Effect of Cryotherapy on Postoperative Pain in Vital Pulp Treatment of Molar Teeth

Effect of Cryotherapy on Postoperative Pain in Vital Pulp Treatment of Molar Teeth With Symptomatic Irreversible Pulpitis: A Randomized Controlled Trial

The goal of this clinical trial was to evaluate the effect of cryotherapy with salin solution on the intensity of postoperative pain after total pulpotomy procedures in molar teeth with symptomatic irreversible pulpitis. The main question it aims to answer is:

- Does controlled irrigation with cold saline in total pulpotomy reduce the severity of postoperative pain? In the cryotherapy group, unlike the control group, after hemostasis was achieved, the coronal pulp cavity was irrigated with 2 °C saline solution for 5 minutes.

Inclusion Criteria:

Teeth with

• moderate or severe pain
• diagnosed with symptomatic irreversible pulpitis
• no tenderness to percussion and palpation
• positive response to cold test and electric pulp test
• no signs of periapical pathology

Exclusion Criteria:

Teeth which

• could not be restored or required post-core
• had periapical lesions,
• had poor periodontal status (pocket depth> 4 mm),
• had negative responses to pulp sensitivity tests,
• had no pulp exposure after caries removing Patients who
• had no preoperative pain or had mild preoperative pain
• had bleeding disorders
• had systemic diseases such as immunosuppressive disease or diabetes