Effectiveness of Cryotherapy on Endodontic Pain

Overview

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

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 .

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Central Contacts