ReviewJournal of conservative dentistry : JCD
Reciprocating kinematics leads to lower incidences of postoperative pain than rotary kinematics after endodontic treatment: A systematic review and meta-analysis of randomized controlled trial.
Review in Journal of conservative dentistry : JCD. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Postoperative Pain After Root Canal Preparation With Different Instruments in Primary Teeth: A Systematic Review and Meta-Analysis.Clinical and experimental dental research · 2025Pooled it
- Effect of Rotary and Reciprocating Instrumentation Motions on Postoperative Pain Incidence in Non-Surgical Endodontic Treatments: A Systematic Review and Meta-Analysis.European endodontic journal · 2021Pooled it
- Influence of glide path kinematics during endodontic treatment on the occurrence and intensity of intraoperative and postoperative pain: a systematic review of randomized clinical trials.BMC oral health · 2020Pooled it
- Use of 2Shape® File in Adaptive Kinematics Influences Post-operative Pain After Single Visit Endodontics in Symptomatic Irreversible Pulpitis: A Double-blinded, Randomized Clinical Trial.European endodontic journal · 2024Trial
- Trial
- Can instrumentation kinematics affect postoperative pain and substance P levels? A randomized controlled trial.BMC oral health · 2024Trial
- Postoperative Pain After Using Reciprocating Motion with Reciproc Files Versus Adaptive Motion with Twisted File Adaptive in Instrumentation of Necrotic Mandibular Molars: A Randomized Clinical Trial.European endodontic journal · 2022Trial
- Prospective comparative study on postoperative pain after single-visit root canal treatment using rotary and reciprocating kinematics.Odontology · 2026Article
- Post-Operative Pain After Endodontic Instrumentation, Irrigation and Obturation: An Umbrella Review of Systematic Reviews Published from 2016 to 2025.Journal of clinical medicine · 2026Review
- Effect of rotary and reciprocating instrumentation kinematics on postoperative pain following endodontic retreatment: a systematic review.Journal of dental anesthesia and pain medicine · 2026Review
- Effect of Pre-emptive Injection-based Corticosteroid Administration and Its Routes on Post-Endodontic Pain: A Systematic Review and Meta-analysis of Randomized Clinical Trials.Journal of clinical and experimental dentistry · 2026Review
- Cyclic fatigue resistance of two NiTi rotary instruments after blue heat treatment.Journal of clinical and experimental dentistry · 2026Review
- Review
- Comparison of post-operative pain between rotary and reciprocating file systems in root canal therapy: AnBioinformation · 2026Article
- Real-time torque behavior of reciprocating nickel-titanium instruments using different irrigating solutions.PloS one · 2026Article
- Evaluating success rates of rotary NiTi versus reciprocating files in endodontic treatment.Bioinformation · 2026Article
- Effect of glide path preparation on postoperative pain using TruNatomy and Reciproc Blue in single-visit root canal therapy: A randomized clinical trial.Journal of conservative dentistry and endodontics · 2025Article
- Evaluation of the effects of different file systems and apical functions of integrated endodontic motors on debris extrusion: an ex vivo experimental study.Restorative dentistry & endodontics · 2025Article
- A Holistic Approach to Postendodontic Pain Management: A Narrative Review.Journal of pharmacy & bioallied sciences · 2024Review
- Post-Operative Quality of Life after Single-Visit Root Canal Treatment Employing Three Different Instrumentation Techniques-An Institutional Randomized Clinical Trial.Journal of clinical medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExtrusion of infected debris into the periapical tissue has been cited as the major cause of postoperative pain, regardless of instrumentation technique.
aimComprehensively review two different kinematics of instrumentation (reciprocating and rotary) and association to the postoperative pain after endodontic treatment.
methodsTwo investigators performed a systematic review with meta-analysis. MEDLINE/PubMed, Cochrane Library, and Scopus supplied relevant data from studies published until February 2018 to answer the PICO question. Primary outcome was overall postoperative pain, and the secondary outcomes were nature of the pain (mild, moderate, and severe) at 12, 24, and 48 h.
resultsTen randomized clinical trials fulfilled eligibility criteria, and five of them were submitted in the meta-analysis. Primary outcome indicated that reciprocating system results in less postoperative pain compared to rotary system (
conclusionRotary motion had a negative impact on postoperative pain after endodontic treatment. Furthermore, after 48 h, more patients presented severe pain under rotary motion. More randomized clinical studies would be helpful.
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Registered trials
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.