Sometimes it can be done in one appointment, but two may be required. Your dentist or an endodontist can perform a root canal. Endodontists have more specialized training in root canal treatment. Standard root canal treatments generally require two or more visits to complete.
In the case of two appointments, you can expect the first session to include creating an opening in the crown to provide access to the root canal and, subsequently, cleaning and disinfecting the canal to remove infected tissue. In the second phase of the treatment, filling and sealing of the channel space is performed. Between the two appointments, your dentist or endodontist will place some medication, such as calcium hydroxide paste, on the tooth, to continue disinfecting the canal. The time between the first and second visits generally varies from patient to patient, but most of all it is 1 to 3 weeks.
Doing a root canal and crown on the same tooth at the same visit may seem mystical and magical, but it actually makes sense. Traditionally, the RCT has been divided into two or more appointments to disinfect the canal, improve patient comfort, and observe healing before permanent filling. However, one-visit endodontic treatment is faster, well-accepted by patients, and avoids root canal recontamination between appointments. Most pulp and periradicular pathologies are inflammatory after infection.
Regardless of the instruments and file sizes employed, microorganisms are rarely completely eliminated from the root canals. Remaining pathogens may jeopardize the outcome of root canal treatment. Irrigation with sodium hypochlorite was found to be significantly more effective than saline in releasing bacterial channels. The mechanical action of instrumentation and irrigation has been reported to significantly reduce the number of bacterial cells in the root canal, regardless of technique.
The endodontic procedure is completed in two separate visits to ensure that the tooth is thoroughly cleaned, sealed, and protected from further damage. If you have questions about what to expect from your experience during root canal treatment, talk to your trusted dentist at Willow Glen Dental Specialists (WGDS). Those who believe that successful root canal treatment can be completed in a single visit are grounded in the literature. Studies on postoperative pain3-6 as well as cure rates7-9 show that the outcome of treatment is similar, whether completed in one or more visits.
In addition to this, one-visit treatment offers many advantages. This decreases the number of surgical procedures, including additional anesthesia, gum trauma from the application of a rubber dam, as well as eliminating the risk of leaks between appointments through temporary restoration. It consumes less time, which translates to a lower cost for patients. The purpose of the study was to determine the clinical success rate of single-visit versus multiple-visit root canal treatment in vital primary molars exposed to caries.
After preparation of the access cavity, the channels were prepared using the rotary instrument and profiles mentioned above. A dental provider needs to be consulted prior to treatment to determine if you are a candidate for root canal therapy and the GentleWave procedure. While both ways have proven successful, I can tell you from personal experience that I used to have many more outbreaks doing root canal treatment in several appointments than doing everything in one appointment, as I have been doing for the past 15 years. Completing root canal treatment at an appointment is an effective and time-saving procedure in selected cases.
O'Keefe31 found no significant difference in his patient's postoperative pain experience after single-visit or multi-visit root canal treatment. This led to one of two treatment cycles, either treating the root canal in one visit or seeking intracanal medication that does not damage periradicular tissues. More than 15 million teeth are treated and saved each year with endodontic or endodontic treatment. They reported better results for the two-visit treatment, in which calcium hydroxide was used as an intracanal disinfectant for one week.
The need for a crown after root canal treatment depends largely on the location of the tooth in the mouth. Teeth toward the back of the mouth, such as molars and premolars, are needed more for chewing and usually require crowns, where incisors or canines that aren't needed to chew don't always require crowns. NiTi rotary instruments can predictably enlarge root canals while maintaining the original trajectory, to sizes that are not commonly available with stainless steel files. .