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Comparative Evaluation of the Efficacy of Intraoral Cryotherapy Versus Intracanal Cryotherapy on Postoperative Pain

Not Applicable
Conditions
Postoperative Pain
Interventions
Procedure: Intraoral Cryotherapy
Procedure: Intracanal Cryotherapy
Registration Number
NCT05041738
Lead Sponsor
Cairo University
Brief Summary

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

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
68
Inclusion Criteria

Systemically healthy patient (ASA I or II).

Mandibular first molar teeth with:

  • Preoperative sharp pain and symptomatic apical periodontitis
  • Absence or slight widening in the periodontal ligament (PDL).
  • Vital response of pulp tissue to cold pulp tester (ethyl chloride spray) .
  • Positive response to percussion test
Exclusion Criteria
  1. Medically compromised patients.
  2. Pregnant women.
  3. Patients reporting bruxism or clenching.
  4. Patients allergic to ciprofloxacin or metronidazole.
  5. Teeth associated with acute periapical abscess and/or swelling.
  6. Greater than grade I mobility or pocket depth greater than 5mm.
  7. Size of periapical radiolucency is greater than 8 mm.
  8. No restorability: Hopeless tooth.
  9. Immature teeth.
  10. Radiographic evidence of external or internal root resorption vertical root fracture, perforation, calcification.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intraoral CryotherapyIntraoral Cryotherapy-
Intracanal CryotherapyIntracanal Cryotherapy-
Primary Outcome Measures
NameTimeMethod
Postoperative pain assessed using Visual Analogue scale24 hours post treatment

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."

Secondary Outcome Measures
NameTimeMethod
Postoperative pain assessed using Visual Analogue scale72 hours post treatment

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."

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