Is Intracanal Cryotherapy Effective in Reducing Postoperative Endodontic Pain? An Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials

This research aimed to assess the potency of intracanal cold therapy in diminishing postoperative endodontic pain. PubMed, Scopus, the Cochrane Library, EMBASE, the Web of Science, grey literature, and endodontic journals were used to identify randomized controlled clinical trials evaluating postope...

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Autores principales: Amal Almohaimede, Ebtissam Al-Madi
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/f9f32f5b38df40848802a17db0f1e963
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spelling oai:doaj.org-article:f9f32f5b38df40848802a17db0f1e9632021-11-25T17:48:05ZIs Intracanal Cryotherapy Effective in Reducing Postoperative Endodontic Pain? An Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials10.3390/ijerph1822117501660-46011661-7827https://doaj.org/article/f9f32f5b38df40848802a17db0f1e9632021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11750https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601This research aimed to assess the potency of intracanal cold therapy in diminishing postoperative endodontic pain. PubMed, Scopus, the Cochrane Library, EMBASE, the Web of Science, grey literature, and endodontic journals were used to identify randomized controlled clinical trials evaluating postoperative pain after a final irrigation with a cold irrigant (as an experimental group) and a room temperature irrigant (as a control group). The risk of bias was rated according to the Cochrane Collaboration’s tool and the Grading Recommendation Assessment, Development, and Evaluation (GRADE) system was used to estimate the evidence quality. For the meta-analysis, a random effects model was utilized. The qualitative analysis contained 16 studies and the quantitative analysis contained 9 studies. The experimental groups showed a reduction in postoperative pain at 6 h (mean difference (MD) = −1.11; <i>p</i> = 0.0004; I<sup>2</sup> = 72%; low quality evidence), 24 h (MD = −1.08; <i>p</i> = 0.003; I<sup>2</sup> = 92%; low quality evidence), 48 h (MD = −0.38; <i>p</i> = 0.04; I<sup>2</sup> = 81%; low quality evidence), and 72 h (MD = −0.69; <i>p</i> = 0.04; I<sup>2</sup> = 90%; low quality evidence). A higher quality of evidence from more clinical trials is needed.Amal AlmohaimedeEbtissam Al-MadiMDPI AGarticlecold therapycryotherapyendodontic painintracanal cryotherapyMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11750, p 11750 (2021)
institution DOAJ
collection DOAJ
language EN
topic cold therapy
cryotherapy
endodontic pain
intracanal cryotherapy
Medicine
R
spellingShingle cold therapy
cryotherapy
endodontic pain
intracanal cryotherapy
Medicine
R
Amal Almohaimede
Ebtissam Al-Madi
Is Intracanal Cryotherapy Effective in Reducing Postoperative Endodontic Pain? An Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials
description This research aimed to assess the potency of intracanal cold therapy in diminishing postoperative endodontic pain. PubMed, Scopus, the Cochrane Library, EMBASE, the Web of Science, grey literature, and endodontic journals were used to identify randomized controlled clinical trials evaluating postoperative pain after a final irrigation with a cold irrigant (as an experimental group) and a room temperature irrigant (as a control group). The risk of bias was rated according to the Cochrane Collaboration’s tool and the Grading Recommendation Assessment, Development, and Evaluation (GRADE) system was used to estimate the evidence quality. For the meta-analysis, a random effects model was utilized. The qualitative analysis contained 16 studies and the quantitative analysis contained 9 studies. The experimental groups showed a reduction in postoperative pain at 6 h (mean difference (MD) = −1.11; <i>p</i> = 0.0004; I<sup>2</sup> = 72%; low quality evidence), 24 h (MD = −1.08; <i>p</i> = 0.003; I<sup>2</sup> = 92%; low quality evidence), 48 h (MD = −0.38; <i>p</i> = 0.04; I<sup>2</sup> = 81%; low quality evidence), and 72 h (MD = −0.69; <i>p</i> = 0.04; I<sup>2</sup> = 90%; low quality evidence). A higher quality of evidence from more clinical trials is needed.
format article
author Amal Almohaimede
Ebtissam Al-Madi
author_facet Amal Almohaimede
Ebtissam Al-Madi
author_sort Amal Almohaimede
title Is Intracanal Cryotherapy Effective in Reducing Postoperative Endodontic Pain? An Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials
title_short Is Intracanal Cryotherapy Effective in Reducing Postoperative Endodontic Pain? An Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials
title_full Is Intracanal Cryotherapy Effective in Reducing Postoperative Endodontic Pain? An Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials
title_fullStr Is Intracanal Cryotherapy Effective in Reducing Postoperative Endodontic Pain? An Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials
title_full_unstemmed Is Intracanal Cryotherapy Effective in Reducing Postoperative Endodontic Pain? An Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials
title_sort is intracanal cryotherapy effective in reducing postoperative endodontic pain? an updated systematic review and meta-analysis of randomized clinical trials
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/f9f32f5b38df40848802a17db0f1e963
work_keys_str_mv AT amalalmohaimede isintracanalcryotherapyeffectiveinreducingpostoperativeendodonticpainanupdatedsystematicreviewandmetaanalysisofrandomizedclinicaltrials
AT ebtissamalmadi isintracanalcryotherapyeffectiveinreducingpostoperativeendodonticpainanupdatedsystematicreviewandmetaanalysisofrandomizedclinicaltrials
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