Influence of occlusal reduction on pain after endodontic treatment: a systematic review and meta-analysis

Abstract The purpose of this systematic review was to analyze the influence of occlusal reduction on the postoperative pain levels after endodontic treatment (instrumentation and obturation of the root canal system). This review followed the PRISMA statement and was registered at PROSPERO (CRD420181...

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Autores principales:	Nayane Chagas Carvalho Alves, Sirley Raiane Mamede Veloso, Silmara de Andrade Silva, Andressa Cartaxo de Almeida, Christianne Tavares Velozo Telles, Kaline Romeiro, Gabriela Queiroz de Melo Monteiro, Diana Santana de Albuquerque
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5d0e51f06bd84db2b7d70a8ef0e86640
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spelling	oai:doaj.org-article:5d0e51f06bd84db2b7d70a8ef0e866402021-12-02T15:39:40ZInfluence of occlusal reduction on pain after endodontic treatment: a systematic review and meta-analysis10.1038/s41598-021-93119-62045-2322https://doaj.org/article/5d0e51f06bd84db2b7d70a8ef0e866402021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93119-6https://doaj.org/toc/2045-2322Abstract The purpose of this systematic review was to analyze the influence of occlusal reduction on the postoperative pain levels after endodontic treatment (instrumentation and obturation of the root canal system). This review followed the PRISMA statement and was registered at PROSPERO (CRD42018107918). Two independent reviewers searched the Lilacs, Cochrane Library, PubMed (Medline), Web of Science, Scopus, Scielo, and ScienceDirect for articles published until April 2021. The research question was, "Does occlusal reduction decrease postoperative pain in endodontically treated teeth?". Only randomized clinical trials were included. The RevMan 5 program was used for meta-analysis, calculating the relative risk (RR) and 95% confidence interval (CI) of the dichotomous outcome (presence or absence of pain). The search strategies retrieved 4114 studies. Twelve studies were included for qualitative analysis and nine for quantitative analysis. The meta-analysis results did not reveal a significant difference in the reduction of postoperative pain levels for endodontic instrumentation at 6, 12, 24, 48 h and for endodontic obturation at 6 or 12 h after occlusal reduction. According to the GRADE tool, the analyzed outcome was classified as having a moderate level of certainty. It is concluded that occlusal reduction does not interfere with postoperative pain levels after endodontic treatment.Nayane Chagas Carvalho AlvesSirley Raiane Mamede VelosoSilmara de Andrade SilvaAndressa Cartaxo de AlmeidaChristianne Tavares Velozo TellesKaline RomeiroGabriela Queiroz de Melo MonteiroDiana Santana de AlbuquerqueNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Nayane Chagas Carvalho Alves Sirley Raiane Mamede Veloso Silmara de Andrade Silva Andressa Cartaxo de Almeida Christianne Tavares Velozo Telles Kaline Romeiro Gabriela Queiroz de Melo Monteiro Diana Santana de Albuquerque Influence of occlusal reduction on pain after endodontic treatment: a systematic review and meta-analysis
description	Abstract The purpose of this systematic review was to analyze the influence of occlusal reduction on the postoperative pain levels after endodontic treatment (instrumentation and obturation of the root canal system). This review followed the PRISMA statement and was registered at PROSPERO (CRD42018107918). Two independent reviewers searched the Lilacs, Cochrane Library, PubMed (Medline), Web of Science, Scopus, Scielo, and ScienceDirect for articles published until April 2021. The research question was, "Does occlusal reduction decrease postoperative pain in endodontically treated teeth?". Only randomized clinical trials were included. The RevMan 5 program was used for meta-analysis, calculating the relative risk (RR) and 95% confidence interval (CI) of the dichotomous outcome (presence or absence of pain). The search strategies retrieved 4114 studies. Twelve studies were included for qualitative analysis and nine for quantitative analysis. The meta-analysis results did not reveal a significant difference in the reduction of postoperative pain levels for endodontic instrumentation at 6, 12, 24, 48 h and for endodontic obturation at 6 or 12 h after occlusal reduction. According to the GRADE tool, the analyzed outcome was classified as having a moderate level of certainty. It is concluded that occlusal reduction does not interfere with postoperative pain levels after endodontic treatment.
format	article
author	Nayane Chagas Carvalho Alves Sirley Raiane Mamede Veloso Silmara de Andrade Silva Andressa Cartaxo de Almeida Christianne Tavares Velozo Telles Kaline Romeiro Gabriela Queiroz de Melo Monteiro Diana Santana de Albuquerque
author_facet	Nayane Chagas Carvalho Alves Sirley Raiane Mamede Veloso Silmara de Andrade Silva Andressa Cartaxo de Almeida Christianne Tavares Velozo Telles Kaline Romeiro Gabriela Queiroz de Melo Monteiro Diana Santana de Albuquerque
author_sort	Nayane Chagas Carvalho Alves
title	Influence of occlusal reduction on pain after endodontic treatment: a systematic review and meta-analysis
title_short	Influence of occlusal reduction on pain after endodontic treatment: a systematic review and meta-analysis
title_full	Influence of occlusal reduction on pain after endodontic treatment: a systematic review and meta-analysis
title_fullStr	Influence of occlusal reduction on pain after endodontic treatment: a systematic review and meta-analysis
title_full_unstemmed	Influence of occlusal reduction on pain after endodontic treatment: a systematic review and meta-analysis
title_sort	influence of occlusal reduction on pain after endodontic treatment: a systematic review and meta-analysis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5d0e51f06bd84db2b7d70a8ef0e86640
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Influence of occlusal reduction on pain after endodontic treatment: a systematic review and meta-analysis

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