Cryotherapy Versus Dexamethasone on Postoperative Pain in Permanent Mandibular Molars

Cukurova University60 enrolled

Overview

The goal of this clinical trial was to evaluate cryotherapy versus dexamethasone on the intensity of postoperative pain in root canal treatment procedures in mandibular first molar teeth with symptomatic irreversible pulpitis. The main question it aims to answer is: * Does controlled irrigation with cold saline in root canal treatment reduce the severity of postoperative pain? * Does controlled irrigation with dexamethasone in root canal treatment reduce the severity of postoperative pain? In the cryotherapy group, unlike the control and dexamethasone group, the root canals were irrigated with 2 °C salin solution in final irrigation. In the dexamethasone group, unlike the control and cryotherapy group, the root canals were irrigated with 1 mL dexamethasone solution in final irrigation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

BASIC_SCIENCE

Masking

SINGLE

Enrollment

Conditions

Pulpitis - Irreversible

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Vital mandibular first and second molars with 3 root canals that responded positively to the cold test and electric pulp test * Patients who had not taken analgesics or antibiotics in the last 24 hours before the procedure were included in the study. Exclusion Criteria: * Devital mandibular first and second molars that responded negatively to cold tests and electric pulp tests * Mandibular first and second molars with poor periodontal status (pocket depth \> 4 mm), * Mandibular first and second molars with 4 or more root canals detected radiographically or after opening the endodontic access cavity were excluded from the study.

Outcomes

Primary Outcomes

Visual Analogue Scale

The visual analog scale for pain is a straight line with one end meaning no pain (0) and the other end meaning the worst pain (10) imaginable. A patient marks a point on the line that matches the amount of pain he or she feels. It may be used to help choose the right dose of pain medicine. Also called VAS.

Time frame: up to 72 hours