Under what conditions can a root canal be performed on the same day
Are all patients who come to the clinic suitable for a one-day root canal? The answer is no, not all patients with pulp or apical inflammation are suitable for a one-day root canal, and some patients with acute During the pyogenic inflammatory phase, such as in acute periapical abscesses, when there is severe percussion pain in the affected tooth, or when there is a lot of fluid exuding from the root canal that cannot be immediately dried.
In addition , it is not suitable for those who are elderly , infirm or unable to tolerate prolonged handling , and those with extreme root canal problems . Those who are bent , calcified , or obstructed are also unsuitable for one-time root canal treatment . Also one-time root canal treatment requires a high level of skill on the part of the surgeon , requiring accurate measurement of the length of the root canal , as well as appropriate Apparatus , equipment such as nickel titanium preparatory equipment for machines , rubber water barriers and corresponding consumables.
Do root canals work well in a day?
The indications for primary root canal treatment do not differ significantly from those for conventional root canal treatment, including all types of pulpitis, pulpal necrosis, pulpitis, and pulp failure. Pulp calcification, internal resorption, periapical inflammation, trauma, etc., and many studies have also shown that a single root canal is more effective than multiple root canals. There was no statistically significant difference in success rates compared to the others.
However, disposable root canal therapy, which is filled immediately after root canal preparation and disinfection, can reduce the risk of the office losing the seal due to temporary closure material, poor sealing, etc. The probability of root canal reinfection due to the cause and the reduced number of visits can also improve patient compliance and the patient experience. Therefore, contemporary root canal therapy advocates completing the root canal in a same day.
Some doctors are most concerned about pain in the affected tooth after a single root canal, and there has been literature evaluating the effect of the single and multiple methods on postoperative The effect of the multiple method was thought to reduce the incidence of postoperative pain. However, some later scholars have gone on to conclude, through evidence-based studies of the literature, that “there is not yet sufficient evidence to suggest that the single-method and multiple methods in terms of postoperative pain.”
If pain problems occur after root canal therapy, the cause is inadequate mechanical preparation or inappropriate use of equipment in preparation, or the patient may be Chemical and physical stimulation causes an immune response in the tissues. Therefore, both the patient and the surgeon play a role in post-operative pain, but it is the surgeon who plays the leading role in good treatment. The technique may not be able to completely avoid post-operative pain problems, but the incidence of post-operative pain will definitely be higher if the technique is poorly grasped. Therefore, if a patient wants to reduce the incidence of post-operative pain, it is important to find an experienced surgeon for root canal treatment.
Disadvantages of Same Day Root Canal Treatment
●The treatment is very long, usually one to two hours, and the patient is required to keep their mouth open during the treatment, which makes it difficult to open the mouth. Patients find it exhausting. The mouth will be sore after the procedure, including muscle pain.
●When a root canal is completed in one day, the patient is more likely to experience pain. This is because, unlike having multiple treatments in a single day, the dentist may not be able to completely clean the pulp, or Poorly prepared fillings irritate the gums and cause inflammation.
● A root canal in one day is very demanding on the physician’s skill and if the young physician is inexperienced, it is likely to result in the treatment of Failure.