Effect of working length determination methods on postoperative pain after root canal treatment: a systematic review and meta-analysis
This systematic review aimed to assess the effect of various working length determination methods on the incidence of postoperative pain after root canal treatment. A comprehensive literature search was conducted across three electronic databases to identify randomized clinical trials. Two reviewers...
Saved in:
| Published in: | Journal of dental anesthesia and pain medicine: JDAPM Vol. 25; no. 4; pp. 239 - 250 |
|---|---|
| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Korea (South)
The Korean Dental Society of Anesthsiology
01.08.2025
대한치과마취과학회 |
| Subjects: | |
| ISSN: | 2383-9309, 2383-9317 |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | This systematic review aimed to assess the effect of various working length determination methods on the incidence of postoperative pain after root canal treatment. A comprehensive literature search was conducted across three electronic databases to identify randomized clinical trials. Two reviewers independently screened the articles, extracted relevant data, and assessed methodological quality using the Cochrane risk-of-bias assessment tool. For quantitative synthesis, a random-effects model was employed to compute the pooled mean difference by comparing the simultaneous and separate working-length determination methods. Sensitivity analyses were conducted after excluding studies that contributed disproportionately to overall heterogeneity. Seven studies met the criteria for qualitative review and three were included in the meta-analysis. The findings suggest that simultaneous determination of working length using integrated electronic apex locators may offer an advantage in reducing postoperative pain. However, this interpretation is limited by the substantial heterogeneity observed across the included studies. This review highlights the necessity for robust and well-designed clinical trials with large sample sizes and standardized protocols to obtain conclusive evidence. |
|---|---|
| AbstractList | This systematic review aimed to assess the effect of various working length determination methods on the incidence of postoperative pain after root canal treatment. A comprehensive literature search was conducted across three electronic databases to identify randomized clinical trials. Two reviewers independently screened the articles, extracted relevant data, and assessed methodological quality using the Cochrane risk-of-bias assessment tool. For quantitative synthesis, a random-effects model was employed to compute the pooled mean difference by comparing the simultaneous and separate working-length determination methods. Sensitivity analyses were conducted after excluding studies that contributed disproportionately to overall heterogeneity. Seven studies met the criteria for qualitative review and three were included in the meta-analysis. The findings suggest that simultaneous determination of working length using integrated electronic apex locators may offer an advantage in reducing postoperative pain. However, this interpretation is limited by the substantial heterogeneity observed across the included studies. This review highlights the necessity for robust and well-designed clinical trials with large sample sizes and standardized protocols to obtain conclusive evidence.This systematic review aimed to assess the effect of various working length