Effectiveness of Single-Visit Root Canal Treatment and Adhesive Restoration in Improving Accessibility of Tooth Preservation Services: A Case Report
DOI:
https://doi.org/10.54259/sehatrakyat.v5i1.6640Keywords:
Endodontic Treatment, Maxillary Second Premolar, Single-VisitAbstract
Background: The management of teeth with pulp necrosis and symptomatic apical periodontitis requires effective root canal disinfection and durable restoration. Single-visit root canal therapy with bioceramic sealers and adhesive restorative techniques provides a comprehensive approach to promote periapical healing and tooth preservation. Aim: This case report describes the endodontic treatment and restorative management of a maxillary second premolar with a periapical lesion using single-visit endodontic and DME technique for direct composite restoration. Case Report: A patient presented with pain during chewing on the maxillary left second premolar, previously restored one year earlier. The tooth was initially sensitive but developed pain on mastication after six months. Clinical findings included negative thermal response, positive percussion, negative palpation, and no mobility. Radiographs showed a periapical lesion. The diagnosis was pulp necrosis with symptomatic apical periodontitis. Case Management: Endodontic treatment was performed in a single visit. Root canal preparation was followed by obturation using a single-cone technique with bioceramic sealer. Restorative management involved the DME technique to elevate the cervical margin, followed by direct composite for functional restoration. Discussion: Single-visit root canal therapy provides outcomes comparable to multi-visit protocols. Bioceramic sealer enhances periapical healing due to its bioactivity and sealing properties. The DME technique facilitates restorative access and margin control in deep areas, while direct composite ensures conservative reinforcement and esthetics. Conclusion: This integrated single-visit approach combining bioceramic obturation, DME, and direct composite restoration achieved successful management of a maxillary second premolar with pulp necrosis and.
Downloads
References
Abdelmawgoud, A., Fawzy, M. I., Elhousiny, M. A., & Abdel-Aziz, M. M. (2022). Evaluation of Single Visit Endodontic Treatment Outcome in Teeth with Asymptomatic Necrotic Pulp and Apical Periodontitis Using EndoVac Irrigation Device: Randomized Controlled Clinical Trial. Al-Azhar Dental Journal for Girls, 9(3), 431-439.
AbdurRahman, S., Aziz, S. M. A., Gawdat, S. I., & AbdalSamad, A. M. (2019). Postoperative pain of patients with necrotic teeth with apical periodontitis following single visit endodontic treatment versus multiple visit endodontic treatment using triple antibiotic paste: a randomized clinical trial. F1000Research, 8, 1203.
Aldakheel, M., Aldosary, K., Alnafissah, S., Alaamer, R., Alqahtani, A., & Almuhtab, N. (2022). Deep Margin Elevation: Current Concepts and Clinical Considerations: A Review. Medicina (Kaunas), 58(10). doi:10.3390/medicina58101482
Alhamdan, M. M., Aljamaan, R. F., Abuthnain, M. M., Alsumikhi, S. A., Alqahtani, G. S., Alkhraiyef, R. A., . . . Alqahtani Jr, G. S. (2024). Direct versus indirect treatment options of endodontically treated posterior teeth: a narrative review. Cureus, 16(8).
Atlas, A., Grandini, S., & Martignoni, M. (2019). Evidence-based treatment planning for the restoration of endodontically treated single teeth: importance of coronal seal, post vs no post, and indirect vs direct restoration. Quintessence Int, 50(10), 772-781.
Bhalla, V. K., Chockattu, S. J., Srivastava, S., & Prasad, S. (2020). Decision making and restorative planning for adhesively restoring endodontically treated teeth: an update. Saudi Endodontic Journal, 10(3), 181-186.
Chaudhari, P. S., Chandak, M. G., Jaiswal, A. A., & Mishra, A. D. (2023). Revelation of outcome of single visit V/s multiple visit endodontic therapy. Journal of Datta Meghe Institute of Medical Sciences University, 18(4), 915-925.
Drouri, S., Laslami, K., Dhaim, S., & Jabri, M. (2024). Influence of number of visits on the outcome of endodontic treatment. Journal of Conservative Dentistry and Endodontics, 27(12), 1211-1220.
El-Ma’aita, A. M., Radwan, H., & Al-Rabab’ah, M. A. (2024). Deep Margin Elevation–A Retrospective Clinical Study. The Journal of Adhesive Dentistry, 26, b5199089.
Etman, A. (2023). Success of pulpectomy in primary molars using a modified obturating materials (a comparative study between Metapex and Endoflas). Egyptian Dental Journal, 69(4), 2599-2607.
Garcia, R. I., & Sohn, W. (2012). The paradigm shift to prevention and its relationship to dental education. Journal of dental education, 76(1), 36-45.
Hussein, I. M., & Kadhum, O. M. A. (2025). The Impact of Autoclave Sterilization on Cyclic Fatigue of Nickel-Titanium Rotary Endodontic Instruments. Dentistry 3000, 13(1).
