{"title":"Flare-ups in Primary Teeth Before, During, and After Pulpectomy: A Systematic Review and Meta-analysis.","authors":"M Srinivas Moudgalya, Parimala Kulkarni, Shilpi Tiwari, Shikha Mali, Anoop Kumar Shrivas, Shubhrata Shrivastava","doi":"10.5005/jp-journals-10005-2951","DOIUrl":null,"url":null,"abstract":"<p><p>To determine the pain prevalence and severity of flare-ups associated with before, during, and after pulpectomy procedure in children through systematic review and meta-analysis. Pain associated with root canal is a crucial source of fear for patients (especially child patients) and an important concern of dentists. Pain experienced at pretreatment, during treatment, and posttreatment is foreseen and recalled by child patients. A hand search of relevant journals and defined searching of Medline/PubMed, Cochrane, and EBSCOhost databases identified 2,635 articles reporting flare-ups at different intervals. After further filtering and applying inclusion criteria, three articles were identified for meta-analysis. From three recognized articles in the pretreatment phase, 51.2% of cases reported flare-ups; during treatment, there were 19.8% of cases; and in the posttreatment phase, 100% success rate was seen (i.e., no flares were present). The three included studies were heterogeneous according to <i>I</i> <sup>2</sup> and <i>τ</i> <sup>2</sup> statistics (<i>p</i> <0.001, <i>I</i> <sup>2</sup> = 92.64). Pretreatment pulpectomy-associated flare-ups were high, then dropped significantly to minimal levels in 3 days (during treatment) and continued to drop to lowest levels in 7 days (posttreatment).</p><p><strong>How to cite this article: </strong>Moudgalya MS, Kulkarni P, Tiwari S, <i>et al.</i> Flare-ups in Primary Teeth Before, During, and After Pulpectomy: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2024;17(7):838-841.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451916/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Clinical Pediatric Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10005-2951","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}
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Abstract
To determine the pain prevalence and severity of flare-ups associated with before, during, and after pulpectomy procedure in children through systematic review and meta-analysis. Pain associated with root canal is a crucial source of fear for patients (especially child patients) and an important concern of dentists. Pain experienced at pretreatment, during treatment, and posttreatment is foreseen and recalled by child patients. A hand search of relevant journals and defined searching of Medline/PubMed, Cochrane, and EBSCOhost databases identified 2,635 articles reporting flare-ups at different intervals. After further filtering and applying inclusion criteria, three articles were identified for meta-analysis. From three recognized articles in the pretreatment phase, 51.2% of cases reported flare-ups; during treatment, there were 19.8% of cases; and in the posttreatment phase, 100% success rate was seen (i.e., no flares were present). The three included studies were heterogeneous according to I2 and τ2 statistics (p <0.001, I2 = 92.64). Pretreatment pulpectomy-associated flare-ups were high, then dropped significantly to minimal levels in 3 days (during treatment) and continued to drop to lowest levels in 7 days (posttreatment).
How to cite this article: Moudgalya MS, Kulkarni P, Tiwari S, et al. Flare-ups in Primary Teeth Before, During, and After Pulpectomy: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2024;17(7):838-841.