Evidence map›Paper›PMID 37010203›Full record

Trial reportEuropean endodontic journal2023

Efficiency of Immediate and Controlled release of Aceclofenac on Post-instrumentation Pain in Root Canal Treatment - A Triple Blind Randomized Controlled Trial.

Jothi Latha Sundaramurthy, Velmurugan Natanasabapathy, Kavitha Mahendran, Srinivasan Narasimhan, Sandhya Raghu, Anna Ravi Cherian, Murugadoss Vaanjay, Jogikalmat Krithikadatta

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European endodontic journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 39% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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 at 5 institutions in 2 countries.

Jothi Latha SundaramurthyDepartment of Conservative Dentistry and Endodontics, Tamil Nadu Government Dental College and Hospital, The Tamil Nadu Dr. M.G.R. Medical University, Chennai, India.
Velmurugan NatanasabapathyDepartment of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research University, Chennai, India.
Kavitha MahendranDepartment of Conservative Dentistry and Endodontics, Tamil Nadu Government Dental College and Hospital, The Tamil Nadu Dr. M.G.R. Medical University, Chennai, India.
Srinivasan NarasimhanDepartment of Endodontics, Hamad Dental Center, Hamad Medical Corporation, Doha, Qatar.
Sandhya RaghuDepartment of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospital, Chennai, India.
Anna Ravi CherianDepartment of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research University, Chennai, India.
Murugadoss VaanjayDepartment of Conservative Dentistry and Endodontics, CSI College of Dental Sciences, Madurai, India.
Jogikalmat KrithikadattaDepartment of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research University, Chennai, India.
Meenakshi Academy of Higher Education and Research · INGovernment Dental College and Hospital · INHamad Medical Corporation · QASaveetha University · INTamil Nadu Dr. M.G.R. Medical University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePatients with moderate to severe preoperative pain have a high incidence of postoperative pain. The objective of this trial was to evaluate the efficiency of oral premedication with Aceclofenac (immediate release and controlled release) in the management of post-instrumentation pain in root canal treatment, in patients with moderate to severe preoperative pain.

methodsThree-arm parallel, triple blinded randomized controlled trial was planned. Patients with moderate to severe endodontic pain, requiring primary endodontic treatment were enrolled. Aceclofenac 100mg- immediate release (Aceclofenac-IR), Aceclofenac 200mg- controlled release (Aceclofenac-CR), and Ibuprofen 400mg were compared. The tablets were given one hour before the root canal treatment. Postoperatively, patients rated their pain at various time points. The duration of pain relief (primary outcome), the intensity of post-instrumentation pain, and the need for additional medicine were calculated. Statistical analysis was done using Kruskal-Wallis followed by Dunn post-hoc, Chi-square tests, and Binominal logistic regression.

resultsAceclofenac-CR had a statistically significant longest duration of pain relief when compared to Ibuprofen (p=0.037) and Aceclofenac-IR (p=0.026). The intensity of post-instrumentation pain was lowest in Aceclofenac-CR, followed by Aceclofenac-IR and Ibuprofen. Additional medicine was required for only 8% of patients in Aceclofenac-CR group; whereas for 32% in each of Aceclofenac-IR and Ibuprofen groups. The odds of taking additional medicine were reduced to 0.16 in Aceclofenac-CR; increased to 1.05 with age.

conclusionAceclofenac-CR had the longest duration of pain relief compared to Aceclofenac-IR and Ibuprofen. (EEJ-2022-03-037).

Indexed as

Anti-Inflammatory Agents, Non-SteroidalIbuprofenDelayed-Action PreparationsDental Pulp CavityDiclofenacDouble-Blind MethodHumansPostoperative PainaceclofenacAnti-Inflammatory Agents, Non-SteroidalDelayed-Action PreparationsDiclofenacIbuprofen

Identifiers

PMID37010203
PMCPMC10098434
OpenAlexW4327790948

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.