Postoperative pain after root canal filling with bioceramic sealers: a systematic review and meta-analysis of randomized clinical trials

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorCesumar University Center - UNICESUMAR-
Autor(es): dc.creatorSeron, Marcelo Augusto-
Autor(es): dc.creatorNunes, Gabriel Pereira-
Autor(es): dc.creatorFerrisse, Tulio Morandin-
Autor(es): dc.creatorStrazzi-Sahyon, Henrico Badaoui-
Autor(es): dc.creatorVictorino, Fausto Rodrigo-
Autor(es): dc.creatordos Santos, Paulo Henrique-
Autor(es): dc.creatorGomes-Filho, João Eduardo-
Autor(es): dc.creatorCintra, Luciano Tavares Angelo-
Autor(es): dc.creatorSivieri-Araujo, Gustavo-
Data de aceite: dc.date.accessioned2025-08-21T17:32:39Z-
Data de disponibilização: dc.date.available2025-08-21T17:32:39Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2023-10-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1007/s10266-023-00830-z-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/298359-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/298359-
Descrição: dc.descriptionThe aim of this systematic review and meta-analysis (SRM) was to assess postoperative pain (PP) after endodontic treatment with bioceramic root canal sealer compared to AH Plus® sealer. This SRM was carried out in accordance with the items on the PRISMA 2020 checklist and Cochrane guidelines and registered in PROSPERO (CRD42021259283). Only randomized clinical trials (RCTs) were included. Meta-analysis was conducted using R software, the standardized means difference (SMD) measure of effect was calculated for quantitative variables, and the odds ratio (OR) for binary variables. The Cochrane tool (RoB 2.0) was used to assess the risk of bias, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to assess the quality of evidence. Qualitative and quantitative analysis included 18 and 17 studies, respectively. For quantitative variables, the bioceramic root canal sealer presented less occurrence of postoperative pain than the AH Plus® sealer in 24 h (SMD − 0.17 [− 0.34; − 0.01], p = 0.0340). For binary variables, there was no difference observed between the sealers evaluated, except for sealer extrusion where the bioceramic group had lower post-filling material extrusion (OR 0.52 [0.32; 0.84], p = 0.007). Regarding the risk of bias analysis, low risk was observed for most domains, except allocation that was considered unclear, while the certainty of evidence ranged from moderate to low. The results showed that bioceramics sealers reduced postoperative endodontic pain only after 24 h and showed less sealer extrusion compared to the AH Plus® sealer. However, more robust and standardized clinical trials are needed to confirm the results with less heterogeneity and higher quality of evidence.-
Descrição: dc.descriptionCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)-
Descrição: dc.descriptionSchool of Dentistry Araçatuba Department of Preventive and Restorative Dentistry Araçatuba School of Dentistry São Paulo State University - UNESP, Rua José Bonifácio 1193, SP-
Descrição: dc.descriptionOral Medicine Department of Diagnosis and Surgery Araraquara School of Dentistry São Paulo State University – UNESP, SP-
Descrição: dc.descriptionDepartment of Dental Materials and Prosthodontics Araçatuba School of Dentistry São Paulo State University - UNESP, SP-
Descrição: dc.descriptionDepartment of Dentistry Cesumar University Center - UNICESUMAR, PR-
Descrição: dc.descriptionSchool of Dentistry Araçatuba Department of Preventive and Restorative Dentistry Araçatuba School of Dentistry São Paulo State University - UNESP, Rua José Bonifácio 1193, SP-
Descrição: dc.descriptionOral Medicine Department of Diagnosis and Surgery Araraquara School of Dentistry São Paulo State University – UNESP, SP-
Descrição: dc.descriptionDepartment of Dental Materials and Prosthodontics Araçatuba School of Dentistry São Paulo State University - UNESP, SP-
Descrição: dc.descriptionCAPES: Finance Code 001-
Formato: dc.format793-812-
Idioma: dc.languageen-
Relação: dc.relationOdontology-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectBioceramic sealers-
Palavras-chave: dc.subjectEpoxy resin-based root canal sealer-
Palavras-chave: dc.subjectMeta-analysis-
Palavras-chave: dc.subjectPostoperative pain-
Palavras-chave: dc.subjectRoot canal obturation-
Título: dc.titlePostoperative pain after root canal filling with bioceramic sealers: a systematic review and meta-analysis of randomized clinical trials-
Tipo de arquivo: dc.typevídeo-
Aparece nas coleções:Repositório Institucional - Unesp

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