Effect of Cryotherapy on Postoperative Pain

Cairo University (CU)

Status: Unknown

Conditions: Symptomatic Irreversible Pulpitis

Treatments: Procedure: normal saline; Procedure: cryotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT03716635

CEBD-CU-2018-10-19

Details and patient eligibility

About

the aim of the study is to evaluate the effect of cryotherapy on postoperative pain in molar teeth with irreversible pulpitis and apical periodontitis

Full description

the purpose of the study was to evaluate the effect of 2.5c cold saline irrigation as a final irrigant on postoperative pain after single visit root canal treatment of teeth with vital pulp and apical periodontitis .thirty patients will be included in the study .the teeth will be divided into 2 groups (i.e the control group and the cryotherapy group ) in the cryotherapy group ,final irrigation with 2.5c cold saline solution for 5 mins will be performed following completion of biomechanical preparation whereas in control group same solution stored at room temperature will be used . treatment will be done in a single visit then participants will be asked to rate the intensity of postoperative pain using numerical rating scale at 6,12,24,48 hrs

Enrollment: 30 estimated patients

Sex: All

Ages: 20 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age between 20-40 years old.
• Systemically healthy patient (ASA I or II).
• mandibular first molar teeth with:
• Preoperative sharp pain and Symptomatic apical periodontitis .absence or slight widening in the periodontal ligament (PDL). .Vital response of pulp tissue to cold pulp tester (ethyl chloride spray).
• Ability for isolation with rubberdam.
• Restorable teeth
• Ability to fill the root canals in single visit treatment.

Exclusion criteria

• Teeth without good apical constriction, such as wide or open apex
• Use of any type of analgesics or antibiotic medications within 3 days .Pregnant or nursing females.
• Patients having significant systemic disorder (ASA III or IV).
• Teeth that have :

Non vital pulp tissues. Association with swelling or fistulous tract Acute or chronic periapical abscess Greater than grade I mobility Pocket depth greater than 5 mm No possible restorability

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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30 participants in 2 patient groups

cryotherapy

Experimental group

Description:

2.5c cold saline as a final flush after chemicomechanical debridement

Treatment:

Procedure: cryotherapy

normal saline

Other group

Description:

room temperature saline is used as a final flush after chemicomechanical preparation

Treatment:

Procedure: normal saline