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| Introduction: A New Hope for Postoperative Pain Management? |
| Postoperative pain after root canal treatment is often caused by over-instrumentation and irritants pushed beyond the apex. Traditional pain management methods, such as analgesics and occlusal reduction, have limitations. This study compares the effectiveness of cryotherapy, occlusal reduction, and room-temperature saline in managing postoperative pain in patients with symptomatic apical periodontitis. |
| Randomized Trial on Pain Prevention |
| The study calculated a sample size of 69 patients, randomly assigning them to three groups: control (room-temperature saline), cryotherapy (cold saline), or occlusal reduction. Treatment followed standard root canal procedures with group-specific final irrigation and occlusal adjustments. Pain levels were measured post-treatment at various intervals using the Visual Analog Scale (VAS), and follow-up assessments were conducted via phone. |
| Patient Care Management |
| Patients underwent thorough assessments, including medical and dental histories, vitality tests, and pain measurement using the Visual Analog Scale (VAS). Root canal treatment was performed by a single operator under local anesthesia, with canal preparation, irrigation, and final rinses tailored to the study group (control, cryotherapy, or occlusal reduction). After obturation and composite restoration, occlusal reduction was performed in the appropriate group, confirmed with articulating paper. |
| Results: Cryotherapy’s Impact on Pain |
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| The cryotherapy group exhibited the lowest pain score at 24 hours, followed by the occlusal reduction group, and finally, the control group. |
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| Across all groups, pain scores significantly decreased over time (p < 0.001), with preoperative pain scores being higher than at later intervals, and scores after 6 hours being higher than those measured at 48, 72 hours, and 7 days. By 7 days, all patients reported zero pain. |
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| Conclusion: Cryotherapy: A Conservative Approach to Postoperative Pain Management |
| Patients underwent thorough assessments, including medical and dental histories, vitality tests, and pain measurement using the Visual Analog Scale (VAS). Root canal treatment was performed by a single operator under local anesthesia, with canal preparation, irrigation, and final rinses tailored to the study group (control, cryotherapy, or occlusal reduction). After obturation and composite restoration, occlusal reduction was performed in the appropriate group, confirmed with articulating paper. |
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| GGI-CO-A1-AQS-300023454-ELC-L24-0149 |
| For the use of a Registered Medical Practitioner, Hospital or Laboratory only. |
| Reference: |
| Almasoud L, Elsewify T, Elemam R, Eid B. Effect of Cryotherapy and Occlusal Reduction on Postoperative Endodontic Pain in Mandibular First Molars with Symptomatic Apical Periodontitis: A Prospective, Parallel, Double-Blinded Randomized Controlled Trial. Eur J Dent. Published online November 7, 2024. doi:10.1055/s-0044-1791219 Click here to view the original article |
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