Comparative Evaluation of the Efficacy of Intraoral Cryotherapy Versus Intracanal Cryotherapy on Postoperative Pain

Cairo University68 enrolled

Overview

The aim of this study is to clinically compare the efficacy of intraoral cryotherapy versus intracanal cryotherapy after single visit root canal therapy in lower molars with irreversible pulpitis and symptomatic apical periodontitis

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Postoperative Pain

Interventions

Intraoral CryotherapyPROCEDURE

small ice packs wrapped in sterile gauze placed in the mouth on the vestibular surface of the treated tooth

Intracanal CryotherapyPROCEDURE

Intracanal cryotherapy technique using 2.5°C cold saline irrigation as final irrigant

Eligibility

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

Medical Language ↔ Plain English

Inclusion Criteria: 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) . * Positive response to percussion test Exclusion Criteria: 1. Medically compromised patients. 2. Pregnant women. 3. Patients reporting bruxism or clenching. 4. Patients allergic to ciprofloxacin or metronidazole. 5. Teeth associated with acute periapical abscess and/or swelling. 6. Greater than grade I mobility or pocket depth greater than 5mm. 7. Size of periapical radiolucency is greater than 8 mm. 8. No restorability: Hopeless tooth. 9. Immature teeth. 10. Radiographic evidence of external or internal root resorption vertical root fracture, perforation, calcification.