SynthesisEuropean endodontic journal2021
Effect of Rotary and Reciprocating Instrumentation Motions on Postoperative Pain Incidence in Non-Surgical Endodontic Treatments: A Systematic Review and Meta-Analysis.
Synthesis in European endodontic journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07783945 (Evaluation of the Effect of Different Ni-Ti Shaping Systems on Postoperative Pain and Operation Time in Single-Visit Non-Surgical Retreatment), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled 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.
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.
Evaluation of the Effect of Different Ni-Ti Shaping Systems on Postoperative Pain and Operation Time in Single-Visit Non-Surgical Retreatment: A Randomized Clinical Trial
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline 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
- Comparison of post-operative pain prevalence after single visit endodontic treatment with two NiTi rotary files - a randomized clinical trial.Scientific reports · 2025Trial
- Effect of intracanal cryotherapy on post-operative pain in single-visit endodontic retreatment: a randomized clinical trial.BMC oral health · 2024Trial
- 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
- Can instrumentation kinematics affect postoperative pain and substance P levels? A randomized controlled trial.BMC oral health · 2024Trial
- The Effect of Reciprocating Instrument and Root Canal Filling Techniques on Post-operative Pain in Retreatment: A Prospective Clinical Study.European endodontic journal · 2023Trial
- Incidence of Postoperative Pain after Single Visit Root Canal Treatment using XP-endo Shaper, 2Shape and ProTaper Gold Rotary Systems: A Prospective Randomized Clinical Trial.European endodontic journal · 2023Trial
- 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
- 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
- Protocol for low-level laser therapy (LLLT) to control post-endodontic treatment pain in patients with apical periodontitis: a randomized controlled trial.BMC oral health · 2025Article
- Factors Reducing Postoperative Pain Related to Root Canal Treatment: A Narrative Review of Systematic Reviews.Dentistry journal · 2025Review
- 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
- Post-Operative Endodontic Pain Management: An Overview of Systematic Reviews on Post-Operatively Administered Oral Medications and Integrated Evidence-Based Clinical Recommendations.Healthcare (Basel, Switzerland) · 2022Review
- Impact of instrumentation kinematics on post endodontic pain-an umbrella review with stratification of evidence and sensitivity analysis.Journal of oral biology and craniofacial researchReview
- Evaluation of postoperative pain with new heat-treated rotary and reciprocating nickel-titanium files: A randomized controlled clinical trial.Journal of conservative dentistry : JCDArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveA systematic review and meta-analysis were conducted to determine whether there are postoperative pain differences resulting from rotary and reciprocation engine-driven instrumentation motions in non-surgical endodontic treatment or retreatment at 12, 24, and 48 hours.
methodsFour electronic databases (PubMed, Embase, Cochrane Library, and Scopus) were searched to identify randomised controlled trials that compared the effects of rotary and reciprocating instrumentation motions on postoperative pain. Two authors independently screened the search results, extracted the data, and assessed the quality using the Cochrane risk of bias tool. Due to numerous variables across studies, the random effect inverse variance method for meta-analysis was applied. When significant heterogeneity among studies was present, the random effects multi-variable meta-regression analysis was performed to determine the source of heterogeneity.
resultsAt all time intervals, the incidence of postoperative pain was higher in the reciprocating instrumentation group, but was not statistically significant. There was no significant difference in the analgesic intake between groups. Meta-regression analysis determined study population sizes as a significant heterogeneous factor, while significance was not observed for preoperative pain or the pulpal diagnosis.
conclusionThere was no difference in postoperative pain at 12, 24, and 48 hours after non-surgical root canal treatment and retreatment, using reciprocating or rotary instrumentation motions.
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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.