The Comparison of Short-Term Postoperative Pain in Single- versus Multiple-Visit Root Canal Treatment: A Systematic Review and Meta-Analysis Study
Postoperative pain after root canal therapy (RoCT) is an unpleasant experience for patients, and it could be affected by different factors. The times of visits could be one of these factors that were evaluated in various studies. However, there is inconsistent evidence on the relation between postop...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2021/5574995 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849395911496564736 |
|---|---|
| author | Armin Izadpanah Ailar Javaheripour Azam Maleki Mahdieh Alipour Hossein Hosseinifard Simin Sharifi Solmaz Maleki Dizaj |
| author_facet | Armin Izadpanah Ailar Javaheripour Azam Maleki Mahdieh Alipour Hossein Hosseinifard Simin Sharifi Solmaz Maleki Dizaj |
| author_sort | Armin Izadpanah |
| collection | DOAJ |
| description | Postoperative pain after root canal therapy (RoCT) is an unpleasant experience for patients, and it could be affected by different factors. The times of visits could be one of these factors that were evaluated in various studies. However, there is inconsistent evidence on the relation between postoperative pain and the times of visits. Therefore, the current systematic review aimed to summarize the results of these studies and meta-analyze them. For this purpose, a comprehensive search was conducted in four main databases (Cochrane Database of Systematic Reviews, Web of Science, PubMed, and Scopus databases) for related English articles from 1978 to August 2020. The quality of studies was evaluated using the Delphi checklist. The heterogeneity of studies was determined by I2 statistic, and publication bias was assessed using the funnel plot and the Begg test. The results were presented by using relative ratio (RR) estimates and standard mean difference (SMD) with its 95% confidence intervals (CI) using a random-effects model. Initial searches from mentioned databases identified 1480 papers; of which only 27 of them met the inclusion criteria. In quality assessment, thirteen studies had quality scores of more than 7, two studies had 4 scores, and the rest had 5 scores. Overall, based on the available evidence, the meta-analysis showed that the risk of postoperative pain in single-visit was 1.02 times (CI 95% (0.99, 1.19), I2 = 60.7%, p=0.001) higher than that of the multiple-visit treatment. The mean difference of postoperative pain in single-visit was −0.30 (CI 95% (−0.36, −0.25), I2 = 0.94.4, p=0.001) compared with the multiple-visit treatment. Based on the results of this meta-analysis, the risk of postoperative pain in single-visit RoCT was higher than that in multiple-visit RoCT with acceptable statistical heterogeneity and moderate quality of the studies. |
| format | Article |
| id | doaj-art-b71ef39f021a4e3d8a4c857cc4b64c86 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-b71ef39f021a4e3d8a4c857cc4b64c862025-08-20T03:39:28ZengWileyPain Research and Management1203-67651918-15232021-01-01202110.1155/2021/55749955574995The Comparison of Short-Term Postoperative Pain in Single- versus Multiple-Visit Root Canal Treatment: A Systematic Review and Meta-Analysis StudyArmin Izadpanah0Ailar Javaheripour1Azam Maleki2Mahdieh Alipour3Hossein Hosseinifard4Simin Sharifi5Solmaz Maleki Dizaj6Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranFaculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranSocial Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, IranDental and Periodontal Research Center, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IranDental and Periodontal Research Center, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranDental and Periodontal Research Center, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranPostoperative pain after root canal therapy (RoCT) is an unpleasant experience for patients, and it could be affected by different factors. The times of visits could be one of these factors that were evaluated in various studies. However, there is inconsistent evidence on the relation between postoperative pain and the times of visits. Therefore, the current systematic review aimed to summarize the results of these studies and meta-analyze them. For this purpose, a comprehensive search was conducted in four main databases (Cochrane Database of Systematic Reviews, Web of Science, PubMed, and Scopus databases) for related English articles from 1978 to August 2020. The quality of studies was evaluated using the Delphi checklist. The heterogeneity of studies was determined by I2 statistic, and publication bias was assessed using the funnel plot and the Begg test. The results were presented by using relative ratio (RR) estimates and standard mean difference (SMD) with its 95% confidence intervals (CI) using a random-effects model. Initial searches from mentioned databases identified 1480 papers; of which only 27 of them met the inclusion criteria. In quality assessment, thirteen studies had quality scores of more than 7, two studies had 4 scores, and the rest had 5 scores. Overall, based on the available evidence, the meta-analysis showed that the risk of postoperative pain in single-visit was 1.02 times (CI 95% (0.99, 1.19), I2 = 60.7%, p=0.001) higher than that of the multiple-visit treatment. The mean difference of postoperative pain in single-visit was −0.30 (CI 95% (−0.36, −0.25), I2 = 0.94.4, p=0.001) compared with the multiple-visit treatment. Based on the results of this meta-analysis, the risk of postoperative pain in single-visit RoCT was higher than that in multiple-visit RoCT with acceptable statistical heterogeneity and moderate quality of the studies.http://dx.doi.org/10.1155/2021/5574995 |
| spellingShingle | Armin Izadpanah Ailar Javaheripour Azam Maleki Mahdieh Alipour Hossein Hosseinifard Simin Sharifi Solmaz Maleki Dizaj The Comparison of Short-Term Postoperative Pain in Single- versus Multiple-Visit Root Canal Treatment: A Systematic Review and Meta-Analysis Study Pain Research and Management |
| title | The Comparison of Short-Term Postoperative Pain in Single- versus Multiple-Visit Root Canal Treatment: A Systematic Review and Meta-Analysis Study |
| title_full | The Comparison of Short-Term Postoperative Pain in Single- versus Multiple-Visit Root Canal Treatment: A Systematic Review and Meta-Analysis Study |
| title_fullStr | The Comparison of Short-Term Postoperative Pain in Single- versus Multiple-Visit Root Canal Treatment: A Systematic Review and Meta-Analysis Study |
| title_full_unstemmed | The Comparison of Short-Term Postoperative Pain in Single- versus Multiple-Visit Root Canal Treatment: A Systematic Review and Meta-Analysis Study |
| title_short | The Comparison of Short-Term Postoperative Pain in Single- versus Multiple-Visit Root Canal Treatment: A Systematic Review and Meta-Analysis Study |
| title_sort | comparison of short term postoperative pain in single versus multiple visit root canal treatment a systematic review and meta analysis study |
| url | http://dx.doi.org/10.1155/2021/5574995 |
| work_keys_str_mv | AT arminizadpanah thecomparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT ailarjavaheripour thecomparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT azammaleki thecomparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT mahdiehalipour thecomparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT hosseinhosseinifard thecomparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT siminsharifi thecomparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT solmazmalekidizaj thecomparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT arminizadpanah comparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT ailarjavaheripour comparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT azammaleki comparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT mahdiehalipour comparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT hosseinhosseinifard comparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT siminsharifi comparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy AT solmazmalekidizaj comparisonofshorttermpostoperativepaininsingleversusmultiplevisitrootcanaltreatmentasystematicreviewandmetaanalysisstudy |