Comparison of postoperative pain reduction using continuous rotation glide path system with other methods of glide path creation - a systematic review

Objective: Various glide path preparation techniques have been introduced, providing easiness to the practitioners.Recent literature has shown that influences levels of postoperative pain occurrencein individuals receiving endodontic therapy. This systematic review aims compare different pathpreparation system in reduction pain. Material and Methods: Electronic databases such asPubMed, Scopus, Cochrane Library, LILACS, Google Scholar, European PMC were searched for publishedarticles until July 2020. The studies included randomized control trial (RCT) published during thistime frame with comparison continuous various other systems reducingpostoperative reviewed using Preferred Reporting Items Systematic reviews Meta-Analyses (PRISMA) guidelines. independently by two reviewers who had assessedthe studies, extracted data quality risk bias assessment tool. Results:544 received from initial search, 11 articles full text appraisal, 4 studieswere obtained qualitative analysis. Mean VAS Scores showed an increased painin treated (1.90-0.20) compared reciprocating (2.00-0.50) andmanual (3.80-0.85). consumptions analgesics seen be as follows; Manual Glide Path> Reciprocating Path > Continuous Path. Three out four overall “high” riskof another study “unclear” bias. Conclusion: From achieved results, continuousglide 5.25% NaOCl irrigation better otherglide systems. Individuals undergone manual higher incidence ofpostoperative consumption was manualglide prepared followed least being path.KEYWORDSAnalgesics; Endodontics; Pain; Root canal preparation; Sodium hypochlorite.