Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

123 questions · 130 findings · 7 reviews · Pain control and patient management

No studies found 63 · 48.5%GRADE not reported 18 · 13.8%Very low 43 · 33.1%Low 3 · 2.3%Moderate 3 · 2.3%High 0 · 0%

Hypnosis combined with a sedative agent vs Sedation alone (sedative agent only)

Outcome not reported · Children and adolescents up to 16 years of age undergoing dental treatment

The review found no eligible studies for this question.

1 finding from 1 review
  • No randomised or quasi-randomised trials comparing hypnosis combined with sedation versus sedation alone met the inclusion criteria; this planned comparison had no eligible studies.
    0 studies
    No studies found

Midazolam (any mode of delivery) vs Different dosage of the same sedative

Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
1 finding from 1 review
  • Any behavioural score - Midazolam (any mode of delivery): 394 (10 studies); VERY LOW. Insufficient evidence to determine whether any specific dose of intranasal midazolam is effective; weak evidence oral midazolam…
    10 studies · 394 participants
    Very low

Ibuprofen taken pre-emptively (about 1 hour before treatment) vs Ibuprofen taken post-treatment

Rescue analgesia · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)

Ibuprofen taken pre-emptively (about 1 hour before treatment) showed no clear difference in rescue analgesia compared with ibuprofen taken post-treatment; GRADE not reported.

1 finding from 1 review

Analgesic (any: NSAID, paracetamol, local anaesthetic or opioid) vs placebo or control

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)

Analgesic (any: NSAID, paracetamol, local anaesthetic or opioid) probably leads to lower pain intensity (VAS 0-100 mm) compared with control (placebo or no treatment) (moderate certainty).

3 findings from 1 review

Analgesic (any: NSAID, paracetamol, local anaesthetic or opioid) vs placebo or control

Quality of life or participant satisfaction · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)
1 finding from 1 review

Ibuprofen taken pre-emptively (about 1 hour before treatment) vs Ibuprofen taken post-treatment

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)

It is very uncertain whether ibuprofen taken pre-emptively (about 1 hour before treatment) changes pain intensity (VAS 0-100 mm) compared with ibuprofen taken post-treatment (very low certainty).

3 findings from 1 review

Topical NSAID (ketoprofen lysinate mouthwash, 160 mg) vs Topical NSAID (benzidamine hydrochloride mouthwash, 22.5 mg)

Failure to complete orthodontic treatment due to pain · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)

The review found no eligible studies for this question.

1 finding from 1 review