Hot Tooth, Irriversible Pulpitis With Apical Peridontitis
Conditions
Keywords
cryotherapy Low Level Laser Therapy LLLT single visit endodontic treatment irriversible pulpitis Apical peridontitis
Brief summary
This study compare the effect of applying ice after single visit endodontic treatment with lasers to reduce post operative pain .
Detailed description
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
Interventions
the root canals are given a final irrigation with 20 mL cold (2.5oC) saline solution for 5 minutes before obturation
PROCEDUREintaoral cryotherapy
ice sticks (wrapped in sterile gauze if needed) using plastic pipette droppers filled with freezed sterile water are placed intraorally in the mouth on the apices of the treated tooth on both buccal and palatal sides for 30 minutes
PROCEDUREBoth intracanal and intraoral cryotherapy
Canal is irrigated with iced saline for 5 minutes before obturation . Root canal is obturated and coronal restoration is done. Then, application of intraoral cryotherapy is performed by ice sticks for 30 minutes.
DEVICELow Level Laser Therapy
laser irradiation on the soft tissues covering the apices of the tooth on both buccal and palatal surfaces respectively
PROCEDUREControl (Standard treatment)
, all occlusal contacts were reduced by 1 mm
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
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
Intervention model description
This is a randomized clinical study.
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* • 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
Exclusion criteria
* • 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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post operative pain | 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 |
Countries
Egypt
Outcome results
None listed