Evidence map›Paper›PMID 42046866›Full record

Trial reportClinical and experimental dental research2026

Modified Cryotherapy During Final Irrigation Reduces Postoperative Pain and Anxiety in Pediatric Primary Molar Root Canal Therapy.

Ting Zhang, Hui-Hui Wang, Liu-Hui Liu, Qing Wu, Wen-Wei Hong, Gui-Lan Fei, Hai-Feng Tang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental dental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Trial
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

7 authors.

Ting ZhangDepartment of Stomatology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.ORCID 0009-0002-9036-2605
Hui-Hui WangDepartment of Stomatology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
Liu-Hui LiuDepartment of Stomatology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
Qing WuDepartment of Stomatology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
Wen-Wei HongDepartment of Stomatology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
Gui-Lan FeiDepartment of Stomatology, Ma Qiao Community Health Service Centre, Shanghai, China.
Hai-Feng TangDepartment of Stomatology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.

Funding

Commission of Minhang District, Shanghai 2023MW30Outstanding Public Health Talent Cultivation Project in Minhang District Health System, Shanghai
6 · The paper itself

Abstract

objectivesPostoperative pain and dental anxiety are significant barriers to effective pediatric endodontic treatment. Improving patient comfort and cooperation remains a critical clinical objective in school-age children undergoing primary molar root canal therapy (RCTP). Conventional pharmacologic strategies have limitations in acceptability, safety, and efficacy, prompting the exploration of non-invasive alternatives. The aim of this study is to evaluate the effect of modified cryotherapy using 0°C saline as the final irrigation protocol on postoperative pain levels and anxiety control in school-age children undergoing RCTP. MATERIAL AND

methodsThis single-center, randomized, controlled clinical trial enrolled 104 school-age patients diagnosed with pulp or periapical disease in deciduous molars. Patients were randomly allocated to either a modified cryotherapy group or a control group. Pain levels were assessed using the Wong-Baker FACES Pain Rating Scale (WB Scale) at baseline, 6, 24, 48 h, and 7 days postoperatively. Anxiety and cooperation were evaluated at baseline and 7-day follow-up using the Venham Scale. Statistical analyses included Chi-square and Mann-Whitney U tests, with significance at p < 0.05.

resultsBaseline characteristics were comparable between groups. The cryotherapy group showed significantly lower pain scores at 6 h,24 h, and 48 h (p <  0.001) post-treatment compared to controls. At 7 days, pain levels converged with no significant difference. The cryotherapy group also demonstrated significantly improved anxiety scores (p = 0.005) and clinical cooperation (p  = 0.012) at follow-up compared to the control group.

conclusionModified cryotherapy applied during final root canal irrigation significantly reduces short-term postoperative pain and enhances clinical cooperation in school-age children.

Indexed as

CryotherapyDental AnxietyPostoperative PainRoot Canal TherapyTherapeutic IrrigationChildFemaleHumansMaleMolarPain MeasurementTooth, DeciduousTreatment Outcomeanxiety controlcryotherapypostoperative painprimary molars

Identifiers

PMID42046866
PMCPMC13122129

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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.