Evidence map›Paper›PMID 39191915›Full record

Trial reportScientific reports2024

The effect of intracanal cryotherapy with and without foraminal enlargement on pain prevention after endodontic treatment: a randomized clinical trial.

Marcos Felipe Iparraguirre Nuñovero, Marco Antonio Hungaro Duarte, André Vinícius Kaled Segato, Ulisses Xavier da Silva Neto, Vania Portela Ditzel Westphalen, Everdan Carneiro

Abstract 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. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. 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
  5. Observational
  6. Article
  7. Article
  8. Review
  9. 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

6 authors.

Marcos Felipe Iparraguirre NuñoveroDepartment of Endodontic, School of Medicine and Health Science, Pontifícia Universidade Católica Do Paraná, Imaculada Conceicão, 1155, Prado Velho, Curitiba, PR, 80215-901, Brazil.
Marco Antonio Hungaro DuarteDepartment of Restorative Dentistry, Dental Materials and Endodontics, Bauru School of Dentistry, University of São Paulo - USP, Bauru, SP, Brazil.
André Vinícius Kaled SegatoDepartment of Endodontic, School of Medicine and Health Science, Pontifícia Universidade Católica Do Paraná, Imaculada Conceicão, 1155, Prado Velho, Curitiba, PR, 80215-901, Brazil.
Ulisses Xavier da Silva NetoDepartment of Endodontic, School of Medicine and Health Science, Pontifícia Universidade Católica Do Paraná, Imaculada Conceicão, 1155, Prado Velho, Curitiba, PR, 80215-901, Brazil.
Vania Portela Ditzel WestphalenDepartment of Endodontic, School of Medicine and Health Science, Pontifícia Universidade Católica Do Paraná, Imaculada Conceicão, 1155, Prado Velho, Curitiba, PR, 80215-901, Brazil.
Everdan CarneiroDepartment of Endodontic, School of Medicine and Health Science, Pontifícia Universidade Católica Do Paraná, Imaculada Conceicão, 1155, Prado Velho, Curitiba, PR, 80215-901, Brazil. everdan.carneiro@pucpr.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This randomized clinical trial aims to evaluate cryotherapy as a therapeutic option for pain prevention after endodontic treatment with and without foraminal enlargement, in patients with asymptomatic apical periodontitis.120 teeth of patients with preoperative Visual Analogue Scale score indicating zero were treated. Specimens were randomly allocated into 4 groups: Control, Cryotherapy (ICT), Foraminal Enlargement (FE), and Cryotherapy and Foraminal Enlargement (ICT + FE). Working length was determined with an Electronic Apex Locator (EAL). Cryotherapy groups passed through a final irrigation protocol using 20 ml (2.5 ℃) of cold saline solution delivered at working length for 5 min. In FE groups a #40 K-file was used up to the 0.0 mark on the EAL display. Obturation was performed and postoperative pain was checked at 6, 12, 24, 48, and 72 h and 7 days after endodontic treatment.All experimental groups showed an increase in the level of postoperative pain, which started to decrease after 12 h. Foraminal enlargement caused a statistically significant increase in postoperativepain compared to ICT and control groups within the first 6 h (p < 0.05). Cryotherapy did not influence postoperative pain, regardless of whether or not foraminal enlargement was performed.

Indexed as

CryotherapyPostoperative PainAdultFemaleHumansMaleMiddle AgedPeriapical PeriodontitisRoot Canal PreparationRoot Canal Therapy

Identifiers

PMID39191915
PMCPMC11349753

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.