Evidence map›Paper›PMID 20728716›Full record

SynthesisJournal of endodontics2010

Frequency of nonodontogenic pain after endodontic therapy: a systematic review and meta-analysis.

Donald R Nixdorf, Estephan J Moana-Filho, Alan S Law, Lisa A McGuire, James S Hodges, Mike T John

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of endodontics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Are glia targets for neuropathic orofacial pain therapy?Journal of the American Dental Association (1939) · 2021
    Article
  12. Article
  13. Aspects of Clinical Malpractice in Endodontics.European journal of dentistry · 2019
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Donald R NixdorfDivision of TMD & Orofacial Pain, School of Dentistry, University of Minnesota, Minneapolis, MN 55455, USA. nixdorf@umn.edu
Estephan J Moana-Filho
Alan S Law
Lisa A McGuire
James S Hodges
Mike T John

Funding

Dental PBRN Network ChairU01DE016747 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2005 to 2011
$17.3M
Scholar Development Clinical Research (RMI)K12RR023247 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI LUEPKER, RUSSELL V · 2005 to 2009
$13.5M
Dental Practice-Based Research Network Coordinating CtrU01DE016746 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FUNKHOUSER, ELLEN M · 2005 to 2011
$7.0M
NCRR NIH HHS K12 RR023247NCRR NIH HHS K12-RR023247NIDCR NIH HHS U01 DE016746NIDCR NIH HHS U01-DE016746NIDCR NIH HHS U01 DE016747NIDCR NIH HHS U01-DE016747
6 · The paper itself

Abstract

introductionLittle is known about ill-defined pain that persists after endodontic procedures, including an estimate of the problem's magnitude. We conducted a systematic review of prospective studies that reported the frequency of nonodontogenic pain in patients who had undergone endodontic procedures.

methodsNonodontogenic pain was defined as dentoalveolar pain present for 6 months or more after endodontic treatment without evidence of dental pathology. Endodontic procedures reviewed were nonsurgical root canal treatment, retreatment, and surgical root canal treatment. Studies were searched in four databases electronically, complemented by hand searching. A summary estimate of nonodontogenic tooth pain frequency was derived using random-effects meta-analysis.

resultsOf 770 articles retrieved and reviewed, 10 met inclusion criteria, and nine had data on both odontogenic and nonodontogenic causes of pain. A total of 3,343 teeth were enrolled within the included studies and 1,125 had follow-up information regarding pain status. We identified 48 teeth with nonodontogenic pain and estimated a 3.4% (95% confidence interval, 1.4%-5.5%) frequency of occurrence. In nine articles containing data regarding both odontogenic and nonodontogenic causes of tooth pain, 56% (44/78) of all cases were thought to have a nonodontogenic cause.

conclusionsNonodontogenic pain is not an uncommon outcome after root canal therapy and may represent half of all cases of persistent tooth pain. These findings have implications for the diagnosis and treatment of painful teeth that were previously root canal treated because therapy directed at the tooth in question would not be expected to resolve nonodontogenic pain.

Indexed as

HumansPostoperative PainProspective StudiesRoot Canal TherapyToothache

Identifiers

PMID20728716
PMCPMC2941431

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.