Question · asked by 1 review

Systemic antibiotic (oral penicillin 500 mg) plus analgesic vs Placebo plus analgesic: Patient-reported pain intensity (sum of pain intensity difference (SPID) and sum of pain percussion intensity difference (SPPID))

Population
Adults over 18 years presenting with a single tooth with a clinical diagnosis of irreversible pulpitis
Intervention
Systemic antibiotic (oral penicillin 500 mg) plus analgesic
Comparison
Placebo plus analgesic
Outcome
Patient-reported pain intensity (sum of pain intensity difference (SPID) and sum of pain percussion intensity difference (SPPID))

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Systemic antibiotic (oral penicillin 500 mg) plus analgesic vs Placebo plus analgesic
Patient-reported pain intensity (sum of pain intensity difference (SPID) and sum of pain percussion intensity difference (SPPID)) · Adults over 18 years presenting with a single tooth with a clinical diagnosis of irreversible pulpitis · 7 days
Antibiotic use for irreversible pulpitis (2019) · Cochrane All outcomes
Corresponding risk (Antibiotics): The in between-group differences (median +/- IQR) in SPID for the penicillin group were 6.0 +/- 10.5, and for placebo 6.0 +/- 9.5. The SPPID for the penicillin group was 3.5 +/- 7.5…1 study · 40 participantsLow

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Antibiotic use for irreversible pulpitis
2019 · Cochrane All outcomes
2019-02Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.