Post Operative Pain
Conditions
Brief summary
This is a randomized , prospective , control trial to assess the effectiveness of intracanal cryotherapy on post operative pain after root canal treatment in patients with symptomatic apical periodontitis
Detailed description
Diagnostic procedures to include patients history taking , clinical and radiographic with all findings being recorded in patients . patients diagnosed with symptomatic irreversible pulpitis with symptomatic apical periodontitis. patients will be asked to rate their pre treatment pain on visual analogue scale from 0-10 patients with pain score \<8 will be considered Anesthesia and isolation : after administration of local anesthesia , rubber dam application will be done Acess cavity : acess will be gained with round bur using air turbune handpiece with copious water cooling Working length : a size 10k file will be inserted into the canal to determine the working length with the help of radiograph Cleaning and shaping : Extirpation of pulp will be done followed by canal preparation with manual and endodontic motor using naocl and EDTA . final irrigation will be performed using 17% EDTA and 5.25% NaOCl Patients will be divided into 2 group in control group : final irrigation will be done using 5ml of saline at room temperature in cold group : final irrigation will be done using 5ml of cold saline at 2.5°C the solution will be stored in the refrigerator until use irrigation will be performed for 5 min in both groups using 27 G beveled needle tip inserted 2mm short of WL. Obturation ; In both groups , canals will be dried with paper points and obturated using gutta percha cones with zinc oxide eugenol sealer Restoration : acces cavity will be restroed with direct composite restoration or high viscosity glass ionomer cement each patient will be given instruction to acess the post operative pain .
Interventions
normal saline will be used as irrigation solution
Sponsors
Armed Forces Institute of Dentistry, Pakistan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* patients with symptomatic irreversible pulpitis and symptomatic apical periodontitis * maxillary or mandibular single rooted teeth * systemically healthy patients * patients having pain score \< 8
Exclusion criteria
* patients on preoperative analgesics or antibiotics within past 12 hours * teeth with calcified canals and previously treated teeth * tooth with immature apices or resorption * patients allergic to local anesthesia * pregnant or lactating mothers * patients who are immunocompromised .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post operative pain after root canal treatment | 1 week | post operative pain will be assessed using visual analogue scale ( VAS) from 0-10 each patient will be given instruction to access the post operative pain . it will be carried out using a questionnaire. VAS 0-1 = No pain 2-3 = mild pain 4-6 = moderate pain 7-10 = severe pain pain recording will be done at 6 hrs , 24 hrs, 48hrs and 72 hrs. ( participants to be contacted by investigator at each point to check on them and remind them to record their pain ). The given questionnaire shall be collected when the participant comes for final restoration after 1 week |
Countries
Pakistan
Contacts
Primary ContactHira Amjad, BDS
Backup ContactKanza Zafar, BDS
Outcome results
None listed