Preoperative nonsteroidal anti-inflammatory drugs on the success of inferior alveolar nerve block in irreversible pulpitis: An overview of systematic reviews

Q3 Dentistry

Saudi Endodontic Journal Pub Date : 2023-01-01 DOI:10.4103/sej.sej_46_22

Alpa Gupta, Kritika Aneja, Jitesh Wadhwa, V. Aggarwal, Sejal Sidhu, N. Mehta

{"title":"Preoperative nonsteroidal anti-inflammatory drugs on the success of inferior alveolar nerve block in irreversible pulpitis: An overview of systematic reviews","authors":"Alpa Gupta, Kritika Aneja, Jitesh Wadhwa, V. Aggarwal, Sejal Sidhu, N. Mehta","doi":"10.4103/sej.sej_46_22","DOIUrl":null,"url":null,"abstract":"Introduction: The inflammatory conditions of pulp often lead to pain which is managed by adequate anesthesia. Achieving optimum anesthethic effect in such conditions is difficult; therefore, various supplemental techniques have been used to enhance the effect. Premedication is one such technique vastly studied. This study aimed to critically analyze the systematic reviews, including their respective meta-analyses, to summarize the data regarding the role of nonsteroidal anti-inflammatory drugs (NSAIDs) on the success of inferior alveolar nerve block (IANB) in patients with irreversible pulpitis. Materials and Methods: The protocol was formulated using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist, and the formulated PICO question was “Is there any effect of oral premedication with NSAIDs on the anesthetic success of IANB in irreversible pulpitis?” The reviews were analyzed using a measurement tool to assess systematic reviews (AMSTAR). Results: Twelve reviews were selected, out of which three were finally included for detailed analysis and their AMSTAR scores were 'high.' Individual meta-analyses results pointed toward the anesthetic success of IANB with NSAIDs as oral premedication. Conclusion: The current overview justifies the use of NSAIDs by highlighting the supporting and conflicting data of each systematic review.","PeriodicalId":21485,"journal":{"name":"Saudi Endodontic Journal","volume":"9 2","pages":"9 - 21"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Saudi Endodontic Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/sej.sej_46_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: The inflammatory conditions of pulp often lead to pain which is managed by adequate anesthesia. Achieving optimum anesthethic effect in such conditions is difficult; therefore, various supplemental techniques have been used to enhance the effect. Premedication is one such technique vastly studied. This study aimed to critically analyze the systematic reviews, including their respective meta-analyses, to summarize the data regarding the role of nonsteroidal anti-inflammatory drugs (NSAIDs) on the success of inferior alveolar nerve block (IANB) in patients with irreversible pulpitis. Materials and Methods: The protocol was formulated using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist, and the formulated PICO question was “Is there any effect of oral premedication with NSAIDs on the anesthetic success of IANB in irreversible pulpitis?” The reviews were analyzed using a measurement tool to assess systematic reviews (AMSTAR). Results: Twelve reviews were selected, out of which three were finally included for detailed analysis and their AMSTAR scores were 'high.' Individual meta-analyses results pointed toward the anesthetic success of IANB with NSAIDs as oral premedication. Conclusion: The current overview justifies the use of NSAIDs by highlighting the supporting and conflicting data of each systematic review.

查看原文本刊更多论文

术前非甾体抗炎药对不可逆牙髓炎下牙槽神经阻滞成功的影响:系统综述

牙髓的炎症通常会导致疼痛，这可以通过适当的麻醉来控制。在这种情况下达到最佳麻醉效果是困难的;因此，各种补充技术被用于增强效果。预先用药就是一种被广泛研究的技术。本研究旨在对系统综述进行批判性分析，包括各自的荟萃分析，总结非甾体抗炎药(NSAIDs)在不可逆性牙髓炎患者下牙槽神经阻滞(IANB)成功中的作用。材料和方法:该方案是根据系统评价和荟萃分析清单的首选报告项目制定的，制定的PICO问题是“口服非甾体抗炎药预用药对IANB治疗不可逆牙髓炎的麻醉成功率有影响吗?”使用评估系统评价的测量工具(AMSTAR)对评价进行分析。结果:选择了12篇评论，其中3篇最终被纳入详细分析，其AMSTAR评分为“高”。个体荟萃分析结果表明，口服非甾体抗炎药作为IANB麻醉前用药是成功的。结论:当前的综述通过强调每个系统综述的支持和冲突数据来证明非甾体抗炎药的使用是合理的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Saudi Endodontic Journal Dentistry-Dentistry (all)

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

32 weeks

期刊介绍： Vision SEJ aims to be one of the foremost worldwide periodical on Endodontics, dedicated to the promotion of research, post-graduate training and further education in Endodontics. Mission Statement To serve as a medium for continued Endodontic education and qualitative scientific publications on clinical trials, basic science related to the biological aspects of Endodontics, basic science related to Endodontic techniques as well as dental trauma that will ultimately improve the Endodontic research and patient’s health. Scope In this journal, Endodontists, Endodontic postgraduate students and general dentists, can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation that help them keep pace with rapid changes in this field. Aims and Objectives To publish cut edge peer-review original articles, case reports, letters to the editor, editorials, review articles, commentaries, and innovations that will impact on Endodontics. To enhance exchange of ideas/information relating to Endodontics and interaction among stakeholders. To encourage networking and partnership between individuals, government and non-governmental organizations for the provision of quality health care. To advocate for training, workshops, seminars, scientific manuscript writing conferences that will advance publishing culture.