Effect of Intracanal Cryotherapy on Postoperative Pain Using Two Different Irrigation Systems
NCT ID: NCT05051410
Last Updated: 2021-09-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
75 participants
INTERVENTIONAL
2019-07-15
2021-03-30
Brief Summary
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method: A total of 75 patients presenting with a diagnosis of irreversible pulpitis with symptomatic apical periodontitis in single rooted teeth were included in the study and randomly divided into three groups (n=25) (i.e. Control group, cryotherapy group with needle irrigation and cryotherapy group with negative pressure irrigation system). After complete root canal cleaning and shaping, final irrigation was done with 2.5°c 0.9% physiological saline in cryotherapy groups with needle irrigation (NI) and negative pressure irrigation system (NPI) whereas in control group no additional irrigation was done. Root canal treatment was completed in single visit. Participants were asked through telephone to rate their postoperative pain intensity after root canal treatment by visual analogue scale from day 1 till day 7 on given proforma.
two way repeated measures of ANOVA test were applied to know the mean difference between and among the groups.
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Detailed Description
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method: the intervention used in this study was intracanal cryotherapy with two different irrigation systems i.e. needle irrigation and negative pressure irrigation system(EndoVac). for cryotherapy cold saline was used at temperature of 2.5 °c. total sample size was calculated was 75 by using PASS version 11.non probability purposive sampling was used for patient recruitment. three groups were made with sample size of 25 in each group. group allocation was done by computer generated random numbers.according to inclusion and exclusion criteria patients were selected and after complete diagnosis patients were thoroughly explained about the treatment and informed consent were taken. to record the preoperative pain ,patients were provided a proforma. proforma consisted of visual analogue scale for pain record. endodontic procedure was performed by the principal investigator and it was same in all the three groups.final irrigation protocol was diferent among the groups; control group:no final irrigation was done, cryotherapy with needle irrigation: with needle irrigation cold saline was delivered,cryotherapy with EndoVac: with EndoVac cold saline was delivered. obturation in root canal was done with same protocol in all the groups.and access cavity was filled with temporary restoration. postoperative instruction was given to the patient and follow up procedure has also been explained to them. follow up was consisted of 7 days and through phone call by assessor which was blind regarding the groups. at day 7, patient were returned with proforma in which they have noted the pain score of 7 days and at the same visit temporary filling was replaced by permanent one. the principal investigator was blind regarding the postoperative pain,as it was done by some other assessor.
statistical analysis was done by using SPSS v.16.the two-way ANOVA repeated measures was performed for mean comparision among and between the groups.chi-square/fischer exact test test was performed for analgesic intake.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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control
single visit root canal treatment will be performed with no additional irrigation.
No interventions assigned to this group
intracanal cryotherapy with needle irrigation
single visit root canal treatment will be performed with additional irrigation with cold saline using needle irrigation.
intracanal cryotherapy using needle irrigation and EndoVac system
a cold saline will be used as final irrigant in two groups but with different irrigation systems.
intracanal cryotherapy using Endovac system
single visit root canal treatment will be performed with additional irrigation with cold saline using EndoVac system.
intracanal cryotherapy using needle irrigation and EndoVac system
a cold saline will be used as final irrigant in two groups but with different irrigation systems.
Interventions
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intracanal cryotherapy using needle irrigation and EndoVac system
a cold saline will be used as final irrigant in two groups but with different irrigation systems.
Eligibility Criteria
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Inclusion Criteria
* No significant present and past medical findings.
* Mature, single rooted teeth with single canal and closed apices.
* Symptomatic irreversible pulpitis with symptomatic apical periodontitis (moderate to severe pain according to VAS).
* Periodontal status- healthy periodontium according to Classification of Periodontal Disease and Conditions. (i.e. code 0).
Exclusion Criteria
* Root presenting with resorption, fracture, root caries, root curvature ≥ 10°.
* Calcified canals.
* Pregnancy.
* systemic disorders and taking medications
* Perio - endo lesion
18 Years
40 Years
ALL
Yes
Sponsors
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Dow University of Health Sciences
OTHER
Responsible Party
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Maryam Rafique
principal investigator
Principal Investigators
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Maryam rafique, MDS
Role: PRINCIPAL_INVESTIGATOR
DUHS
Locations
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Maryam rafique
Karachi, Sindh, Pakistan
Countries
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Other Identifiers
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MRafique
Identifier Type: -
Identifier Source: org_study_id
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