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Does occlusal reduction reduce post-endodontic pain? A systematic review and meta-analysis
Sayna Shamszadeh1, Armin Shirvani2, Saeed Asgary2
1Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Science, Tehran, Iran.
Journal of Oral Rehabilitation
|December 28, 2019
Summary
Occlusal reduction does not significantly reduce post-endodontic pain in the first 48 hours. However, this intervention shows a positive influence on controlling post-endodontic pain by day three.
Area of Science:
- Dentistry
- Endodontics
- Pain Management
Background:
- Post-operative pain is a common concern following endodontic therapy.
- Effective pain management is crucial for patient comfort and treatment success.
Purpose of the Study:
- To systematically review and meta-analyze the efficacy of occlusal reduction in managing post-operative endodontic pain in adults.
- To evaluate pain intensity up to 72 hours after root canal therapy.
Main Methods:
- Searched electronic databases and manual sources for randomized placebo-controlled trials up to August 2019.
- Included six trials with 344 participants, analyzing post-operative pain intensity as the primary outcome.
- Calculated pooled standardized mean differences (SMDs) using random-effects models.
Main Results:
- Occlusal reduction did not significantly decrease pain scores at 12, 24, or 48 hours post-treatment compared to placebo.
- A significant reduction in post-endodontic pain was observed at 72 hours (SMD = -1.07, P = .005).
Conclusions:
- Occlusal reduction is not supported as an effective method for controlling post-endodontic pain within the first two days.
- The intervention demonstrates a positive influence on pain control by the third day after endodontic therapy.
