Evidence map›Paper›PMID 26650491›Full record

Trial reportAnesthesia progress2015

Effect of Preoperative Pain on Inferior Alveolar Nerve Block.

Vivek Aggarwal, Mamta Singla, Arunajatesan Subbiya, Paramasivam Vivekanandhan, Vikram Sharma, Ritu Sharma, Venkatachalam Prakash, Nagarajan Geethapriya

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Anesthesia progress, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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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

8 authors.

Vivek AggarwalDepartment of Conservative Dentistry & Endodontics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India.
Mamta SinglaDepartment of Conservative Dentistry & Endodontics, SGT Dental College, Gurgaon, India.
Arunajatesan SubbiyaDepartment of Conservative Dentistry & Endodontics, Sree Balaji Dental College and Hospital, Chennai, India.
Paramasivam VivekanandhanDepartment of Conservative Dentistry & Endodontics, Sree Balaji Dental College and Hospital, Chennai, India.
Vikram SharmaDepartment of Conservative Dentistry & Endodontics, SGT Dental College, Gurgaon, India.
Ritu SharmaDepartment of Conservative Dentistry & Endodontics, SGT Dental College, Gurgaon, India.
Venkatachalam PrakashDepartment of Conservative Dentistry & Endodontics, Sree Balaji Dental College and Hospital, Chennai, India.
Nagarajan GeethapriyaDepartment of Conservative Dentistry & Endodontics, Sree Balaji Dental College and Hospital, Chennai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present study tested the hypothesis that the amount and severity of preoperative pain will affect the anesthetic efficacy of inferior alveolar nerve block (IANB) in patients with symptomatic irreversible pulpitis. One-hundred seventy-seven adult volunteer subjects, actively experiencing pain in a mandibular molar, participated in this prospective double-blind study carried out at 2 different centers. The patients were classified into 3 groups on the basis of severity of preoperative pain: mild, 1-54 mm on the Heft-Parker visual analog scale (HP VAS); moderate, 55-114 mm; and severe, greater than 114 mm. After IANB with 1.8 mL of 2% lidocaine, endodontic access preparation was initiated. Pain during treatment was recorded using the HP VAS. The primary outcome measure was the ability to undertake pulp access and canal instrumentation with no or mild pain. The success rates were statistically analyzed by multiple logistic regression test. There was a significant difference between the mild and severe preoperative pain group (P = .03). There was a positive correlation between the values of preoperative and intraoperative pain (r = .2 and .4 at 2 centers). The amount of preoperative pain can affect the anesthetic success rates of IANB in patients with symptomatic irreversible pulpitis.

Indexed as

AdultAnesthesia, DentalAnesthetics, LocalDouble-Blind MethodEpinephrineFemaleHumansLidocaineMaleMandibular NerveMiddle AgedMolarNerve BlockPain MeasurementProspective StudiesPulpitisAnesthetics, LocalEpinephrineLidocaineVasoconstrictor AgentsCentral sensitizationHyperalgesiaInferior alveolar nerve blockIrreversible pulpitisPreoperative pain

Identifiers

PMID26650491
PMCPMC4675338

What OpenQuestion holds

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Registered trials

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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.