Post-endodontic pain, or discomfort following root canal
treatment, is a common experience among patients. Studies indicate that
postoperative pain affects approximately 2.5% to nearly 60% of individuals
undergoing endodontic procedures. The word CRYOTHERAPY is a mixture of two
words, “cryos” meaning “cold” and “therapeia” meaning “cure”. It is widely used
in the treatment of sports injury, strains, tendonitis, surgical extractions,
periradicular surgeries, periodontal surgeries, implant placement, etc. It is a
very simple, easy-to-apply, cost-effective treatment that reduces the usage of
analgesics and antibiotics and enhances anaesthetic effect and healing response
with minimal adverse effects. Nowadays, it is used in endodontics to treat
post-endodontic pain. Basically, it is not simply cooling of the target tissue
but rather it is transferring heat from the tissue with higher temperature to the
tissue of lower temperature. Cryotherapy has three pillars of action, namely
vasoconstriction, slower conduction of neural pain as well as metabolic
activity of target tissue. Although cryotherapy application has some
limitations, still it is gaining popularity amongst endodontists. Cryotherapy
employs a multistep protocol involving this rapid freeze-thaw cycle, with
repetition further potentiating tissue destruction through cellular disruption.
The results of the study show that Cryotherapy reduced the incidence of
postoperative pain and the need for medication intake in patients presenting
with a diagnosis of necrotic pulp and symptomatic apical periodontitis. It has
also been found that root canals irrigated with a cold sterile saline solution
of 2.5°C for 5 min significantly mitigated post-endodontic pain (80%). In
conclusion, given its ease of application, cost-effectiveness, and minimal
adverse effects, cryotherapy serves as a valuable tool for enhancing the
overall success of root canal therapy. Further clinical studies and long-term
evaluations will help establish standardized protocols for its optimal use.
Author
(s) Details
Anju Bala
Department of Conservative Dentistry & Endodontics, PDM Dental College
& Research Institute, Bahadurgarh (Haryana), India.
Rajnish K. Jain
Department of Conservative Dentistry & Endodontics, PDM Dental College
& Research Institute, Bahadurgarh (Haryana), India.
Ambica Khetarpal
Department of Conservative Dentistry & Endodontics, PDM
Dental College & Research Institute, Bahadurgarh (Haryana), India.
Zara Suharwardy
Department of Conservative Dentistry & Endodontics, PDM Dental College
& Research Institute, Bahadurgarh (Haryana), India.
Sushma
Department of Conservative Dentistry & Endodontics, Post Graduate
Institute of Dental Sciences, Rohtak (Haryana), India.
Sandeep Kumar
Indian Institute of Health Management Research, Jaipur (Rajasthan), India.
Please see the book
here:- https://doi.org/10.9734/bpi/msraa/v2/5104