Evidence map›Paper›PMID 37985344›Full record

SynthesisInternational dental journal2024

Effect of Laser Therapy on Postoperative Pain and Endodontic Retreatment: A Systematic Review and Meta-Analysis.

Sai Vakul Toopalle, Indu Yadav, Alpa Gupta, Nishant Chauhan, Dax Abraham, Arundeep Singh, Mrinalini, Mudit Sharma, Serena Lalfakwami

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International dental journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
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 2 institutions in 2 countries.

Sai Vakul ToopalleDepartment of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India. Electronic address: tvakul@gmail.com.
Indu YadavBoston University Goldman School Of Dental Medicine , Boston, USA.
Alpa GuptaDepartment of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India.
Nishant ChauhanDepartment of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India.
Dax AbrahamDepartment of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India.
Arundeep SinghDepartment of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India.
MrinaliniDepartment of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India.
Mudit SharmaDepartment of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India.
Serena LalfakwamiDepartment of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Faridabad, Haryana, India.
Manav Rachna International Institute of Research and Studies · INBoston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoot canal re-treatment (RCR) cases are considered some of the most challenging cases in the field of endodontics, as they are mostly associated with various iatrogenic errors such as ledge formation, incomplete biomechanical preparation, file separation, and incomplete obturation. These iatrogenic errors lead to defective niches within root canals that may act as reservoirs for various viable microorganisms. Such residual microbial niches may cause postoperative pain even after thorough debridement and reshaping the canals, ultimately leading to a poor prognosis for the tooth. Nowadays, prevention of postoperative pain in re-treatment cases and prognosis are effectively managed by photobiomodulation therapy (PBMT).

methodRelevant studies in the English language published before November 2022 were identified using electronic databases like PubMed, SCOPUS, and EBSCO to conduct bibliographic research. This systematic review is based on 3 studies that were found eligible as per the inclusion and exclusion criteria. This systematic review is in accordance with PRISMA guidelines.

resultsThe systematic review indicated a positive impact by significantly decreasing postoperative pain in RCR cases when treated with PBMT. The variation was statistically significant at 24 hours (P = .0002), 48 hours (P = .03), and 72 hours (P = .02). The mean difference at 24 hours was 0.65 (95% CI, 0.32-0.99), at 48 hours was 0.46 (95% CI, 0.05-0.87), and at 72 hours was 0.40 (95% CI, 0.07-0.74). There was no statistical heterogenicity at 24 hours (P > .05), but a medium heterogenicity was observed at 48 hours and 72 hours. PRACTICAL IMPLICATION: PBMT or low-level laser therapy has shown superior results as compared to the conventional pharmacologic approach in postoperative pain management in RCR cases.

Indexed as

Laser TherapyPostoperative PainRetreatmentRoot Canal TherapyHumansLow-Level Light TherapyLow-level laser therapyPhotobiomodulation therapyPostoperative painRoot canal re-treatment

Identifiers

PMID37985344
PMCPMC10988258
OpenAlexW4388790989

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.