determination methods on the incidence of postoperative pain after root canal treatment. A comprehensive literature search was conducted across three electronic databases to identify randomized clinical trials. Two reviewers independently screened the articles, extracted relevant data, and assessed methodological quality using the Cochrane risk-of-bias assessment tool. For quantitative synthesis, a random-effects model was employed to compute the pooled mean difference by comparing the simultaneous and separate working-length determination methods. Sensitivity analyses were conducted after excluding studies that contributed disproportionately to overall heterogeneity. Seven studies met the criteria for qualitative review and three were included in the meta-analysis. The findings suggest that simultaneous determination of working length using integrated electronic apex locators may offer an advantage in reducing postoperative pain. However, this interpretation is limited by the substantial heterogeneity observed across the included studies. This review highlights the necessity for robust and well-designed clinical trials with large sample sizes and standardized protocols to obtain conclusive evidence. This systematic review aimed to assess the effect of various working length determination methods on the incidence of postoperative pain after root canal treatment. A comprehensive literature search was conducted across three electronic databases to identify randomized clinical trials. Two reviewers independently screened the articles, extracted relevant data, and assessed methodological quality using the Cochrane risk-of-bias assessment tool. For quantitative synthesis, a random-effects model was employed to compute the pooled mean difference by comparing the simultaneous and separate working-length determination methods. Sensitivity analyses were conducted after excluding studies that contributed disproportionately to overall heterogeneity. Seven studies met the criteria for qualitative review and three were included in the meta-analysis. The findings suggest that simultaneous determination of working length using integrated electronic apex locators may offer an advantage in reducing postoperative pain. However, this interpretation is limited by the substantial heterogeneity observed across the included studies. This review highlights the necessity for robust and well-designed clinical trials with large sample sizes and standardized protocols to obtain conclusive evidence. This systematic review aimed to assess the effect of various working length determination methods on the incidence of postoperative pain after root canal treatment. A comprehensive literature search was conducted across three electronic databases to identify randomized clinical trials. Two reviewers independently screened the articles, extracted relevant data, and assessed methodological quality using the Cochrane risk-of-bias assessment tool. For quantitative synthesis, a random-effects model was employed to compute the pooled mean difference by comparing the simultaneous and separate working-length determination methods. Sensitivity analyses were conducted after excluding studies that contributed disproportionately to overall heterogeneity. Seven studies met the criteria for qualitative review and three were included in the meta-analysis. The findings suggest that simultaneous determination of working length using integrated electronic apex locators may offer an advantage in reducing postoperative pain. However, this interpretation is limited by the substantial heterogeneity observed across the included studies. This review highlights the necessity for robust and well-designed clinical trials with large sample sizes and standardized protocols to obtain conclusive evidence. KCI Citation Count: 0 |
