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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intraoral Cryotherapy | Experimental |
| |
| Intracanal Cryotherapy | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intraoral Cryotherapy | Procedure | small ice packs wrapped in sterile gauze placed in the mouth on the vestibular surface of the treated tooth |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain assessed using Visual Analogue scale | Intensity of pain after root canal treatment will be recorded by the patient where "0= no pain, 1-3= mild pain, 4-6= moderate pain, 7-10= severe pain." | 6 hours post treatment |
| Postoperative pain assessed using Visual Analogue scale | Intensity of pain after root canal treatment will be recorded by the patient where "0= no pain, 1-3= mild pain, 4-6= moderate pain, 7-10= severe pain." | 12 hours post treatment |
| Postoperative pain assessed using Visual Analogue scale | Intensity of pain after root canal treatment will be recorded by the patient where "0= no pain, 1-3= mild pain, 4-6= moderate pain, 7-10= severe pain." | 24 hours post treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain assessed using Visual Analogue scale | Intensity of pain after root canal treatment will be recorded by the patient where "0= no pain, 1-3= mild pain, 4-6= moderate pain, 7-10= severe pain." | 48 hours post treatment |
| Postoperative pain assessed using Visual Analogue scale |
| Measure | Description | Time Frame |
|---|---|---|
| Number of analgesics taken by the patient | Number of analgesics taken by the patient after endodontic treatment. | Up to 72 hours |
Inclusion Criteria:
Systemically healthy patient (ASA I or II).
Mandibular first molar teeth with:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Toka M Ezzat, B.D.S. (Cairo University) | Contact | 01005137002 | 002 | toka.ezzat@dentistry.cu.edu.eg |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32386857 | Background | Fayyad DM, Abdelsalam N, Hashem N. Cryotherapy: A New Paradigm of Treatment in Endodontics. J Endod. 2020 Jul;46(7):936-942. doi: 10.1016/j.joen.2020.03.019. Epub 2020 May 6. | |
| 29398090 | Background | Gundogdu EC, Arslan H. Effects of Various Cryotherapy Applications on Postoperative Pain in Molar Teeth with Symptomatic Apical Periodontitis: A Preliminary Randomized Prospective Clinical Trial. J Endod. 2018 Mar;44(3):349-354. doi: 10.1016/j.joen.2017.11.002. Epub 2018 Feb 3. |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| Intracanal Cryotherapy | Procedure | Intracanal cryotherapy technique using 2.5°C cold saline irrigation as final irrigant |
|
Intensity of pain after root canal treatment will be recorded by the patient where "0= no pain, 1-3= mild pain, 4-6= moderate pain, 7-10= severe pain." |
| 72 hours post treatment |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |