Evidence map›Paper›PMID 35807101›Full record

ArticleJournal of clinical medicine2022

Postoperative Pain Following Root Canal Instrumentation Using ProTaper Next or Reciproc in Asymptomatic Molars: A Randomized Controlled Single-Blind Clinical Trial.

Patrícia Santos Oliveira, Meire Coelho Ferreira, Natália Gomes Nascimento Paula, Alessandro Dourado Loguercio, Renata Grazziotin-Soares, Gisele Rodrigues da Silva, Helena Cristina Santos da Mata, José Bauer, Ceci Nunes Carvalho

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

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

13 citing papers in PubMed, 15 citations in OpenAlex.

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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

9 authors at 6 institutions in 2 countries.

Patrícia Santos OliveiraPostgraduate Program of Dentistry, CEUMA University, São Luís 65065-470, Brazil.
Meire Coelho FerreiraPostgraduate Program of Dentistry, CEUMA University, São Luís 65065-470, Brazil.ORCID 0000-0001-7116-1547
Natália Gomes Nascimento PaulaPostgraduate Program of Dentistry, CEUMA University, São Luís 65065-470, Brazil.
Alessandro Dourado LoguercioDepartment of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa 84010-330, Brazil.ORCID 0000-0001-9880-4856
Renata Grazziotin-SoaresCollege of Dentistry, University of Saskatchewan, Saskatoon, SK S7N5B2, Canada.ORCID 0000-0002-7843-4103
Gisele Rodrigues da SilvaDepartment of Operative Dentistry, Federal University of Uberlândia (UFU), Uberlândia 38408-100, Brazil.ORCID 0000-0002-9358-1339
Helena Cristina Santos da MataPrivate Practice, Da Mata Odontologia, São Paulo 04020-040, Brazil.
José BauerDentistry Biomaterials Laboratory (Biomma), School of Dentistry, Federal University of Maranhão, São Luís 65080-805, Brazil.ORCID 0000-0003-3761-0331
Ceci Nunes CarvalhoPostgraduate Program of Dentistry, CEUMA University, São Luís 65065-470, Brazil.ORCID 0000-0002-1706-4081
Universidade Ceuma · BRFundação Faculdade de Odontologia · BRUniversidade Estadual de Ponta Grossa · BRUniversidade Federal de Uberlândia · BRUniversidade Federal do Maranhão · BRUniversity of Saskatchewan · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The development of postoperative pain following root canal instrumentation may impair patient’s comfort and undermine their trust in the dentist. This study assessed the effect of root canal instrumentation techniques (rotary (PTN; ProTaper Next®) and reciprocating (R; Reciproc®)) on the postoperative pain intensity (primary outcome) and tenderness on biting (secondary outcome) of patients’ asymptomatic molars. Methodology: This study protocol was registered with ReBec-WHO (U1111-1182-2800). From a pool of 112 patients evaluated for eligibility (healthy adults (≤18 years old)), with a single asymptomatic molar (maxillary or mandibular) indicated for root canal treatment, diagnosed with asymptomatic irreversible pulpitis (including chronic hyperplastic pulpitis), 75 were randomly allocated in similar proportions to receive the intervention (two-appointment root canal therapy) in either the PTN or R group. The allocated procedures were performed using standardized protocols. Participants (blinded to the instrumentation technique) rated their pain intensity at 6, 12 and 24 h and from day 2 to day 7 following the root canal instrumentation appointment using a VAS and an NRS; the ibuprofen tablets taken and the presence of tenderness on biting were recorded. The instrumentation time was registered. Univariate and multivariate statistics measured the effect of independent variables on the outcomes. Results: From the 75 patients allocated, 8 patients (4 from each group) were lost; in total, 33 patients were analyzed in the PTN group and 34 in the R group. The frequencies of postoperative pain (p > 0.05) and tenderness on biting (p > 0.05) were similar between groups. The medication intake (mean of 1.31 tablets) and the time of instrumentation (approximately 11 min) were similar between groups. Conclusion: ProTaper Next and Reciproc® caused a slight risk of tenderness on biting and contributed to similar self-reported postoperative pain (low intensity) up to 7 days following root canal shaping.

Indexed as

asymptomatic molarsendodontic treatmentpostoperative pain

Identifiers

PMID35807101
PMCPMC9267392
OpenAlexW4283745220

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.