TODENTJ-25-03-2019_TODENTJ-12-340
1553507372
Bentham Open
doi@benthamopen.net
Bentham Open
The Open Dentistry Journal
TODENTJ
1874-2106
04
30
2018
12
1
Oral Ketorolac with Inferior Alveolar Nerve Block for Irreversible Pulpitis: A Systematic Review and Meta-analysis
Gowri
Sivaramakrishnan
Kannan
Sridharan
Background:
Ketorolac has advantages over other analgesics as a pre-anaesthetic medication. Considering this in mind, the present meta-analysis aims to identify the effect of oral ketorolac premedication on the anaesthetic efficacy of Inferior Alveolar Nerve Block (IANB) in patients with irreversible pulpitis.
Methods:
Full-texts of eligible studies were obtained from electronic databases. The extracted data was analysed using non-Cochrane mode in RevMan 5.0 software. Relative risk [95% CI] was calculated for the success of IANB.
Results:
Four studies were included for the final review. The success rate of IANB on 221 patients with relative risk of 1.87 [1.36, 2.56] was statistically significant favouring ketorolac. The mean difference for VAS in 171 patients was not statistically significant {-13.55 [-33.91, 6.82]}.
Conclusion:
Oral ketorolac can be successfully administered as a premedication before conventional inferior alveolar nerve block for endodontic treatment for irreversible pulpitis.
04
30
2018
340
346
TODENTJ-12-340
1
10.2174/crossmark_policy
opendentistryjournal.com
benthamopen.com
true
Peer Reviewed
Single blind
Checked with iThenticate
2017-08-28
2018-04-13
2018-04-24
2018-04-30
https://creativecommons.org/licenses/by/4.0/legalcode
10.2174/1874210601812010340
1553507372
https://opendentistryjournal.com/VOLUME/12/PAGE/340/
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-340/TODENTJ-12-340.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-340/TODENTJ-12-340.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-340/TODENTJ-12-340.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-340/TODENTJ-12-340.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-340/TODENTJ-12-340.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-340/TODENTJ-12-340.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-340/TODENTJ-12-340.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-340/TODENTJ-12-340.xml
Reader A, Nusstein J, Drum M.
Endodontic anaesthesia -Successful local anaesthesia for restorative dentistry and endodontics.
Hanover Park II: Quintessence Publishings 2011; 131-48.
J. Endod.
Parirokh M.
36
1450
2010
10.1016/j.joen.2010.05.007
Parirokh M, Ashouri R, Rekabi AR, et al.
The effect of premedication with ibuprofen and indomethacin on the success of inferior alveolar nerve block for teeth with irreversible pulpitis.
J Endod
2010;
36
(9)
: 1450-4.
Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.
Modaresi J.
102
399
2006
10.1016/j.tripleo.2005.10.053
Modaresi J, Dianat O, Mozayeni MA.
The efficacy comparison of ibuprofen, acetaminophen-codeine, and placebo premedication therapy on the depth of anesthesia during treatment of inflamed teeth.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2006;
102
(3)
: 399-403.
J. Endod.
Lindemann M.
34
1167
2008
10.1016/j.joen.2008.07.013
Lindemann M, Reader A, Nusstein J, Drum M, Beck M.
Effect of sublingual triazolam on the success of inferior alveolar nerve block in patients with irreversible pulpitis.
J Endod
2008;
34
(10)
: 1167-70.
J. Endod.
Aggarwal V.
37
445
2011
10.1016/j.joen.2011.01.016
Aggarwal V, Singla M, Rizvi A, Miglani S.
Comparative evaluation of local infiltration of articaine, articaine plus ketorolac, and dexamethasone on anesthetic efficacy of inferior alveolar nerve block with lidocaine in patients with irreversible pulpitis.
J Endod
2011;
37
(4)
: 445-9.
Free Radic. Biol. Med.
Fernandes E.
37
1895
2004
10.1016/j.freeradbiomed.2004.09.001
Fernandes E, Costa D, Toste SA, Lima JL, Reis S.
In vitro scavenging activity for reactive oxygen and nitrogen species by nonsteroidal anti-inflammatory indole, pyrrole, and oxazole derivative drugs.
Free Radic Biol Med
2004;
37
(11)
: 1895-905.
J. Pain Symptom Manage.
Joishy S.K.
16
334
1998
10.1016/S0885-3924(98)00081-5
Joishy SK, Walsh D.
The opioid-sparing effects of intravenous ketorolac as an adjuvant analgesic in cancer pain: Application in bone metastases and the opioid bowel syndrome.
J Pain Symptom Manage
1998;
16
(5)
: 334-9.
J Paramedic Practice
Mallinson T.E.
9
522
2017
10.12968/jpar.2017.9.12.522
Mallinson TE.
A review of ketorolac as a prehospital analgesic.
J Paramedic Practice
2017;
9
: 522-7.
J. Endod.
Tortamano I.P.
35
165
2009
10.1016/j.joen.2008.10.020
Tortamano IP, Siviero M, Costa CG, Buscariolo IA, Armonia PL.
A comparison of the anesthetic efficacy of articaine and lidocaine in patients with irreversible pulpitis.
J Endod
2009;
35
(2)
: 165-8.
Higgins JPT, Green S.
