A Current Approach to Post-operative Pain Management in Endodontics: Cryotherapy

Year 2023, , 163 - 171, 26.12.2023

Sevda Dürüst Barış , Ali Türkyılmaz

https://doi.org/10.29228/erd.62

Abstract

Abstract:
One of the major challenges of endodontic treatment is the management of postoperative pain and discomfort frequently reported by patients after treatment. The incidence of post-operative pain is high and occurs in 3% to 58% of all cases. Mechanical techniques such as patient calming approaches and explanations prior to the procedure, occlusal reductions, glide-path applications, application of different mechanical techniques and movements during root canal treatment, and pharmacological drugs such as long-acting anesthetic injections, antihistamines, non-steroidal anti-inflammatory drugs, and narcotic analgesics various protocols have been used to reduce the incidence of pain.
Cryotherapy, also known as cold therapy, has been physiologically and clinically proven to reduce musculoskeletal pain, muscle spasms, connective tissue tension, bleeding, inflammation, and nerve conductivity. Cryotherapy is effective in reducing blood flow and temperature in tissues, inhibiting nociceptors stimulated by chemical mediators, and reducing metabolic activity. Cold therapy, that is, cryotherapy, which is one of the non-drug methods, has been used in the field of medicine for pain control after surgical procedures for many years. Cryotherapy in dentistry has long been applied for postoperative pain control, especially after surgical procedures. The use of cryotherapy in endodontic treatment is a very current issue. The aim of this review is to give general information about the role of cryotherapy in post-operative pain control after endodontic treatment.

Keywords

Apical periodontitis, cryotherapy, dentistry, endodontics, pain.

Project Number

YOK

Endodontide Post-operatif Ağrı Yönetimine Güncel bir Yaklaşım: Kriyoterapi

Abstract

Özet:
Endodontik tedavinin önemli zorluklarından biri, tedaviden sonra hastalar tarafından sıklıkla bildirilen postoperatif ağrı ve rahatsızlığın yönetimidir. Post-operatif ağrı görülme oranı yüksektir ve tüm vakaların %3 ile %58'inde ortaya çıkar. İşlem öncesi hasta sakinleştirici yaklaşımlar ve açıklamalar, oklüzal redüksiyonlar, glide-path uygulamaları, kök kanal tedavisi sırasında farklı mekanik tekniklerin ve hareketlerin uygulanması gibi mekanik teknikler ve uzun etkili anestezi enjeksiyonları, antihistaminikler, non-steroid antienflamatuar ilaçlar (NSAID'ler), salisilik asit, asetaminofen, ibuprofen ve asetaminofen kombinasyonları ve narkotik analjezikler gibi farmakolojik ilaçlar dahil olmak üzere ağrı insidansını azaltmak için çeşitli protokoller kullanılmıştır.
Soğuk terapi olarak da bilinen kriyoterapinin kas-iskelet ağrısı, kas spazmları, bağ dokusu gerginliği, kanama, iltihaplanma ve sinir iletkenliğini azalttığı fizyolojik ve klinik olarak kanıtlanmıştır. Kriyoterapi dokularda kan akışını ve sıcaklığını düşürmede, kimyasal mediyatörler tarafından uyarılan nosiseptörleri inhibe etmede ve metabolik aktiviteyi azaltmada etkilidir. İlaç dışı yöntemlerden biri olan soğuk terapi yani kriyoterapi tıp alanında cerrahi işlemler sonrası ağrı kontrolünde uzun yıllardır kullanılmaktadır. Diş hekimliğinde kriyoterapi, özellikle cerrahi işlemlerden sonra postoperatif ağrı kontrolü için uzun süredir uygulanmaktadır. Endodontik tedavide de kriyoterapi uygulamasının kullanılması oldukça güncel bir konudur. Bu derlemenin amacı endodontik tedavi sonrası post-operatif ağrı kontrolünde kriyoterapinin rolü hakkında genel bilgi vermektir.

Keywords

Ağrı, apikal periodontitis, diş hekimliği, endodonti, kriyoterapi, Apical periodontitis, cryotherapy, dentistry, endodontics, pain.

Supporting Institution

YOK

Project Number

YOK

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