Effect of intracanal cryotherapy on postoperative pain control after endodontic therapy: a literature review

Guilherme Pauletto, Mariana De Carlo Bello

Abstract


Aim: The aim of this literature review is to investigate and critically analyze the use of intracanal cryotherapy during endodontic treatment and, through scientific findings, elaborate well grouded references that justify or not, carrying out such auxiliary protocol during endodontic intervention. Literature Review: The therapeutic alternative known as cryotherapy is a technique that has existed for years, which has been frequently applied in Medicine for the treatment of pain and postoperative care. Recently, the use of cryotherapy in Endodontics, through a final root canal irrigation protocol, has been examined in several randomized clinical trials. Discussion: The reviewed studies showed that the use of cold saline solution as a final irrigating agent for chemical-mechanical preparation has the potential to reduce pain levels of a possible painful symptomatology after endodontic treatment, in addition to being a method of easy application and low cost. Conclusion: Although there are few studies on the subject, scientific evidences available and reviewed in this article properly support the effect of intracanal cryotherapy in reducing the postoperative pain of an endodontic intervention. However, new studies should be placed to investigate possible harmful effects and to prepare a predictable and safe protocol.

Keywords


Cryotherapy; Periapical Periodontitis; Endodontics

References


Alí A, Olivieri JG, Duran-Sindreu F, Abella F, Roig M, García-Font M. Influence of preoperative pain intensity on postoperative pain after root canal treatment: a prospective clinical study. J Dent. 2016;45(1):39-42.

Nagendrababu V, Gutmann JL. Factors associated with postobturation pain following single-visit nonsurgical root canal treatment: a systematic review. Quintessence Int. 2017;48(3):193-208.

Jain A, Davis D, Bahuguna R, Agrawal A, Singh S, Ramachandran R, et al. Role of cryotherapy in reducing postoperative pain in patients with irreversible pulpitis; an in-vivo study. IJDMSR. 2018;2(10):43-9.

Siqueira JF Jr, Barnett F. Interappointment pain: mechanisms, diagnosis, and treatment. Endod Topics. 2004;7(1):93-109.

Attar S, Bowles WR, Baisden MK, Hodges JS, McClanahan SB. Evaluation of pretreatment analgesia and endodontic treatment for postoperative endodontic pain. J Endod. 2008;34(6):652-5.

Parirokh M, Yosefi MH, Nakhaee N, Manochehrifar H, Abbott PV, Reza Forghani F. Effect of bupivacaine on postoperative pain for inferior alveolar nerve block anesthesia after single-visit root canal treatment in teeth with irreversible pulpitis. J Endod. 2012;38(8):1035-9.

Parirokh M, Rekabi AR, Ashouri R, Nakhaee N, Abbott PV, Gorjestani H. Effect of occlusal reduction on postoperative pain in teeth with irreversible pulpitis and mild tenderness to percussion. J Endod. 2013;39(1):1-5.

Keskin C, Özdemir Ö, Uzun İ, Güler B. Effect of intracanal cryotherapy on pain after single-visit root canal treatment. Aust Endod J. 2017;43(2):83-8.

Swenson C, Sward L, Karlsson J. Cryotherapy in sports medicine. Scand J Med Sci Sports. 1996;6(1):193-200.

Topçuoğlu HS, Arslan H, Topçuoğlu G, Demirbuga S. The effect of cryotherapy application on the success rate of inferior alveolar nerve block in patients with symptomatic irreversible pulpitis. J Endod. 2019;45(8):965-9.

Freire B, Geremia J, Baroni BM, Vaz MA. Effects of cryotherapy methods on circulatory, metabolic, inflammatory and neural properties: a systematic review. Fisioter Mov. 2016;29(2):389-98.

Balasubramanian SK, Vinayachandran D. “Cryotherapy”– A panacea for post-operative pain following endodontic treatment. Acta Sci Dent Sci. 2017;1(1):1-3.

Laureano Filho JR, de Oliveira e Silva ED, Batista CI, Gouveia FM. The influence of cryotherapy on reduction of swelling, pain and trismus after third-molar extraction: a preliminary study. J Am Dent Assoc. 2005;136(6):774-8.

Zandi M, Amini P, Keshavarz A. Effectiveness of cold therapy in reducing pain, trismus, and oedema after impacted mandibular third molar surgery: a randomized, self-controlled, observer-blind, split-mouth clinical trial. Int J Oral Maxillofac Surg. 2016;45(1):118-23.

