Before started Entering in World of
Single Visit RCT let’s wash off all mis-conceptions in your mind.
It is quite painful after obturation
Previously, it was considered to be painful after obturation
especially in non-vital teeth.
But now, with revolutionary changes in concepts, it is considered
as a routine & painless procedure even in non-vital teeth cases. Rather statistics reveals that single visit endo procedure
causes pain less frequently than multiple visit endo procedure.
Canal Disinfection can’t be completed in one sitting
as dentist can’t insert intra canal medicament
Canal Disinfection by Intra Canal Medicament is also now
a day considered as least useful. Instead, Proper biomechanical preparation of root canal(upto proper size), Profuse irrigation
by proper irrigants (Warm NaOCl ,Hydrogen Peroxide, 4% Chlorhexidine Gluconate etc.),
Immediate sealing of main root canal, lateral accessory canals & dentinal tubules by 3 dimensional obturation gives
prompt healing. Also bacteria in completely & tightly sealed dentinal tubules get killed due to deprivation of nutrition.
Single sitting RCT is very Time Consuming
Critics claim that Single sitting RCT requires a lot of time.
This claim also failed due to advancement of NiTi Rotary files i.e. Rotary Endodontics. So an average time required for Single
Sitting RCT is 45mins to 60mins (for access opening to obturation).
Periapical Lesions doesn’t get healed by Single sitting
root canal treatment
Root canal treatment confines to tooth structure only. Periapical
lesion is located outside the tooth structure. Lesion is surrounded by a connective tissue with good blood supply. It gets
healed by our body’s own healing mechanism & drugs reaching till lesion through blood supply. Always remember aim
of RCT is just to remove irritant which is main etiology by mechanical means. So, neither Single visit nor multiple visits
RCT causes healing but IT HELPS HEALING. Healing depends only on body’s inflammatory response.