Evidence map›Paper›PMID 37654945›Full record

ArticleCureus2023

Evaluation of the Impact of Different Instrumentation Techniques on the Incidence of Postoperative Pain in Patients Undergoing Root Canal Treatment.

Ankita Agrawal, Neha Agrawal, Krishna Biswas, Diwakar Vasisth, Nawaf Almutairi, Badi B Alotaibi, Bhumika Patel, Ramanpal Singh

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 3 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

8 authors at 5 institutions in 4 countries.

Ankita AgrawalDepartment of Endodontics and Conservative Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, IND.
Neha AgrawalDepartment of Dentistry, Government Medical College, Mahasamund, IND.
Krishna BiswasDepartment of Conservative Dentistry and Endodontics, All India Institute of Medical Sciences, Guwahati, IND.
Diwakar VasisthDepartment of Dental and Maxillofacial Surgery, Lady Hardinge Medical College and Hospital, Delhi, IND.
Nawaf AlmutairiDepartment of Conservative Dental Science and Endodontics, Qassim University, Buraidah, SAU.
Badi B AlotaibiDepartment of Conservative Dental Science, Qassim University, Buraidah, SAU.
Bhumika PatelDepartment of Oral Medicine and Radiology, Howard University, Washington, DC, USA.
Ramanpal SinghDepartment of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, IND.
Lady Hardinge Medical College · INHoward University · USAll India Institute of Medical Sciences GuwahatiGovernment Medical College · INQassim University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative pain is a common concern in root canal treatment, and the choice of instrumentation technique can significantly impact patient comfort. This study aimed to evaluate the impact of different instrumentation techniques on the incidence of postoperative pain in patients undergoing root canal treatment.

methodsA randomized controlled trial was conducted on 208 patients randomly assigned to four groups: step-back preparation, crown-down preparation, hybrid technique, and conventional instrumentation. Pain intensity was assessed using a verbal rating scale (VRS) at six, 12, 24, 48, and 72 hours postoperatively. Data were analyzed using appropriate statistical methods.

resultsThe mean pain scores and standard deviations (SDs) were calculated for each instrumentation technique at different time intervals. At six hours, the step-back preparation group reported a mean pain score of 2.3 (SD = 0.8), the crown-down preparation group had a score of 2.8 (SD = 0.9), the hybrid technique group had a score of 2.5 (SD = 0.7), and the conventional instrumentation group had a score of 3.1 (SD = 0.1). The differences in pain scores between the groups were statistically significant at all time intervals (p < 0.05).

conclusionThe choice of instrumentation technique significantly influenced the incidence of postoperative pain in root canal treatment. The step-back preparation technique was associated with lower pain intensity than the crown-down preparation, hybrid technique, and conventional instrumentation. These findings highlight the importance of considering the instrumentation technique to optimize patient comfort during and after root canal treatment.

Indexed as

conventional instrumentationcrown-down preparationhybrid techniqueinstrumentation techniquespostoperative painroot canal treatmentstep-back preparationvisual analog scale

Identifiers

PMID37654945
PMCPMC10467327
OpenAlexW4385417570

What OpenQuestion holds

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LicenceCC BY
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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.