Efeito da crioterapia intracanal no controle da dor pós-operatória após terapia endodôntica: uma revisão de literatura

Autores

DOI:

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

Palavras-chave:

Crioterapia, Periodontite periapical, Endodontia

Resumo

Objetivo: O objetivo desta revisão de literatura é investigar e analisar criticamente o uso da crioterapia intracanal durante o tratamento endodôntico, visando através dos achados científicos disponíveis elaborar argumentos sólidos que justifiquem optar ou não pela realização de tal protocolo auxiliar durante a intervenção endodôntica. Revisão de literatura: A alternativa terapêutica conhecida como crioterapia é uma técnica existente há anos, a qual tem sido frequentemente aplicada na Medicina para o tratamento da dor e cuidados pós-operatórios. Recentemente, o uso da crioterapia na Endodontia, através de um protocolo de irrigação final do canal radicular, foi examinado em vários ensaios clínicos randomizados. Discussão: Os estudos revisados demonstraram que a utilização de soro fisiológico frio como agente irrigante final ao preparo químico-mecânico, tem potencial para reduzir os níveis de dor de uma possível sintomatologia dolorosa pós-tratamento endodôntico, além de que, trata-se de um método de fácil aplicação e baixo custo. Conclusão: Embora se tenha poucos estudos sobre o tema, as evidências científicas disponíveis e revisadas neste artigo embasam com propriedade o efeito da crioterapia intracanal na redução da dor pós-operatória proveniente de uma intervenção endodôntica. No entanto, novos estudos são necessários para averiguar possíveis efeitos deletérios e para a elaboração de um protocolo previsível e seguro.

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Referências

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.

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Publicado

2021-12-03

Como Citar

Pauletto, G., & Bello, M. D. C. (2021). Efeito da crioterapia intracanal no controle da dor pós-operatória após terapia endodôntica: uma revisão de literatura. Revista Da Faculdade De Odontologia De Porto Alegre, 62(2), 122–132. https://doi.org/10.22456/2177-0018.116287

Edição

Seção

Revisão de literatura