Evidence map›Paper›PMID 37526740›Full record

SynthesisClinical oral investigations2023

The influence of anxiety on pain perception and its repercussion on endodontic treatment: a systematic review.

Zilda Betânia Barbosa Medeiros de Farias, Camilla Porto Campello, Márcia Maria Fonseca da Silveira, Sandra Lúcia Dantas Moraes, Belmiro Cavalcanti do Egito Vasconcelos, Eduardo Piza Pellizzer

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical oral investigations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Article
  5. Article
  6. Observational
  7. Article
  8. Review
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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

6 authors at 2 institutions in 1 country.

Zilda Betânia Barbosa Medeiros de FariasDepartment of Oral and Maxillofacial Pathology, School of Dentistry, University of Pernambuco (UPE), Rua Arnóbio Marquês, 310 - Santo Amaro, Recife, PE, 50100-130, Brazil.ORCID 0000-0001-9549-2260
Camilla Porto CampelloDepartment of Hebiatrics, Determinants of Health in Adolescence, School of Dentistry, University of Pernambuco (UPE), Recife, Brazil.ORCID 0000-0001-6689-5466
Márcia Maria Fonseca da SilveiraDepartment of Oral and Maxillofacial Pathology, School of Dentistry, University of Pernambuco (UPE), Rua Arnóbio Marquês, 310 - Santo Amaro, Recife, PE, 50100-130, Brazil. marcia.silveira@upe.br.ORCID 0000-0002-2611-5661
Sandra Lúcia Dantas MoraesDepartment of Prosthodontics, School of Dentistry, University of Pernambuco (UPE), Recife, Brazil.ORCID 0000-0002-3154-5092
Belmiro Cavalcanti do Egito VasconcelosDepartment of Oral and Maxillofacial Surgery, School of Dentistry, University of Pernambuco (UPE), Recife, Brazil.ORCID 0000-0002-6515-1489
Eduardo Piza PellizzerDepartment of Dental Materials and Prosthodontics, Dental School of Araçatuba, São Paulo State University (UNESP), José Bonifacio street 1193, Araçatuba, São Paulo, 1605000, Brazil.ORCID 0000-0003-0670-5004
Universidade de Pernambuco · BRUniversidade Estadual Paulista (Unesp) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the influence of dental anxiety on the perception of pain before and during endodontic treatments. MATERIALS AND

methodsThe PRISMA checklist was followed. A search was conducted in Scopus, Medline/PubMed, The Cochrane Library, and Web of Science databases. Based on PECOS criteria, the first outcome was a possible association between pre-operative pain and anxiety. The second outcome was a possible association between intraoperative pain and anxiety. The type of studies was observational. The JBI Critical Appraisal Checklist was used to evaluate the methodological quality of articles. The certainty of the evidence was analyzed using the GRADE approach.

resultsFour articles were included with a total of 471 patients. Two studies found a positive association between pain and pre-endodontic treatment anxiety. Three studies investigated the relationship between anxiety and intraoperative pain; two identified an extremely significant positive association. One article noted that anxiety influences pain expectancy. The studies were of good quality as assessed by the JBI Critical Appraisal Checklist for cross-sectional studies. However, the certainty of the evidence was considered low and very low.

conclusionsDental anxiety can be directly associated with pre- and intraoperative pain during endodontic procedures. CLINICAL RELEVANCE: It is necessary to identify patients with dental anxiety to employ therapies to bring their anxiety under control, avoiding the increase of endodontic infections, and the postponement and evasion of endodontic treatments.

Indexed as

Dental AnxietyPain PerceptionRoot Canal TherapyHumansPain MeasurementDental anxietyEndodonticsPainRoot canal therapySystematic review

Identifiers

PMID37526740
OpenAlexW4385442960

What OpenQuestion holds

Textmetadata
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.