Effectiveness of Cryotherapy on Endodontic Pain (Cy)

Armed Forces Institute of Dentistry, Pakistan

Status and phase: Enrolling; Phase 2

Conditions: Post Operative Pain

Treatments: Drug: Irrigation Solution

Study type: Interventional

Funder types: Other

Identifiers

NCT06785753

Cryotherapy

Details and patient eligibility

About

This is a randomized , prospective , control trial to assess the effectiveness of intracanal cryotherapy on post operative pain after root canal treatment in patients with symptomatic apical periodontitis

Full description

Diagnostic procedures to include patients history taking , clinical and radiographic with all findings being recorded in patients .

patients diagnosed with symptomatic irreversible pulpitis with symptomatic apical periodontitis.

patients will be asked to rate their pre treatment pain on visual analogue scale from 0-10

patients with pain score <8 will be considered

Anesthesia and isolation : after administration of local anesthesia , rubber dam application will be done

Acess cavity : acess will be gained with round bur using air turbune handpiece with copious water cooling

Working length : a size 10k file will be inserted into the canal to determine the working length with the help of radiograph

Cleaning and shaping : Extirpation of pulp will be done followed by canal preparation with manual and endodontic motor using naocl and EDTA .

final irrigation will be performed using 17% EDTA and 5.25% NaOCl

Patients will be divided into 2 group in control group : final irrigation will be done using 5ml of saline at room temperature in cold group : final irrigation will be done using 5ml of cold saline at 2.5°C

the solution will be stored in the refrigerator until use irrigation will be performed for 5 min in both groups using 27 G beveled needle tip inserted 2mm short of WL.

Obturation ; In both groups , canals will be dried with paper points and obturated using gutta percha cones with zinc oxide eugenol sealer

Restoration : acces cavity will be restroed with direct composite restoration or high viscosity glass ionomer cement

each patient will be given instruction to acess the post operative pain .

Enrollment: 60 estimated patients

Sex: All

Ages: 20 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• patients with symptomatic irreversible pulpitis and symptomatic apical periodontitis
• maxillary or mandibular single rooted teeth
• systemically healthy patients
• patients having pain score < 8

Exclusion criteria

• patients on preoperative analgesics or antibiotics within past 12 hours
• teeth with calcified canals and previously treated teeth
• tooth with immature apices or resorption
• patients allergic to local anesthesia
• pregnant or lactating mothers
• patients who are immunocompromised .

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

normal saline group

Experimental group

Description:

In control group , canals will be irrigated with 5ml of normal saline at room temperature

Treatment:

Drug: Irrigation Solution

cryotherapy (cold saline group)

Experimental group

Description:

in cold saline group , canals will be irrigated with 5 ml of cold saline at a temperature of 2.5° C

Treatment:

Drug: Irrigation Solution