Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

4
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
4
Analgesia and Pain Management01:25

Analgesia and Pain Management

540
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
540
Local Anesthetics: Pharmacokinetics01:13

Local Anesthetics: Pharmacokinetics

738
The potency and duration of action of local anesthetics (LAs) are determined by their pharmacokinetics. Pharmacokinetics describes how LAs are absorbed, distributed, metabolized, and eliminated from the body. When administered to the vascular tissues, LAs are quickly absorbed and enter the systemic circulation, reducing their localized effects. Adding vasoconstrictors such as epinephrine to LAs reduces their absorption into the systemic circulation, making them clinically effective. The...
738
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

3
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
3
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

984
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
984
Tonsillitis II: Management01:26

Tonsillitis II: Management

103
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
103

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

How does a Truss conservative endodontic access cavity impact the degree of intra-canal disinfection and postoperative pain?

Evidence-based dentistry·2026
Same author

What are the success rates of anterior restorations used in localised wear cases?

Evidence-based dentistry·2025
Same author

How effective is CBCT-guided endodontic access over 'brain-guided' accesses, and is this a likely addition to the general dental practitioner's armamentarium?

Evidence-based dentistry·2025
Same author

Are metal-based antibacterial gels a potential alternative for disinfection in contemporary endodontics?

Evidence-based dentistry·2025
Same author

Exploring deep caries management and barriers to the use of vital pulp treatments by primary care dental practitioners.

International endodontic journal·2024
Same author

Root canal re-treatment with gutta percha - which techniques influence success?

Evidence-based dentistry·2024

Related Experiment Video

Updated: Jun 10, 2025

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
07:14

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities

Published on: May 24, 2022

4.4K

Does achieving apical patency increase postoperative pain during endodontics?

Rachel Strickland1, Luca Licheri2, David Edwards3

  • 1Newcastle Dental Hospital, Claremont Road, Newcastle upon Tyne, NE2 4AZ, UK. rachel.strickland@nhs.net.

Evidence-Based Dentistry
|October 10, 2024
PubMed
Summary

Maintaining apical patency during root canal treatment significantly reduces initial postoperative pain. However, findings require cautious interpretation due to high heterogeneity and variable evidence quality in this meta-analysis.

More Related Videos

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
05:39

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Published on: June 23, 2023

1.4K
Inducing Apical Periodontitis in Mice
10:26

Inducing Apical Periodontitis in Mice

Published on: August 6, 2019

12.1K

Related Experiment Videos

Last Updated: Jun 10, 2025

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
07:14

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities

Published on: May 24, 2022

4.4K
Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
05:39

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Published on: June 23, 2023

1.4K
Inducing Apical Periodontitis in Mice
10:26

Inducing Apical Periodontitis in Mice

Published on: August 6, 2019

12.1K

Area of Science:

  • Endodontics
  • Dental Surgery
  • Pain Management

Background:

  • Root canal treatment aims to eliminate intraradicular infection and prevent reinfection.
  • Apical patency, the maintenance of a clear apical foramen, is a debated procedural step in endodontics.
  • The impact of apical patency on postoperative pain remains incompletely understood.

Purpose of the Study:

  • To systematically review and meta-analyze the effect of apical patency on postoperative pain and analgesic use following root canal treatment.
  • To evaluate the influence of apical patency on patient-reported outcomes in endodontic procedures.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (PubMed, Scopus, Embase, Web of Science, Cochrane Library) and gray literature up to May 2023.
  • Twelve randomized controlled trials (RCTs) involving patients without systemic diseases undergoing root canal treatment were included.
  • Data were analyzed using RevMan 5.4 software, employing appropriate statistical tests for dichotomous and continuous data, with fixed- or random-effects modeling.

Main Results:

  • Apical patency was associated with significantly reduced postoperative pain at 24 hours, 1 day, and 2 days post-procedure (P < 0.05).
  • No significant difference in analgesic use was observed between groups maintaining or not maintaining apical patency (P = 0.42).
  • Study quality varied, with high heterogeneity and imprecision noted, particularly in pain measurements and analgesic use.

Conclusions:

  • Apical patency demonstrates a significant benefit in reducing early postoperative pain after root canal treatment.
  • The findings, while promising, should be interpreted with caution due to considerable heterogeneity and variable evidence quality.
  • Integrating patient-reported outcomes like pain reduction with traditional success measures supports the clinical rationale for maintaining apical patency.