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Mekhdieva E, Del Fabbro M, Alovisi M, Comba A, Scotti N, Tumedei M, Carossa M, Berutti E, Pasqualini D. Postoperative Pain following Root Canal Filling with Bioceramic vs. Traditional Filling Techniques: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Clin Med 2021; 10:4509. [PMID: 34640531 PMCID: PMC8509229 DOI: 10.3390/jcm10194509] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Revised: 09/26/2021] [Accepted: 09/27/2021] [Indexed: 12/31/2022] Open
Abstract
This meta-analysis aimed to evaluate postoperative pain (POP) following root canal filling (RCF) with gutta-percha/bioceramic sealer (BCS) vs. gutta-percha/traditional sealer (TS) techniques. Electronic databases were searched for randomized trials. Subgroup analyses were performed for analgesic intake, flare-ups, postoperative time (24/48 h), pulp status, and retreatment. The search yielded 682 records, and nine studies were selected. BCS was associated with significantly lower POP vs. TS at 24 h (P = 0.04) and 48 h (P = 0.0005). In addition, non-significant trends favoring BCS for analgesic intake at 24 h (P = 0.14), flare-ups (P = 0.24) and obturation techniques at 24 h (P = 0.41) and 48 h (P = 0.33), non-significant trends for lower POP with TS vs. BCS 24 h and 48 h in vital teeth (P = 0.50, P = 0.18, respectively), and for lower POP with BCS vs. TS in non-vital teeth at 24 h and 48 h (P = 0.16, P = 0.84, respectively). POP was numerically lower with TS vs. BCS at 24 h (P = 0.65) and 48 h after retreatment (P = 0.59). Moreover, POP did not vary between fillers when the treatment was over single (P = 0.28) or multiple visits (P = 0.50). BCS was associated with significantly lower short-term POP, and with a trend for lower analgesic intake and flare-up incidence, as compared to TS.
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Affiliation(s)
- Elina Mekhdieva
- Endodontics and Restorative Dentistry, CIR Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy; (E.M.); (M.A.); (A.C.); (N.S.); (M.C.); (E.B.)
| | - Massimo Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (M.D.F.); (M.T.)
- IRCCS Orthopedic Institute Galeazzi, 20161 Milan, Italy
| | - Mario Alovisi
- Endodontics and Restorative Dentistry, CIR Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy; (E.M.); (M.A.); (A.C.); (N.S.); (M.C.); (E.B.)
| | - Allegra Comba
- Endodontics and Restorative Dentistry, CIR Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy; (E.M.); (M.A.); (A.C.); (N.S.); (M.C.); (E.B.)
| | - Nicola Scotti
- Endodontics and Restorative Dentistry, CIR Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy; (E.M.); (M.A.); (A.C.); (N.S.); (M.C.); (E.B.)
| | - Margherita Tumedei
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy; (M.D.F.); (M.T.)
- Department of Medical, Oral and Biotechnological Sciences, University “G. d′Annunzio” of Chieti-Pescara, 65122 Chieti, Italy
| | - Massimo Carossa
- Endodontics and Restorative Dentistry, CIR Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy; (E.M.); (M.A.); (A.C.); (N.S.); (M.C.); (E.B.)
| | - Elio Berutti
- Endodontics and Restorative Dentistry, CIR Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy; (E.M.); (M.A.); (A.C.); (N.S.); (M.C.); (E.B.)
| | - Damiano Pasqualini
- Endodontics and Restorative Dentistry, CIR Dental School, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy; (E.M.); (M.A.); (A.C.); (N.S.); (M.C.); (E.B.)
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