| Author | Viswanath, Butta Mohan, Sumit Kumar, Gaurav Priyank, Harsh |
| AuthorAffiliation | Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India |
| AuthorAffiliation_xml | – name: Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India |
| Author_xml | – sequence: 1 givenname: Gaurav orcidid: 0000-0003-1814-6027 surname: Kumar fullname: Kumar, Gaurav organization: Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India – sequence: 2 givenname: Sumit orcidid: 0000-0003-4492-1875 surname: Mohan fullname: Mohan, Sumit organization: Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India – sequence: 3 givenname: Butta orcidid: 0009-0002-8578-5654 surname: Viswanath fullname: Viswanath, Butta organization: Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India – sequence: 4 givenname: Harsh orcidid: 0009-0001-0457-2159 surname: Priyank fullname: Priyank, Harsh organization: Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40787138$$D View this record in MEDLINE/PubMed https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART003227352$$DAccess content in National Research Foundation of Korea (NRF) |
| BookMark | eNpVkm9rFDEQxoNUbK39BiJ5KYU982_drG-klNoWCoLU1yGbndylt5usSe7KfQE_t9m7eigMzMD85hkmed6iEx88IPSekgVtmKg_PfV6GheMsHpRQiwYb1-hM8Ylr1pOm5NjTdpTdJHSEyGkTHLCyBt0KkgjG8rlGfp9Yy2YjIPFzyGunV_iAfwyr3APGeLovM4ueDxCXoU-4VJOIeUwQSyNLeBJO4-1LSyOIWRstNcDzhF0HsHnL1jjtEsZxoIbHGHr4Blr38-KuprhXXLpHXpt9ZDg4iWfo5_fbh6v76qH77f311cPleGM54rVou2ElZ1oLZNCEtv3hjJTc0o4A2IZyM4yLkBQ2vadlJ8b3XWt0bqzlhB-ji4Puj5atTZOBe32eRnUOqqrH4_3ipKmPF0zw18P8LTpRuhNOSfqQU3RjTru9qP_d7xbFaGtoowzSfms8PFFIYZfG0hZjS4ZGAbtIWySKkdJwVrR1AX98O-y45a_X1UAcQBMDClFsEeEErU3hdqbQs2mUCWEKqbgfwBa5a52 |
| Cites_doi | 10.1097/00004770-200207000-00009 10.1016/j.tripleo.2007.12.009 10.1016/j.joen.2014.11.029 10.1111/j.1365-2591.2004.00820.x 10.1111/j.1601-1546.2005.00129.x 10.31080/ASDS.2021.05.1255 10.1111/j.1365-2591.2004.00835.x 10.12688/f1000research.70645.1 10.1016/j.joen.2017.04.028 10.4103/jpbs.JPBS_122_20 10.1371/journal.pmed.1000097 10.1016/S0099-2399(83)80190-3 10.1016/j.joen.2022.06.003 10.1186/s12903-024-04259-w 10.1016/j.joen.2013.08.004 10.1016/j.joen.2011.09.014 10.1111/aej.12814 10.1034/j.1601-1546.2002.10102.x 10.15171/joddd.2017.029 10.1186/s12903-024-04710-y 10.1016/j.joen.2015.08.012 10.1016/j.joen.2016.09.019 |
| ContentType | Journal Article |
| Copyright | Copyright © 2025 Journal of Dental Anesthesia and Pain Medicine. Copyright © 2025 Journal of Dental Anesthesia and Pain Medicine 2025 Journal of Dental Anesthesia and Pain Medicine |
| Copyright_xml | – notice: Copyright © 2025 Journal of Dental Anesthesia and Pain Medicine. – notice: Copyright © 2025 Journal of Dental Anesthesia and Pain Medicine 2025 Journal of Dental Anesthesia and Pain Medicine |
| DBID | AAYXX CITATION NPM 7X8 5PM ACYCR |
| DOI | 10.17245/jdapm.2025.25.4.239 |
| DatabaseName | CrossRef PubMed MEDLINE - Academic PubMed Central (Full Participant titles) Korean Citation Index |
| DatabaseTitle | CrossRef PubMed MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic PubMed |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 2383-9317 |
