Effect of Cryotherapy on Postoperative Pain

Cairo University30 enrolled

Overview

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

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Symptomatic Irreversible Pulpitis

Interventions

cryotherapyPROCEDURE

2.5c cold saline is used as a final flush after chemomechanical preparation

normal salinePROCEDURE

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

Eligibility

Sex: ALLMin age: 20 YearsMax age: 40 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

postoperative pain assessed by NRS

Primary outcome (post-operative pain) will be collected by the operator through (NRS) which is an 11 point scale consisting of numbers from 0 through 10 0: reading represents "no pain" 1- 3: readings represent "mild pain" 4- 6: readings represent "moderate pain" 7- 10: readings represent "severe pain"

Time frame: up to 48 hrs postoperative pain

Secondary Outcomes

amount of analgesics assessed by counting

number of analgesics tablets up to 48 hrs postoperatively

Time frame: up to 48 hrs postoperatively

Central Contacts

magy E elaskary

CONTACT

01001467262 magiessam@gmail.com

Data from ClinicalTrials.gov

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