Cochrane Handbook for Systematic Reviews of Interventions. 5.1.0 2011.
Available from www.cochrane-handbook.org
J. Clin. Epidemiol.
Moher D.
62
1006
2009
10.1016/j.jclinepi.2009.06.005
Moher D, Liberati A, Tetzlaff J, Altman DG.
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement.
J Clin Epidemiol
2009;
62
(10)
: 1006-12.
J. Conserv. Dent.
Jena A.
16
171
2013
10.4103/0972-0707.108209
Jena A, Shashirekha G.
Effect of preoperative medications on the efficacy of inferior alveolar nerve block in patients with irreversible pulpitis: A placebo-controlled clinical study.
J Conserv Dent
2013;
16
(2)
: 171-4.
J. Clin. Diagn. Res.
Saha S.G.
10
ZC25
2016
Saha SG, Jain S, Dubey S, Kala S, Misuriya A, Kataria D.
Effect of oral premedication on the efficacy of inferior alveolar nerve block in patients with symptomatic irreversible pulpitis: A prospective, double-Blind, randomized controlled clinical trial.
J Clin Diagn Res
2016;
10
(2)
: ZC25-9.
[JCDR].
J. Endod.
Aggarwal V.
36
375
2010
10.1016/j.joen.2009.11.010
Aggarwal V, Singla M, Kabi D.
Comparative evaluation of effect of preoperative oral medication of ibuprofen and ketorolac on anesthetic efficacy of inferior alveolar nerve block with lidocaine in patients with irreversible pulpitis: A prospective, double-blind, randomized clinical trial.
J Endod
2010;
36
(3)
: 375-8.
J. Endod.
Yadav M.
41
1773
2015
10.1016/j.joen.2015.06.008
Yadav M, Grewal MS, Grewal S, Deshwal P.
Comparison of preoperative oral ketorolac on anesthetic efficacy of inferior alveolar nerve block and buccal and lingual infiltration with articaine and lidocaine in patients with irreversible pulpitis: A prospective, randomized, controlled, double-blind study.
J Endod
2015;
41
(11)
: 1773-7.
J. Am. Dent. Assoc.
Kaufman E.
108
205
1984
10.14219/jada.archive.1984.0470
Kaufman E, Weinstein P, Milgrom P.
Difficulties in achieving local anesthesia.
J Am Dent Assoc
1984;
108
(2)
: 205-8.
J. Endod.
Dreven L.J.
13
233
1987
10.1016/S0099-2399(87)80097-3
Dreven LJ, Reader A, Beck M, Meyers WJ, Weaver J.
An evaluation of an electric pulp tester as a measure of analgesia in human vital teeth.
J Endod
1987;
13
(5)
: 233-8.
Endod. Dent. Traumatol.
Potočnik I.
15
247
1999
10.1111/j.1600-9657.1999.tb00782.x
Potočnik I, Bajrović F.
Failure of inferior alveolar nerve block in endodontics.
Endod Dent Traumatol
1999;
15
(6)
: 247-51.
J. Am. Dent. Assoc.
Lapidus D.
147
427
2016
10.1016/j.adaj.2016.01.006
Lapidus D, Goldberg J, Hobbs EH, Ram S, Clark GT, Enciso R.
Effect of premedication to provide analgesia as a supplement to inferior alveolar nerve block in patients with irreversible pulpitis.
J Am Dent Assoc
2016;
147
(6)
: 427-37.
J. Maxillofac. Oral Surg.
Shankariah M.
11
264
2012
10.1007/s12663-011-0321-y
Shankariah M, Mishra M, Kamath RA.
Tramadol versus ketorolac in the treatment of postoperative pain following maxillofacial surgery.
J Maxillofac Oral Surg
2012;
11
(3)
: 264-70.
Clin. Oral Investig.
Shirvani A.
21
43
2017
10.1007/s00784-016-1974-1
Shirvani A, Shamszadeh S, Eghbal MJ, Marvasti LA, Asgary S.
Effect of preoperative oral analgesics on pulpal anesthesia in patients with irreversible pulpitis: A systematic review and meta-analysis.
Clin Oral Investig
2017;
21
(1)
: 43-52.
J. Endod.
Praveen R.
43
667
2017
10.1016/j.joen.2016.12.012
Praveen R, Thakur S, Kirthiga M.
Comparative evaluation of premedication with ketorolac and prednisolone on postendodontic pain: A double-blind randomized controlled trial.
J Endod
2017;
43
(5)
: 667-73.
J. Endod.
Akhlaghi N.M.
42
691
2016
10.1016/j.joen.2016.02.003
Akhlaghi NM, Hormozi B, Abbott PV, Khalilak Z.
Efficacy of ketorolac buccal infiltrations and inferior alveolar nerve blocks in patients with irreversible pulpitis: A prospective, double-blind, randomized clinical trial.
J Endod
2016;
42
(5)
: 691-5.
J. Endod.
Stentz D.
44
9
2018
10.1016/j.joen.2017.09.011
Stentz D, Drum M, Reader A, Nusstein J, Fowler S, Beck M.
Effect of a combination of intranasal ketorolac and nitrous oxide on the success of the inferior alveolar nerve block in patients with symptomatic irreversible pulpitis: A prospective, randomized, double-blind study.
J Endod
2018;
44
(1)
: 9-13.