| EndPage | 250 |
| ExternalDocumentID | oai_kci_go_kr_ARTI_10738370 PMC12328130 40787138 10_17245_jdapm_2025_25_4_239 |
| Genre | Journal Article Review |
| GroupedDBID | 9ZL AAYXX ADBBV ALMA_UNASSIGNED_HOLDINGS AOIJS CITATION EBS EJD HYE M~E OK1 RPM NPM 7X8 5PM ACYCR |
| ID | FETCH-LOGICAL-c323t-2549b4f8b49f28480fddc12c531032e0f2e8bf234e4119db8867abb9caabff003 |
| ISICitedReferencesCount | 0 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001550945500002&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 2383-9309 |
| IngestDate | Wed Oct 01 06:59:02 EDT 2025 Tue Nov 04 02:03:54 EST 2025 Mon Aug 11 21:00:51 EDT 2025 Thu Aug 14 01:43:53 EDT 2025 Sat Nov 29 07:42:59 EST 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 4 |
| Keywords | Working Length Meta-Analysis Endodontics Pain Root Canal Therapy Electronic Apex Locators |
| Language | English |
| License | Copyright © 2025 Journal of Dental Anesthesia and Pain Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-c323t-2549b4f8b49f28480fddc12c531032e0f2e8bf234e4119db8867abb9caabff003 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 https://doi.org/10.17245/jdapm.2025.25.4.239 |
| ORCID | 0000-0003-1814-6027 0009-0002-8578-5654 0000-0003-4492-1875 0009-0001-0457-2159 |
| OpenAccessLink | https://pubmed.ncbi.nlm.nih.gov/PMC12328130 |
| PMID | 40787138 |
| PQID | 3238429475 |
| PQPubID | 23479 |
| PageCount | 12 |
| ParticipantIDs | nrf_kci_oai_kci_go_kr_ARTI_10738370 pubmedcentral_primary_oai_pubmedcentral_nih_gov_12328130 proquest_miscellaneous_3238429475 pubmed_primary_40787138 crossref_primary_10_17245_jdapm_2025_25_4_239 |
| PublicationCentury | 2000 |
| PublicationDate | 2025-08-01 |
| PublicationDateYYYYMMDD | 2025-08-01 |
| PublicationDate_xml | – month: 08 year: 2025 text: 2025-08-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | Korea (South) |
| PublicationPlace_xml | – name: Korea (South) |
| PublicationTitle | Journal of dental anesthesia and pain medicine: JDAPM |
| PublicationTitleAlternate | J Dent Anesth Pain Med |
| PublicationYear | 2025 |
| Publisher | The Korean Dental Society of Anesthsiology 대한치과마취과학회 |
| Publisher_xml | – name: The Korean Dental Society of Anesthsiology – name: 대한치과마취과학회 |
| References | Vertucci (10.17245/jdapm.2025.25.4.239_ref9) 2005; 10 Saha (10.17245/jdapm.2025.25.4.239_ref7) 2024; 58 Kaur (10.17245/jdapm.2025.25.4.239_ref23) 2024; 24 Chukka (10.17245/jdapm.2025.25.4.239_ref3) 2020; 12 Kaşıkçı (10.17245/jdapm.2025.25.4.239_ref4) 2024; 24 Vasconcelos (10.17245/jdapm.2025.25.4.239_ref24) 2015; 41 Berutti (10.17245/jdapm.2025.25.4.239_ref2) 2011; 37 De-Deus (10.17245/jdapm.2025.25.4.239_ref13) 2022; 48 Khan (10.17245/jdapm.2025.25.4.239_ref19) 2021; 5 Harrison (10.17245/jdapm.2025.25.4.239_ref26) 1983; 9 Kim (10.17245/jdapm.2025.25.4.239_ref27) 2008; 105 Arslan (10.17245/jdapm.2025.25.4.239_ref17) 2017; 43 Abdel Moteleb (10.17245/jdapm.2025.25.4.239_ref20) 2021 Yaghooti Khorasani (10.17245/jdapm.2025.25.4.239_ref8) 2017; 11 Yılmaz (10.17245/jdapm.2025.25.4.239_ref5) 2017; 43 Kara Tuncer (10.17245/jdapm.2025.25.4.239_ref1) 2014; 40 Gordon (10.17245/jdapm.2025.25.4.239_ref12) 2004; 37 Moher (10.17245/jdapm.2025.25.4.239_ref14) 2009; 6 10.17245/jdapm.2025.25.4.239_ref15 10.17245/jdapm.2025.25.4.239_ref16 Pham (10.17245/jdapm.2025.25.4.239_ref21) 2021; 10 Ng (10.17245/jdapm.2025.25.4.239_ref28) 2004; 37 Nagendrababu (10.17245/jdapm.2025.25.4.239_ref22) 2017; 48 Brunton (10.17245/jdapm.2025.25.4.239_ref11) 2002; 28 Huumonen (10.17245/jdapm.2025.25.4.239_ref10) 2002; 1 Kılıç (10.17245/jdapm.2025.25.4.239_ref6) 2024; 50 Joshi (10.17245/jdapm.2025.25.4.239_ref18) 2020; 14 Tsesis (10.17245/jdapm.2025.25.4.239_ref25) 2015; 41 |
