Postoperative pain in endodontic retreatment of one visit versus multiple visits: a systematic review and meta-analysis of randomized controlled trials

Registro completo de metadados
MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.contributorFederal University of Juiz de Fora (UFJF)-
Autor(es): dc.creatorNunes, Gabriel Pereira [UNESP]-
Autor(es): dc.creatorDelbem, Alberto Carlos Botazzo [UNESP]-
Autor(es): dc.creatorGomes, Jessica Marcela Luna [UNESP]-
Autor(es): dc.creatorLemos, Cleidiel Aparecido Araújo-
Autor(es): dc.creatorPellizzer, Eduardo Piza [UNESP]-
Data de aceite: dc.date.accessioned2022-02-22T00:53:02Z-
Data de disponibilização: dc.date.available2022-02-22T00:53:02Z-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2021-01-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1007/s00784-020-03767-7-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/208298-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/208298-
Descrição: dc.descriptionBackground: The aim of this systematic review and meta-analysis (SRM) was to assess the postoperative pain (PP) after non-surgical endodontic retreatment (NSER) in a one visit compared to multiple visits. The PICO question used was “Does NSER in patients with unsatisfactory endodontic treatment in a one-visit visit have a similar PP to that of NSER in multiple visits?” Materials and methods: This systematic review followed PRISMA and was registered in PROSPERO (CRD42019136700). Searches were performed in the PubMed/MEDLINE, Scopus, and the Cochrane Library databases for articles published until September 2020. The eligible criteria were randomized clinical trials (RCTs). The meta-analysis was based on the Mantel-Haenszel. The PP after the retreatment was analyzed using a dichotomous outcome, measured according to risk ratio (RR) when p < 0.05. The Cochrane scale was used to assess risk of bias, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to assess the quality of evidence. Results: Four studies were included. In general analysis without considering intensity, one-visit NSER presented lower PP than the multiple visits only for 1 and 30 days [(RR = 0.67; CI: 0.48 to 0.93; p = 0.02), and (RR = 0.09; CI: 0.01 to 0.66; p = 0.02)], respectively. Regarding sub-analysis considering the intensity, one visit present lower mild PP when compared with multiple visits [(RR = 0.54; CI: 0.30, 0.96; p = 0.04); (RR = 0.33; CI: 0.12, 0.88; p = 0.03); and (RR = 0.12; CI: 0.02, 0.86; p = 0.03)], respectively. However, sub-analysis for moderate and severe PP showed no significant difference, independently of period evaluated (p > 0.05). Regarding the risk of bias analysis, a low risk was observed for most domains, except allocation that was considered unclear, while the certainty of evidence for each analysis was considered low. Conclusion: Within the limitations of study, the one and multiple visit can be considered adequate, because both present a similar occurrence of PP, except for mild pain. However, due to the low number of studies, further well conducted and standardized RCTs are needed to reassess these results. Clinical relevance: Both therapies of endodontic retreatment can be considered in clinical practice. Therefore, the endodontist must consider the patient’s individual characteristics and experience to consider the best treatment approach.-
Descrição: dc.descriptionDepartment of Preventive and Restorative Dentistry School of Dentistry São Paulo State University (UNESP)-
Descrição: dc.descriptionDepartment of Dental Materials and Prosthodontics School of Dentistry São Paulo State University (UNESP)-
Descrição: dc.descriptionDepartment of Prosthodontics School of Dentistry Federal University of Juiz de Fora (UFJF)-
Descrição: dc.descriptionDepartment of Preventive and Restorative Dentistry School of Dentistry São Paulo State University (UNESP)-
Descrição: dc.descriptionDepartment of Dental Materials and Prosthodontics School of Dentistry São Paulo State University (UNESP)-
Formato: dc.format455-468-
Idioma: dc.languageen-
Relação: dc.relationClinical Oral Investigations-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectEndodontic retreatment-
Palavras-chave: dc.subjectMultiple visits-
Palavras-chave: dc.subjectOne-visit visit-
Palavras-chave: dc.subjectPostoperative pain-
Palavras-chave: dc.subjectSystematic review-
Título: dc.titlePostoperative pain in endodontic retreatment of one visit versus multiple visits: a systematic review and meta-analysis of randomized controlled trials-
Aparece nas coleções:Repositório Institucional - Unesp

Não existem arquivos associados a este item.