Pharmacological Management of Anxiety on Pain Occurrence During Root Canal Treatment: A Systematic Review.

IF 1.6 Q3 DENTISTRY, ORAL SURGERY & MEDICINE European Endodontic Journal Pub Date : 2023-03-01 DOI:10.14744/eej.2022.83097
Isadora Ames Silva, Charles André Dall Agnol Júnior, Theodoro Weissheimer, Marcus Vinicius Reis So, Ricardo Abreu Da Rosa
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Abstract

Objective: To answer the question: 'Does the pharmacological management of dental anxiety influence pain occurrence during root canal treatment?'

Methods: Searches on MEDLINE/PubMed, Cochrane Library, Web of Science, Scopus, EMBASE and Open Grey were conducted until September 02, 2022. Only randomised clinical trials were included. The Cochrane risk of bias tool for randomized trials (RoB 2) was used. The overall quality of evidence was assessed through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool.

Results: Initial screening resulted in 811 studies. Three hundred seventy-three were excluded for being duplicates. Of 438 eligible papers, ten studies met the inclusion criteria and were selected for full-text reading. Four studies were included in the final analysis. Three studies had a low risk of bias, and one was a high risk. GRADE demonstrated a low quality of evidence.

Conclusion: There is insufficient evidence to determine whether the pharmacological control of anxiety can influence intraoperative pain occurrence. (EEJ-2022-08-096).

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焦虑对根管治疗中疼痛发生的药理学管理:一项系统综述。
目的:回答“牙科焦虑的药物管理是否影响根管治疗期间疼痛的发生?”方法:检索MEDLINE/PubMed、Cochrane Library、Web of Science、Scopus、EMBASE和Open Grey,检索截止日期为2022年9月2日。仅纳入随机临床试验。采用Cochrane随机试验偏倚风险工具(RoB 2)。通过建议评估、发展和评价分级(GRADE)工具评估证据的总体质量。结果:初步筛选结果为811项研究。373人因重复而被排除。在438篇符合条件的论文中,有10篇研究符合纳入标准,并被选中进行全文阅读。四项研究被纳入最终分析。三项研究的偏倚风险较低,一项研究的偏倚风险较高。GRADE表明证据质量较低。结论:焦虑的药理控制是否能影响术中疼痛的发生尚无充分的证据。(eej - 2022 - 08 - 096)。
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来源期刊
European Endodontic Journal
European Endodontic Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.40
自引率
5.60%
发文量
25
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