Evidence map›Paper›PMID 38880787›Full record

Trial reportScientific reports2024

The influence of intraoral cryotherapy on postoperative pain and substance P in symptomatic apical periodontitis: randomized clinical study.

Esraa Mohammed Hamza, Tarek Mustafa Abd El Aziz, Maram Farouk Obeid

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07138365 (Clinical and Biochemical Effects Of Different Cryotherapy Protocols On Endodontic Treated Mandibular Premolars With Symptomatic Apical Periodontitis), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07138365 nacompletednot on this map

Clinical and Biochemical Effects Of Different Cryotherapy Protocols On Endodontic Treated Mandibular Premolars With Symptomatic Apical Periodontitis: A Randomized Clinical Trial

TypeinterventionalSponsorAin Shams UniversityRan2024 to 2025Enrolled180ConditionsPost Operative Pain, InflammationArmsoral Cryotherapy, Intra radicular Cryotherapy, cold irrigation
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Evaluation of Post-Endodontic Pain Reduction Using Intracanal Cryotherapy in Symptomatic Apical Periodontitis.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2025
    Trial
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Esraa Mohammed HamzaDepartment of Endodontics, Faculty of Dentistry, Ain Shams University, 2 sixth of October St., Hadayek Al-Ahram-Haram, Giza, Cairo, Egypt. hamzaesraa1993@gmail.com.
Tarek Mustafa Abd El AzizDepartment of Endodontics, Faculty of Dentistry, Ain Shams University, 2 sixth of October St., Hadayek Al-Ahram-Haram, Giza, Cairo, Egypt.
Maram Farouk ObeidDepartment of Endodontics, Faculty of Dentistry, Ain Shams University, 2 sixth of October St., Hadayek Al-Ahram-Haram, Giza, Cairo, Egypt. Maramobeid@dent.asu.edu.eg.ORCID 0000-0001-7275-6833

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cryotherapy is widely utilized in medicine, particularly for pain management. This randomized clinical trial aimed to assess the effect of intraoral cold pack application (cryotherapy) on postoperative pain (POP) and the level of Substance P (SP) in patients with symptomatic apical periodontitis (SAP). Enrolled patients were randomly assigned to either cryotherapy or control group. After adequate anesthesia, access cavity, and biomechanical preparation of the root canal system were completed, the first apical fluid (AF) sample (S1) was obtained. A custom-made intraoral ice-gel pack was applied for 30 min in the cryotherapy group, while no intervention was performed in the control group. The second AF sample (S2) was collected 30 min later in both groups. Patients were asked to complete the Visual Analogue Scale (VAS) questionnaire to assess their POP. Quantification of SP in AF samples was performed using the enzyme-linked immunosorbent assay (ELISA) test. Data were analyzed statistically, revealing a significant reduction in POP and SP levels in the cryotherapy group compared to the control group (P ≤ 0.05). Furthermore, a moderate positive correlation was observed between SP levels and POP (P ≤ 0.05). In conclusion, intraoral cryotherapy represents a simple and cost-effective option for controlling POP and reducing inflammation levels in patients with SAP.

Indexed as

CryotherapyPeriapical PeriodontitisPostoperative PainSubstance PAdultFemaleHumansMaleMiddle AgedPain ManagementPain MeasurementSubstance P

Identifiers

PMID38880787
PMCPMC11180658

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.