Evaluating the effect of different cryotherapy methods on postoperative pain in one-visit root canal treatment of mandibular molars with symptomatic irreversible pulpitis

Contemporary Orofacial Sciences

مقاله 5، دوره 1، شماره 2، دی 2023   

نوع مقاله: Original Article

شناسه دیجیتال (DOI): 10.30486/cofs.2023.1989712.1009

نویسندگان

Mahnaz sadat Hoseini¹؛ Parisa Ranjbarian^{* 2}؛ Amin Mortaheb³؛ Ebrahim Yousefi⁴

¹School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.

²Department of Endodontics, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan. Iran

³Endodontists, Isfahan, Iran

⁴School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

چکیده

Backgrounds: Cryotherapy might help in reducing pain after root canal treatment. This study aimed to investigate the effect of different methods of cryotherapy on post-endodontic pain of one-visit root canal treatment in mandibular molar teeth with symptomatic irreversible pulpitis.
Materials and Methods: This clinical trial study enrolled 60 patients with symptomatic irreversible pulpitis in a mandibular molar tooth. Before obturating the root canals, teeth were divided into four groups. Group 1: Control (without cryotherapy) Group 2: intracanal cryotherapy with final canal irrigation with 2.5 °C normal saline for 5 minutes, group 3: intraoral cryotherapy with the application of an ice pack 30 minutes inside the mouth and Group 4: extraoral cryotherapy. Patients’ post-endodontic pain was recorded on the first and third days. Data were analyzed by two-way analysis of variance, Tukey, and LSD post hoc test at the error level of 5%.
Results: Pain reduction was highest, respectively, in the intracanal, control, and extraoral cryotherapy groups on the first and third days, although not significant (p>0.05). In each group, pain was reduced on the third day after treatment (P<0.05). Pain showed no relation to gender (p>0.05).
Conclusion: Despite the limitations, based on the results of this study, the application of cryotherapy has a limited effect in reducing pain after root canal treatment. Time is more effective than cryotherapy in reducing pain. 

کلیدواژه‌ها

Cryotherapy؛ Postoperative pain؛ Symptomatic irreversible pulpitis