Do Nascimento-Júnior EM, Dos Santos GMS, Tavares Mendes ML, Cenci M, Correa MB, Pereira-Cenci T, et al. Cryotherapy in reducing pain, trismus, and facial swelling after third-molar surgery: systematic review and meta-analysis of randomized clinical trials. J Am Dent Assoc. 2019;150(4):269-77.

Larsen MK, Kofod T, Starch-Jensen T. Therapeutic efficacy of cryotherapy on facial swelling, pain, trismus and quality of life after surgical removal of mandibular third molars: a systematic review. J Oral Rehabil. 2019;46(6):563-73.

Al-Nahlawi T, Hatab TA, Alrazak MA, Al-Abdullah A. Effect of intracanal cryotherapy and negative irrigation technique on postendodontic pain. J Contemp Dent Pract. 2016;17(12):990-6.

Gundogdu EC, Arslan H. Effects of various cryotherapy applications on postoperative pain in molar teeth with symptomatic apical periodontitis: a preliminary randomized prospective clinical trial. J Endod. 2018;44(3):349-54.

Vera J, Ochoa J, Romero M, Vazquez-Carcaño M, Ramos-Gregorio CO, Aguilar RR, et al. Intracanal cryotherapy reduces postoperative pain in teeth with symptomatic apical periodontitis: a randomized multicenter clinical trial. J Endod. 2018;44(1):4-8.

Vieyra JP, Guardado JA. Reduction of post-endodontic pain after one-visit root canal treatment using three cryotherapy protocols with different temperature. Ann Materials Sci Eng. 2018;3(2):1-5.

Alharthi AA, Aljoudi MH, Almaliki MN, Almalki MA, Sunbul MA. Effect of intra-canal cryotherapy on post-endodontic pain in single-visit RCT: a randomized controlled trial. Saudi Dent J. 2019;31(3):330-5.

Bleakley C, McDonough S, MacAuley. The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. Am J Sports Med. 2004;32(1):251-61.

Koç M, Tez M, Yoldaş O, Dizen H, Göçmen E. Cooling for the reduction of postoperative pain: prospective randomized study. Hernia. 2006;10(2):184-6.

Francisco AA, de Oliveira SM, Leventhal LC, de Bosco CS. Cryotherapy after childbirth: the length of application and changes in perineal temperature. Rev Esc Enferm USP. 2013;47(3):555-61.

Watkins AA, Johnson TV, Shrewsberry AB, Nourparvar P, Madni T, Watkins CJ. Ice packs reduce postoperative midline incision pain and narcotic use: a randomized controlled trial. J Am Coll Surg. 2014;219(3):511-7.

Vera J, Ochoa-Rivera J, Vazquez-Carcaño M, Romero M, Arias A, Sleiman P. Effect of intracanal cryotherapy on reducing root surface temperature. J Endod. 2015;41(11):1884-7.

Weston M, Taber C, Casagranda L, Cornwall M. Changes in local blood volume during cold gel pack application to traumatized ankles. J Orthop Sports Phys Ther. 1994;19(4):197-9.

Gurucharan I, Saravana Karthikeyan B, Mahalaxmi S. Intracanal cryotherapy in endodontics. Aust Endod J. 2017;43(3):138-9.

Zook N, Hussmann J, Brown R, Russel R, Kucan J, Roth A, et al. Microcirculatory studies of frostbite injury. Ann Plast Surg. 1998;40(3):246-55.

Gupta A, Aggarwal V, Gurawa A, Mehta N, Abraham D, Singh A, et al. Effect of intracanal cryotherapy on postendodontic pain: a systematic review and meta-analysis of randomized controlled trials. J Dent Anesth Pain Med. 2021;21(1):15-27.

Sadaf D, Ahmad MZ, Onakpoya IJ. Effectiveness of intracanal cryotherapy in root canal therapy: a systematic review and meta-analysis of randomized clinical trials. J Endod. 2020;46(12):1811-23.

Monteiro LPB, Guerreiro MYR, de Castro Valino R, Magno MB, Maia LC, da Silva Brandão JM. Effect of intracanal cryotherapy application on postoperative endodontic pain: a systematic review and metaanalysis. Clin Oral Investig. 2021;25(1):23-35.

Mandras N, Allizond V, Bianco A, Banche G, Roana J, Piazza L, et al. Antimicrobial efficacy of cryotreatment against Enterococcus faecalis in root canals. Lett Appl Microbiol. 2013;56(2):95-8.




DOI: https://doi.org/10.22456/2177-0018.116287

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e-ISSN 2177-0018 / ISSN 0566-1854.

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