Effect of Cryotherapy and Laser on Post-Operative Pain in Single Visit Endodontically Treated Symptomatic Apical Periodontitis Cases
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- post operative pain
研究概览
简要总结
This study compare the effect of applying ice after single visit endodontic treatment with lasers to reduce post operative pain .
详细描述
one of the most popular complications after single visit endodontic treatment is pain either spontaneous or on biting so in this study we choose one of the most difficult and challenging cases " Hot tooth " to compare lasers and cryotherapy different applications to reduce post operative pain after single visit endodontic treatment
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
all participants have an equal chance to be enrolled in any of the study groups. This pattern was the most suitable way to ensure the balance of the anonymous prognostic factors in the participants between the three groups thus, eliminating the selection or allocation bias
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Vital teeth display symptomatic apical periodontitis (Symptomatic apical periodontitis was determined based on the clinical symptoms of severe preoperative pain (visual analogue scale [VAS] > 60) and severe percussion pain (VAS > 60).
- •Teeth, with a periapical index score (PAI) of 2 or 3 indicating small changes in bone structure and slight mineral loss respectively.
- •Mobility less than 1 mm in either direction.
- •Absence of periodontal pocket around the tooth.
- •Symptomatic pulpitis with spontaneous pain or lingered by cold or heat.
- •Teeth without pus or inflammatory exudates draining through the canal.
- •Teeth without anatomic variations
排除标准
- •• Patient with any systemic disease.
- •Immunocompromised patients.
- •Pregnant or lactating patients.
- •Apparently narrow roots in which apical preparation with the #40 file would be overzealous.
- •Retreatment cases.
- •Necrotic painful teeth with absence of sinus tract for drainage.
- •Patients on analgesics or sedative medication up to 6 hours before treatment
研究组 & 干预措施
Both intracanal and intraoral cryotherapy
the root canals are given a final irrigation with 20 mL cold (2.5oC) saline solution for 5 minutes , the canal is obturated and then ice sticks (wrapped in sterile gauze if needed) using plastic pipette droppers filled with freezing sterile water are placed intraorally in the mouth on the apices of the treated tooth on both buccal and palatal sides for 30 minutes.
干预措施: Both intracanal and intraoral cryotherapy (Procedure)
control Group
all occlusal contacts are reduced by 1 mm
干预措施: Control (Standard treatment) (Procedure)
intracanal cryotherapy
the root canals are given a final irrigation with 20 mL cold (2.5oC) saline solution for 5 minutes
干预措施: cryotherapy with sterile saline at 2.5ºC (Procedure)
intraoral cryotherapy group
ice sticks (wrapped in sterile gauze if needed) using plastic pipette droppers filled with freezing sterile water are placed intraorally in the mouth on the apices of the treated tooth on both buccal and palatal sides for 30 minutes
干预措施: intaoral cryotherapy (Procedure)
Low Level Laser Therapy
laser irradiation on the soft tissues covering the apices of the tooth on both buccal and palatal surfaces respectively.
干预措施: Low Level Laser Therapy (Device)
结局指标
主要结局
post operative pain
时间窗: preoperative, after 24 hours, on the third , fifth, one week & two weeks after treatment
post operative pain and pain on percussion is tested using visual analogue scale
次要结局
未报告次要终点