Single Visit Endodontic in the Management of Symptomatic Irreversible Pulpitis and Pulp Necrosis with Apical Periodontitis: Report of Two Cases

Single visit endodontic (SVE) therapy may be defined as the conservative non surgical treatment of an endodontically involved tooth, consisting of complete chemicomechanical instrumentation and obturation of the root canal system accomplished in one visit. This case report aims to describe two cases namely mandibular first molar with symptomatic irreversible pulpitis and maxillary first molar with pulp necrosis with apical periodontitis referred to the Clinic of Department of Conservative Dentistry, Faculty of Dentistry University of Sumatera Utara treated with single visit endodontic treatment. All cases were successfully completed in one visit with direct composite onlay as final restoration. Following one-year evaluation, there was no clinical symptoms and healing of periapical tissue was observed. Under controlled circumstances including accurate diagnosis, proper case selection, and skilled treatment technique, with single visit treatment, postoperative sequelae and healing will produce a high success rate.