Intracanal Cryotherapy Reduces Postoperative Pain in Teeth with Symptomatic Apical Periodontitis: A Randomized Multicenter Clinical Trial

Vera, Jorge; Ochoa, Jorge Flores; Romero, María Falcón; Vazquez-Carcaño, Marino; Ramos-Gregorio, Cesar Omar; Aguilar, Rosa Elena Méndez; Cruz, Álvaro; Sleiman, Philippe; Arias, Ana

doi:10.1016/j.joen.2017.08.038

Cited by 56 publications

(57 citation statements)

References 27 publications

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“…In this study, Intra-canal cryotherapy (Group 1) gave better results than room- temperature normal saline (as in Group 2) as the last irrigation, but statistically there was no significant difference between the two groups. These results are not in accordance with Al-Nahlawi et al, Keskin et al, and Vera et al, who found that cold normal saline was more effective on post-endodontic pain than room-temperature normal saline as the last irrigation (Al-Nahlawi et al, 2016, Keskin et al, 2017, Vera et al, 2018).…”

Section: Discussioncontrasting

confidence: 65%

“…According to two recent studies that conducted cryotherapy research of single-visit root canal treatment (RCT), pain level was reduced compared to the control group (Al-Nahlawi et al, 2016, Keskin et al, 2017). Vera et al (2018) applied cryotherapy on 105 patients with necrotic pulp and found that post-endodontic pain can be minimized by using intra-canal cryotherapy. In this study, Intra-canal cryotherapy (Group 1) gave better results than room- temperature normal saline (as in Group 2) as the last irrigation, but statistically there was no significant difference between the two groups.…”

Section: Discussionmentioning

confidence: 99%

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Effect of intra-canal cryotherapy on post-endodontic pain in single-visit RCT: A randomized controlled trial

Alharthi

Aljoudi

Almaliki

et al. 2019

The Saudi Dental Journal

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AimTo evaluate the effect of cold and room-temperature normal saline as a final irrigation on post-endodontic pain and to compare the post-endodontic pain level between the different protocols.Materials and methodsA randomized controlled trial was conducted on 105 patients who underwent RCT and were distributed blindly and randomly into three equal groups (n = 35): Group 1, Cryotherapy group; Group 2, Room- temperature normal saline group; and Group 3, Control group. The patients were asked to fill out the VAS questionnaire and register their post-endodontic pain at 6, 24, and 48 h. One-way analysis of variance (ANOVA) and was used to determine statistical difference (α = 0.05) among the groups. Tuckey’s test was used to calculate P-value (α = 0.05) between two each group.ResultsThe highest post-endodontic pain was in Group 3. There was no significance difference between Group 1 and Group 2.ConclusionFinal flushing of the canal with saline either cold or at room temperature was effective for post-endodontic pain control. This can be promising as an essential step in endodontic treatment to reduce post-endodontic pain. The room-temperature saline as final irrigation showed comparable results to intra-canal cryotherapy.

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Section: Discussioncontrasting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Effect of intra-canal cryotherapy on post-endodontic pain in single-visit RCT: A randomized controlled trial

Alharthi

Aljoudi

Almaliki

et al. 2019

The Saudi Dental Journal

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“…31 The VAS scale was used on PP evaluation in many of the previous studies. 28,32,33 The scale was explained clearly to the participants before the treatment in order to record the PP more accurately.…”

Section: Discussionmentioning

confidence: 99%

Effect of Root Canal Disinfection with 980 µm Diode Laser on Post-operative Pain after Endodontic Treatment in Teeth with Apical Periodontitis: A Randomized Clinical Trial

Kaplan

Sezgin

Kaplan

2020

Preprint

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Background: This study aims to assess the effect of root canal disinfection with a 980 µm diode laser following chemomechanical root canal preparation on the severity of pain after root canal treatment (RCT).Methods: In present study, asymptomatic, single-rooted teeth with periapical index (PAI) score 3 or 4 were included. All patients were treated with two visits of root canal treatment including dressing with calcium hydroxide. Patients were randomly divided into two groups (n: 28). ‘Control (no laser)’: The final irrigation was performed using 5ml 2.5% NaOCI, followed by 5 ml 17% EDTA and 5 ml distilled water. ‘Laser Disinfection (LD)’: Root canals were irradiated with 980 µm diode laser after final irrigation at both visits. The pain levels were evaluated using visual analog scale (VAS) after 8, 24, 48 hours and 7 days. In addition, analgesic intake and time intervals were recorded by patients. The collected data were statistically analyzed with the Chi-square and Mann-Whitney U test (p<0.05).Results: The average pain level in the control group after 24 hours was significantly higher than that in the laser group after the first appointment (p<0.05). The average pain level after the second appointment was statistically higher at 24 h and 48 h in the control group (p<0.05). PP levels at 24-hs after the first appointment were higher than the second appointment only in the control group (p<0.05). After first appointment, analgesic use in the control group at 8 h (40%) and 24 h (23%) were significantly higher than LD group (p<0.05).Conclusions: Root canal disinfection with diode laser may reduce PP in single-rooted teeth with PAI score 3 or 4.Trial registration: Effect of the Diode Laser on Post-operative Pain After Endodontic Treatment in Teeth with Apical Periodontitis: NCT04486196. Registered 24 July 2020 - Retrospectively registered, http://clinicaltrials.gov/ct2/show/NCT04486196Clinical Trials ID: NCT04486196