Jesslyn, G., Iskandar, B. O., & Suwartini, T. (2024). Perawatan endodontik sekali kunjungan molar pertama kiri mandibula dengan nekrosis pulpa disertai periodontitis apikalis asimptomatik: laporan kasus. Jurnal Kedokteran Gigi Universitas Padjadjaran, 36(4), 196-201.
Malik, S., Shah, S. A., Fatima, F., Alim, S., Ameer, S., & Ahmed, I. (2024). Postoperative Pain in Single-Visit Versus Multiple-Visit Endodontic Treatment of Permanent Teeth. Journal of Health and Rehabilitation Research, 4(1), 1-5.
Mergoni, G., Ganim, M., Lodi, G., Figini, L., Gagliani, M., & Manfredi, M. (2022). Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database of Systematic Reviews(12).
Moreta Criollo, J. E. (2024). Materiales para obturación en pulpectomías en dentición primaria. revisión sistemática.
Naved, N., Umer, F., & Khowaja, A. R. (2024). Irreversible pulpitis in mature permanent teeth: a cost-effectiveness analysis of pulpotomy versus root canal treatment. BMC Oral Health, 24(1), 285.
Rao, V., Shah, A. G., Desai, E. C., Agrawal, H., Patel, K., Patel, P., . . . Bharti, R. (2025). Outcomes of Single-Visit Versus Multi-Visit Root Canal Therapy: A Meta-Analysis of Success Rates. European Journal of Cardiovascular Medicine, 15, 62-67.
Reis, A., Feitosa, V. P., Chibinski, A. C., Favoreto, M. W., Gutierrez, M. F., & Loguercio, A. D. (2024). Biomimetic Restorative Dentistry: an evidence-based discussion of common myths. Journal of Applied Oral Science, 32, e20240271.
Rumate, D. E., Wicaksono, D. A., & Yuliana, Y. (2023). Kepatuhan Pasien Menjalani Perawatan Saluran Akar Multi Kunjungan di Rumah Sakit Gigi dan Mulut Universitas Sam Ratulangi. e-GiGi, 11(2), 176-182.
Sadowsky, S. (2020). Evidence-Based Treatment Planning for the Restoration of Endodontically Treated Single Teeth: Importance of Coronal Seal, Post vs No Post, and Indirect vs Direct Restorations. International Journal of Prosthodontics, 33(1).
Sharma, A. (2024). Bioactive Root Canal Sealers: A Review of Material Science and Clinical Outcomes. International Journal of Cell Science and Biotechnology, 13(01), 10-14.
Sharma, A., Sharma, R., Sharma, M., & Jain, A. (2023). Periapical lesion: A single-sitting root canal treatment. Cureus, 15(4).
Sholekhah, N. K. (2025). Penatalaksanaan Kontrol Infeksi Pada Perawatan Saluran Akar Gigi Di Praktik Dokter Gigi (Systematic Review). Jurnal Kesehatan Gigi dan Mulut (JKGM), 7(1), 29-40.
Stefani, R. (2023). Perawatan saluran akar periodontitis apikalis kronis pada gigi insisivus lateral maksilaris kiri. Jurnal Kedokteran Gigi Terpadu, 5(2).
Theodoridis, A., & Economides, N. (2023). Single versus multiple visits endodontic therapy on healing rate of periapical lesions: A systematic review and meta-analysis. Balkan Journal of Dental Medicine, 27(3), 140-147.
Yildiz, B., Dumani, A., Isci, A. S., Sisli, S. N., Tumani Ustdal, B., & Yoldas, O. (2024). Outcome of single‐visit root canal treatment with or without MTAD: a randomized controlled clinical trial. International Endodontic Journal, 57(1), 2-11.
Zamparini, F., Lenzi, J., Duncan, H. F., Spinelli, A., Gandolfi, M. G., & Prati, C. (2024). The efficacy of premixed bioceramic sealers versus standard sealers on root canal treatment outcome, extrusion rate and post‐obturation pain: A systematic review and meta‐analysis. International Endodontic Journal, 57(8), 1021-1042.
Zang, H.-L., Zhang, Y., Hao, X.-W., Yang, L., & Liang, Y.-H. (2023). Cost-effectiveness analysis: nonsurgical root canal treatment versus single-tooth implant. BMC Oral Health, 23(1), 489.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Teuku Agus Surya, Widi Prasetia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Hak cipta pada setiap artikel adalah milik penulis.
Penulis mengakui bahwa SEHATRAKYAT (Jurnal Kesehatan Masyarakat) sebagai publisher yang mempublikasikan pertama kali dengan lisensi Creative Commons Attribution 4.0 International License.
Penulis dapat memasukan tulisan secara terpisah, mengatur distribusi non-ekskulif dari naskah yang telah terbit di jurnal ini kedalam versi yang lain, seperti: dikirim ke respository institusi penulis, publikasi kedalam buku, dan lain-lain. Dengan mengakui bahwa naskah telah terbit pertama kali pada SEHATRAKYAT (Jurnal Kesehatan Masyarakat).