| References_xml | – volume: 28 start-page: 524 year: 2002 ident: 10.17245/jdapm.2025.25.4.239_ref11 publication-title: J Endod doi: 10.1097/00004770-200207000-00009 – ident: 10.17245/jdapm.2025.25.4.239_ref16 – volume: 105 start-page: e79 year: 2008 ident: 10.17245/jdapm.2025.25.4.239_ref27 publication-title: Oral Surg Oral Med Oral Pathol Oral Radiol Endod doi: 10.1016/j.tripleo.2007.12.009 – volume: 41 start-page: 682 year: 2015 ident: 10.17245/jdapm.2025.25.4.239_ref24 publication-title: J Endod doi: 10.1016/j.joen.2014.11.029 – volume: 37 start-page: 381 year: 2004 ident: 10.17245/jdapm.2025.25.4.239_ref28 publication-title: Int Endod J doi: 10.1111/j.1365-2591.2004.00820.x – volume: 10 start-page: 3 year: 2005 ident: 10.17245/jdapm.2025.25.4.239_ref9 publication-title: Endod Topics doi: 10.1111/j.1601-1546.2005.00129.x – start-page: 50 year: 2021 ident: 10.17245/jdapm.2025.25.4.239_ref20 publication-title: Acta Sci Dent Sci doi: 10.31080/ASDS.2021.05.1255 – volume: 37 start-page: 425 year: 2004 ident: 10.17245/jdapm.2025.25.4.239_ref12 publication-title: Int Endod J doi: 10.1111/j.1365-2591.2004.00835.x – volume: 10 start-page: 868 year: 2021 ident: 10.17245/jdapm.2025.25.4.239_ref21 publication-title: F1000Research doi: 10.12688/f1000research.70645.1 – volume: 43 start-page: 1422 year: 2017 ident: 10.17245/jdapm.2025.25.4.239_ref17 publication-title: J Endod doi: 10.1016/j.joen.2017.04.028 – volume: 12 start-page: S410 year: 2020 ident: 10.17245/jdapm.2025.25.4.239_ref3 publication-title: J Pharm Bioallied Sci doi: 10.4103/jpbs.JPBS_122_20 – volume: 6 start-page: e1000097 year: 2009 ident: 10.17245/jdapm.2025.25.4.239_ref14 publication-title: PLoS Med doi: 10.1371/journal.pmed.1000097 – volume: 9 start-page: 384 year: 1983 ident: 10.17245/jdapm.2025.25.4.239_ref26 publication-title: J Endod doi: 10.1016/S0099-2399(83)80190-3 – volume: 5 start-page: 736 year: 2021 ident: 10.17245/jdapm.2025.25.4.239_ref19 publication-title: Pak J Med Health Sci – volume: 48 start-page: 1152 year: 2022 ident: 10.17245/jdapm.2025.25.4.239_ref13 publication-title: J Endod doi: 10.1016/j.joen.2022.06.003 – volume: 48 start-page: 193 year: 2017 ident: 10.17245/jdapm.2025.25.4.239_ref22 publication-title: Quintessence Int – volume: 58 start-page: 44 year: 2024 ident: 10.17245/jdapm.2025.25.4.239_ref7 publication-title: Eur Oral Res – volume: 24 start-page: 532 year: 2024 ident: 10.17245/jdapm.2025.25.4.239_ref23 publication-title: BMC Oral Health doi: 10.1186/s12903-024-04259-w – volume: 40 start-page: 38 year: 2014 ident: 10.17245/jdapm.2025.25.4.239_ref1 publication-title: J Endod doi: 10.1016/j.joen.2013.08.004 – volume: 37 start-page: 1687 year: 2011 ident: 10.17245/jdapm.2025.25.4.239_ref2 publication-title: J Endod doi: 10.1016/j.joen.2011.09.014 – volume: 50 start-page: 110 year: 2024 ident: 10.17245/jdapm.2025.25.4.239_ref6 publication-title: Aust Endod J doi: 10.1111/aej.12814 – volume: 14 start-page: 305 year: 2020 ident: 10.17245/jdapm.2025.25.4.239_ref18 publication-title: Endod Pract Today – volume: 1 start-page: 3 year: 2002 ident: 10.17245/jdapm.2025.25.4.239_ref10 publication-title: Endod Topics doi: 10.1034/j.1601-1546.2002.10102.x – volume: 11 start-page: 161 year: 2017 ident: 10.17245/jdapm.2025.25.4.239_ref8 publication-title: J Dent