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“…[60][61][62][63] Evidence for cold therapy exists so far only in randomized controlled trials for a variety of surgical procedures, including hernia repair, A-V fistula creation, and dental surgery. 59,[64][65][66][67][68][69][70][71][72] Other methods also need further study even though they are endorsed by various institutions. 73,74 Lack of movement postoperatively can lead to muscle tightness and pain.…”

Section: Recommendations and Summary Of Evidencementioning

confidence: 99%

Consensus Statement for the Prescription of Pain Medication at Discharge after Elective Adult Surgery

Clarke

Manoo

Pearsall

et al. 2020

Canadian Journal of Pain

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This Consensus Statement provides recommendations on the prescription of pain medication at discharge from hospital for opioid-naïve adult patients who undergo elective surgery. It encourages health care providers (surgeons, anesthesiologists, nurses/nurse practitioners, pain teams, pharmacists, allied health professionals, and trainees) to (1) use nonopioid therapies and reduce the prescription of opioids so that fewer opioid pills are available for diversion and (2) educate patients and their families/caregivers about pain management options after surgery to optimize quality of care for postoperative pain. These recommendations apply to opioid-naïve adult patients who undergo elective surgery. This consensus statement is intended for use by health care providers involved in the management and care of surgical patients. A modified Delphi process was used to reach consensus on the recommendations. First, the authors conducted a scoping review of the literature to determine current best practices and existing guidelines. From the available literature and expertise of the authors, a draft list of recommendations was created. Second, the authors asked key stakeholders to review and provide feedback on several drafts of the document and attend an in-person consensus meeting. The modified Delphi stakeholder group included surgeons, anesthesiologists, residents, fellows, nurses, pharmacists, and patients. After multiple iterations, the document was deemed complete. The recommendations are not graded because they are mostly based on consensus rather than evidence. RÉSUMÉ Cette déclaration de consensus fait des recommandations pour la prescription d'analgésiques à la sortie de l'hôpital pour les patients adultes n'ayant jamais pris d'opiacés et qui subissent une intervention chirurgicale non urgente. Elle encourage les prestataires de soins de santé (chirurgiens, anesthésiologistes, infirmières et infirmiers, infirmières et infirmiers praticiens, équipes antidouleur, pharmaciens, professionnels de la santé et stagiaires) à (1) utiliser des traitements non opiacés et à réduire la prescription d'opiacés afin de réduire le nombre de pilules opiacées pouvant être détournées; et (2) à éduquer les patients, ainsi que leurs familles et soignants, sur les options de prise en charge de la douleur après l'opération afin d'optimiser la qualité des soins pour la douleur postopératoire. Ces recommandations s'appliquent aux patients adultes n'ayant jamais pris d'opioïdes et qui subissent une intervention chirurgicale non urgente. Cette déclaration de consensus est destinée à être utilisée par les prestataires de soins de santé impliqués dans la prise en charge des patients opérés et les soins qui leur sont apportés. Un processus Delphi modifié a été utilisé pour parvenir à un consensus sur les recommandations. Tout d'abord, les auteurs ont procédé à une de la portée de la littérature afin de déterminer les pratiques exemplaires actuelles et les lignes directrices existantes. À partir de la littérature disponible et de l'expertise des ...

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Intracanal Cryotherapy Reduces Postoperative Pain in Teeth with Symptomatic Apical Periodontitis: A Randomized Multicenter Clinical Trial

Abstract: Cryotherapy reduced the incidence of postoperative pain and the need for medication intake in patients presenting with a diagnosis of necrotic pulp and symptomatic apical periodontitis.

Cited by 56 publications

References 27 publications

Effect of intra-canal cryotherapy on post-endodontic pain in single-visit RCT: A randomized controlled trial

Effect of intra-canal cryotherapy on post-endodontic pain in single-visit RCT: A randomized controlled trial

Effect of Root Canal Disinfection with 980 µm Diode Laser on Post-operative Pain after Endodontic Treatment in Teeth with Apical Periodontitis: A Randomized Clinical Trial

Consensus Statement for the Prescription of Pain Medication at Discharge after Elective Adult Surgery

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