Comments on: A Cochrane Review: Single Vs Multi Visit Root Canal Treatment.

By: John

John — Wed, 20 Jan 2010 09:46:22 +0000

Useful and helpful information.

By: Life’s Context » Blog Archive » How Not To Use A Carbon Fiber Post.

Wed, 22 Oct 2008 13:01:03 +0000

[...] This case also serves as an example of the fact that a 1-year recall on endodontic cases does not provide enough time to properly evaluate healing. From a strict radiographic interpretation, this case has not healed and is therefore not currently a success. One strike against the relevance or clinical significance of that Cochrane Review. [...]

By: jeanie

jeanie — Sat, 18 Oct 2008 22:15:44 +0000

we compared saline and gelatine
and on our models you can’t turn the sound off, you can only turn it down. very annoying. hee.

By: Periapex

Periapex — Fri, 17 Oct 2008 10:50:30 +0000

What media did you compare against alginate?

About a year after I started using apex locators, I turned the audio off. Have never used audio since. The only piece of equipment that I welcome audio feedback from is The Wand and the TV in the office. Oh, and the System B.

By: jeanie

jeanie — Thu, 16 Oct 2008 22:06:48 +0000

well, we found raypex to be more accurate and user friendly than dentaport zx and that alginate is the best medium to use for imbedding teeth in an ex vivo teaching set up. (statistical significance!)
I think i will always have nightmares of the infernal beeping you get from EALs though…

By: Periapex

Periapex — Thu, 16 Oct 2008 10:03:00 +0000

Hi Jason, there’s no doubt that we all prefer it. Balancing the bodies of evidence on both sides of the debate, however, it is difficult to ethically ignore the evidence that favors multi-visit treatment. This evidence, in general, has better follow-up and better experimental design.

Ignoring financial considerations, single visit endo is more convenient for both the patient and the dentist. It would be a brand new day in my practice if somebody could convince me that single-visit treatment is just as effective as multi-visit.

When I first finished my endo program, the North American philosophy of single-visit treatment caught me. If everyone is doing it, and it’s the standard of care, why shouldn’t I?

I eventually shifted back to multi-visit on the vast majority of my infected cases — and all of my retreatments. Not a lot, but a significant number of cases that I finished in a single visit that either persisted with infection, or relapsed in a relatively short time ended up healing rapidly once I retreated and used Calcium Hydroxide in between a couple of appointments.

For me the proof was in the pudding.

By: Jason Hales

Jason Hales — Thu, 16 Oct 2008 06:13:55 +0000

Thanks for the update. Doctors & patients prefer single visit endodontics. We were discussing this very issue today in our practice with a new doctor.

By: Periapex

Periapex — Wed, 15 Oct 2008 21:00:02 +0000

Rudy: It’s probably all the Dr. Pepper and doughnuts you eat/drink. Seriously, do your teeth feel cleaner after each cleaning, even though you go 4X per year? If yes, it’s probably a good idea. The toothbrush can only do so much cleaning under the gums…

jeanie: Cool, will look for it to come across Medline. Are you allowed to say what you found?

By: jeanie

jeanie — Wed, 15 Oct 2008 05:35:22 +0000

in semi related news, i’ve finally finished with our group assignment for our course! It’s about apex locators! Our supervisor is aiming for publication in the Australian Dental Journal!
Woot!

By: Rudy

Rudy — Tue, 14 Oct 2008 22:38:23 +0000

I have the OralB electric toothbrush reviewed in that Cochrane study. I also floss, yet my dentist still recommends 4 times a year dentist cleaning (instead of 2). Maybe she just wants my money, who knows. Or my teeth is really that bad. (Rudy's last blog post: A New Hosting Site)