Res Dent Clin Dent Prospects doi: 10.15171/joddd.2017.029 – volume: 24 start-page: 939 year: 2024 ident: 10.17245/jdapm.2025.25.4.239_ref4 publication-title: BMC Oral Health doi: 10.1186/s12903-024-04710-y – volume: 41 start-page: 1818 year: 2015 ident: 10.17245/jdapm.2025.25.4.239_ref25 publication-title: J Endod doi: 10.1016/j.joen.2015.08.012 – volume: 43 start-page: 152 year: 2017 ident: 10.17245/jdapm.2025.25.4.239_ref5 publication-title: J Endod doi: 10.1016/j.joen.2016.09.019 – ident: 10.17245/jdapm.2025.25.4.239_ref15 |
| SSID | ssj0001723020 |
| Score | 2.2991912 |
| SecondaryResourceType | review_article |
| Snippet | This systematic review aimed to assess the effect of various working length determination methods on the incidence of postoperative pain after root canal... |
| SourceID | nrf pubmedcentral proquest pubmed crossref |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database |
| StartPage | 239 |
| SubjectTerms | Review 치의학 |
| Title | Effect of working length determination methods on postoperative pain after root canal treatment: a systematic review and meta-analysis |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/40787138 https://www.proquest.com/docview/3238429475 https://pubmed.ncbi.nlm.nih.gov/PMC12328130 https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART003227352 |
| Volume | 25 |
| WOSCitedRecordID | wos001550945500002&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | Journal of Dental Anesthesia and Pain Medicine, 2025, 25(4), , pp.239-250 |
| journalDatabaseRights | – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 2383-9317 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001723020 issn: 2383-9309 databaseCode: M~E dateStart: 20150101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1bb9MwFLa6gdBeEIhbuUxG8DZlNI5TO7xN3AaCqQ9j6pvlXEzDWBqlaTdeeOSf8b84thM3KZsED0hRGiWtnfT7cnzO8TnHCD1nMU1GcZh441EaeBR0ek-OM-apjGQJlXEQmry1k4_s6IhPp9FkMPjV5sKsvrGi4BcXUflfoYZzALZOnf0HuF2jcAKOAXTYA-yw_yvgm3rEoASeW0f4nl4spZ7tpW3ki4HcLh1tJgtKXVyjzJoa4KXM26XDQauuTVhYJyDdZkdvFoC2ccXQpvRkU-bkCrU3tfmXEkQs6J4LmxNmO23n-XUXH14fTJxTyMWBv5PLSq4cSeazxn27PMtd-M5JvjiXekrAUHdZ127gmVT5d1kY8X8I9vys6_EgoYu3awQjaBmBFwWjqCvFbfp0w1baFcm2WNIfQwUjVJfV-JrKUlckIOE-bHR_4-vwxOWZYYqe8ASLnq8HThfO2F7aQtcICyMtXD_96Lj6GNh5pkCou_MmiVPfw4tL7mAH3Wjb7OlLW0WlLjOFNiN6OyrS8S10swEZH1hO3kaDrLiDflo-4rnCDR-x5SPu8RE3fMRw2OMj1tTAho9Y8xEbPmLHx5dY4jUbsWUjBk7hHhvvos9v3xy_OvSaxT-8JCBB7WnHRUwVj2mkQIXiI5WmiU-SUC-MR7KRIhmPFQloRn0_SmPOx0zGcZRIGSsFY9U9tF3Mi-wBwkRlmYp8BlcJ6AVJPPaTNI0UGNO-oiEfIq_9i0Vpa7wIbRtrdIRBR2h0BGxUADpD9AxwEKdJLnRxdv35ZS5OKwEm6Hv4JdNen9EQPW1xEiCy9TwcvFrz5ULA83FQAykLh-i-xc3128I-RLyHqPuC7rF_pchnpiy8No44qKQPr2z0EdpZv0-P0XZdLbMn6HqyqvNFtYu22JTvGur-BpCx1qg |
| linkProvider | ISSN International Centre |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Effect+of+working+length+determination+methods+on+postoperative+pain+after+root+canal+treatment%3A+a+systematic+review+and+meta-analysis&rft.jtitle=Journal+of+dental+anesthesia+and+pain+medicine%3A+JDAPM&rft.au=Kumar%2C+Gaurav&rft.au=Mohan%2C+Sumit&rft.au=Viswanath%2C+Butta&rft.au=Priyank%2C+Harsh&rft.date=2025-08-01&rft.issn=2383-9309&rft.volume=25&rft.issue=4&rft.spage=239&rft_id=info:doi/10.17245%2Fjdapm.2025.25.4.239&rft_id=info%3Apmid%2F40787138&rft.externalDocID=40787138 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2383-9309&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2383-9309&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2383-9309&client=summon |