Evidence map›Paper›PMID 34803278›Full record

ReviewThe Saudi dental journal2021

Endodontic postoperative flare-up: An update.

Sanaa Bassam, Rima El-Ahmar, Sara Salloum, Sara Ayoub

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in The Saudi dental 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 NCT07116252 (Effect of Sequential Versus Continous Chelation Protocols on Postoperative Endodontic Pain and Matrix Metalloproteinase-9 Levels), which is not on this map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 3% of its field
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.

NCT07116252 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Effect of Sequential Versus Continous Chelation Protocols on Postoperative Endodontic Pain and Matrix Metalloproteinase-9 Levels: A Randomized Clinical Study

TypeinterventionalSponsorSuez Canal UniversityRan2023 to 2025Enrolled75ConditionsIrrigation Solution, Postoperative Pain, Inflammation, Endodontic TreatmentArmsEDTA, Etidronate, clodronate, Etidronic acid /sodium hypochlorite, clodronate + sodium hypochlorite
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Trial
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  7. Article
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  9. Review
  10. Cyotoxicity of Etidronate as an Endodontic Chelator Against Periodontal Ligament Fibroblast.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2026
    Article
  11. Article
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  13. Review
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  18. [Repair of perirradicular tissues in non-surgical endodontic treatment. A review].Revista cientifica odontologica (Universidad Cientifica del Sur)
    Review
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

4 authors at 1 institution in 1 country.

Sanaa BassamDepartment of Endodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.
Rima El-AhmarDepartment of Restorative and Esthetic Dentistry, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.
Sara SalloumDepartment of Endodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.
Sara AyoubDepartment of Prosthodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.
Lebanese University · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endodontic treatment corresponds to a combined chemical and mechanical approach, followed by a three dimensional hermetic obturation, that eliminate the pulpal and periradiculare disease and boost healing and repair of periradiculare tissue. Despite the advances in the endodontic field, the inter-appointment flare up remains a true nightmare that encounters every dentist. This complication commences a few hours or days after root canal procedures and it is characterized by the development of pain and/or swelling, requiring an unscheduled appointment for emergency treatment. Different studies showed that flare-ups represent a multifactorial phenomenon including mechanical, chemical and microbial factors. In addition, a correlation was found between flare-up and age, gender, tooth type, presence of preoperative pain, tooth condition before treatment, irrigation techniques, number of visits as well as intracanal medication. Moreover, some medicine intake was proved to be efficient in controlling this postoperative pain. However, a clear procedure to avoid its occurrence is yet to be established. In this review, we summarize knowledge about the etiology of flare-up and its related factors. This could be effective in helping dentists to adapt some strategies to prevent it.

Indexed as

Endodontic flare-upsEndodontic treatmentEtiologyPostoperative painRelated factors

Identifiers

PMID34803278
PMCPMC8589595
OpenAlexW3167225664

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.