Pulpitis - Irreversible
Conditions
Keywords
Cryoanalgesia, Irreversible Pulpitis, Pain Management
Brief summary
The aim of the present study was to evaluate the effectiveness of pulpal anesthesia in pain control during endodontic treatment by lowering the temperature of the injected plain 3% cold Mepivacaine (5ºC) compared to 3% Mepivacaine at room temperature in teeth with irreversible pulpitis.
Detailed description
Mepivacaine has some advantages over other anesthetics. The investigators wanted to compare whether changing temperature could improve its effectiveness in cases of irreversible pulpitis.
Interventions
PROCEDURECold Mepivacaine
change the temperature, 3% at 5ºC
PROCEDUREMepivacaine at room temperature
no change the temperature of anesthesia
Sponsors
Universitat Internacional de Catalunya
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
All Patients within the age group of 18-100 years old, * Patients diagnosed of irreversible pulpitis.
Exclusion criteria
* Moderate to pulp necrosis, * Previous initiated treatment. * Pregnancy or lactation. * Allergy or problems to any substances used in the study, * Acute apical abscess. * Chronic apical abscess. * Unrestorable teeth. * Unsuccessful anesthesia technique (no lip numbness for lower molars or positive response to cold test).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of Pain and Anxiety | 1 visit of 1 hour | Pain during injection, caries removal, access cavity, and instrumentation were recorded. The patients received a full description of the procedure, and patients were asked to rate their current pain and their anxiety with a descriptive scale (Heft-Parker Visual Analog Scale (VAS) before starting the treatment. A visual analog scale of 170 mm that the start points on the left side means no pain and the endpoint on the right side means severe pain. The participants indicated their pain level by marking a point on the scale that best represented their experience. For data interpretation, the Visual Analog Scale (VAS) was segmented into four categories: no pain corresponded to 0 mm on the scale, mild pain as greater than 0 and ≤54mm, moderate pain defined as greater than 54 mm and less than 114 mm and severe pain defined as 114 mm or more. |
Countries
Spain
Outcome results
None listed