postoperative pain and flare-up in single- and multiple-visit endodontic treatment:a systematic review. Int Endod J, 2008, 41(2):91-99.
11. Sathorn C, Parashos P, Messer HH. Effectiveness of single-versus multiple-visit endodontic treatment of teeth with apical periodontitis:a systematic review and meta-analysis. Int Endod J, 2005, 38(6):347-355.
12. Su Y, Wang C, Ye L. Healing rate and post-obturation pain of single-versus multiple-visit endodontic treatment for infected root canals:a systematic review. J Endod, 2011, 37(2):125-132.
13. Figini L, Lodi G, Gorni F, et al. Single versus multiple visits for endodontic treatment of permanent teeth:a Cochrane systematic review. J Endod, 2008, 34(9):1041-1047.
14. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[updated March 2011]. The Cochrane Collaboration, 2011. Available at:http://handbook.cochrane.org/.
15. Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses:the PRISMA statement. Ann Intern Med, 2009, 151(4):264-269.
16. Weiger R, Rosendahl R, Löst C. Influence of calcium hydroxide intracanal dressings on the prognosis of teeth with endodontically induced periapical lesions. Int Endod J, 2000, 33(3):219-226.
17. Paredes-Vieyra J, Enriquez FJ. Success rate of single-versus two-visit root canal treatment of teeth with apical periodontitis:a randomized controlled trial. J Endod, 2012, 38(9):1164-1169.
18. Trope M, Delano EO, Orstavik D. Endodontic treatment of teeth with apical periodontitis:single vs. multivisit treatment. J Endod, 1999, 25(5):345-350.
19. 肖丹, 张德辉. 感染根管一次性根管治疗的疗效观察. 华西口腔医学杂志, 2010, 28(1):57-60.
20. 邓风章, 汪昌宁. 根管治疗一次法与两次法的近期疼痛与远期疗效对比研究. 中国医药导报, 2012, 9(33):34-35.
21. 杜姣, 郭家平, 王虎中, 等. 年轻恒磨牙一次性根管治疗的临床评价. 临床口腔医学杂志, 2012, 28(3):166-168.
22. 罗苑辉, 黄艳阳, 曾为旭, 等. 一次性根管治疗慢性根尖周炎的疗效. 实用临床医学, 2011, 12(4):84-86.
23. 李宝珍. 一次性根管治疗术治疗根尖周炎的临床观察. 中国现代医生, 2011.49(5):142-144.
24. 方溢云, 林正梅. 一次性和多次性根管治疗应用于根尖周炎的临床评价. 口腔医学, 2009, 29(7):372-374.
25. Peters LB, Wesselink PR. Periapical healing of endodontically treated teeth in one and two visits obturated in the presence or absence of detectable microorganisms. Int Endod J, 2002, 35(8):660-667.
26. Penesis VA, Fitzgerald PI, Fayad MI, et al. Outcome of one-visit and two-visit endodontic treatment of necrotic teeth with apical periodontitis:a randomized controlled trial with one-year evaluation. J Endod, 2008, 34(3):251-257.
27. Molander A, Warfvinge J, Reit C, et al. Clinical and radiographic evaluation of one- and two-visit endodontic treatment of asymptomatic necrotic teeth with apical periodontitis:a randomized clinical trial. J Endod, 2007, 33(10):1145-1148.
28. Schulz KF, Altman DG, Moher D. CONSORT 2010 statement:updated guidelines for reporting parallel group randomized trials. Ann Intern Med, 2010, 152(11):726-732.

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Healing Rate of Single-versus Multiple-visit Root Canal Treatment for Teeth with Infected Root Canals: A Meta-analysis

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