International Journal of Experimental Dental Science

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VOLUME 10 , ISSUE 1 ( January-June, 2021 ) > List of Articles

REVIEW ARTICLE

Cryotherapy: A Comprehensive Review on Physiology, Advent and Implications in Endodontics

Shreya, Praveen S Samant, Vipul Srivastava, Raju Chauhan, Kishan Agarwal

Keywords : Cryogenic treatment, Cryotherapy, Nickel-titanium endodontic instruments, Postendodontic pain

Citation Information : S, Samant PS, Srivastava V, Chauhan R, Agarwal K. Cryotherapy: A Comprehensive Review on Physiology, Advent and Implications in Endodontics. Int J Experiment Dent Sci 2021; 10 (1):36-40.

DOI: 10.5005/jp-journals-10029-1217

License: CC BY-NC 4.0

Published Online: 11-08-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: The aim is to review and discuss the concept of cryotherapy, its physiology, and different clinical implications in endodontics. Background: Cryotherapy alludes to diminishing the tissue temperature for therapeutic purposes. In the field of endodontics, it has started evolving due to its therapeutic properties and its effect on nickel-titanium endodontic instruments in terms of yielding mechanical properties. By using specific keywords, an electronic search of scientific papers was carried out on the entire PubMed database. The last access was august 2020, using combinations of the pre-defined keywords. Review results: The electronic search yielded 253 papers from the PubMed database; in light of inclusion and exclusion measures which were explicitly foreordained, 13 papers were distinguished as appropriate to the inclusion criteria. Then, a detailed study of all the references of these articles was done manually and electronically. At that point, 25 additional articles were chosen through hand search, the full content of the apparent multitude of articles recovered, and the review was finished. By pooling the separated information from chosen papers, the reviewed information was synthesized. Conclusion: Lately, by demonstrating great promising outcomes with the utilization of cryotherapy, it has demonstrated to have a decent possibility for its utilization as a therapeutic aid in endodontics. Clinical significance: Cryotherapy is a cost-effective treatment that can be advantageous in numerous clinical circumstances to provide painless and safer endodontic treatment.


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  1. Belitsky RB, Odam SJ, Hubley-Kozey C. Evaluation of the effectiveness of wet ice, dry ice, and cryogenic packs in reducing skin temperature. Phys Ther 1987;67(7):1080–1084. DOI: 10.1093/ptj/67.7.1080.
  2. Hubbard TJ, Denegar CR. Does cryotherapy improve outcomes with soft tissue injury? J Athl Train 2004;39(3):278–279.
  3. Balasubramanian SK, Vinayachandran D. “Cryotherapy” – a panacea for post-operative pain following endodontic treatment. Acta Sci Dent Sci 2017;1(1):1–3. DOI: 10.31080/ASMI.2018.01.0001.
  4. Salmassy DA, Pogrel MA. Liquid nitrogen cryosurgery and immediate bone grafting in the management of aggressive primary jaw lesions. J Oral Maxillofac Surg 1995;53(7):784–790. DOI: 10.1016/0278-2391(95)90333-x.
  5. Nadler SF, Weingand K, Kruse RJ. The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. Pain Physician 2004;7(3):395–399. DOI: 10.36076/ppj.2004/7/395.
  6. Fayyad DM, Abdelsalam N, Hashem N. Cryotherapy: a new paradigm of treatment in endodontics. J Endod 2020;46(7):936–942. DOI: 10.1016/j.joen.2020.03.019.
  7. Algafly AA, George KP. The effect of cryotherapy on nerve conduction velocity, pain threshold and pain tolerance. Br J Sports Med 2007 Jun;41(6):365–369. DOI: 10.1136/bjsm.2006.031237.
  8. Franz DN, Iggo A. Conduction failure in myelinated and non-myelinated axons at low temperatures. J Physiol 1968;199(2):319–345. DOI: 10.1113/jphysiol.1968.sp008656.
  9. Rosenberg PA. Clinical strategies for managing endodontic pain. Endodontic Topics 2002;3(1):78–92. DOI: 10.1034/j.1601-1546.2002.30108.x.
  10. Blicher B, Pryles R, Lin J. Endodontics review: a study guide. Hanover Park, IL: Quintessence Publishing Co Inc; 2016. pp. 45–66.
  11. Sathorn C, Parashos P, Messer H. The prevalence of postoperative pain and flare-up in single- and multiple-visit endodontic treatment: a systematic review. Int Endod J 2008;41(2):91–99. DOI: 10.1111/j.1365-2591.2007.01316.x.
  12. Vera J, Ochoa-Rivera J, Vazquez-Carcaño M, et al. Effect of intracanal cryotherapy on reducing root surface temperature. J Endod 2015;41(11):1884–1887. DOI: 10.1016/j.joen.2015.08.009.
  13. Keskin C, Ozdemir O, Uzun İ, et al. Effect of intracanal cryotherapy on pain after single-visit root canal treatment. Aust Endod J 2017;43(2):83–88. DOI: 10.1111/aej.12175.
  14. Al-Nahlawi T, Hatab TA, Alrazak MA, et al. Effect of intracanal cryotherapy and negative irrigation technique on postendodontic pain. J Contemp Dent Pract 2016;17(12):990–996. DOI: 10.5005/jp-journals-10024-1969.
  15. Bazaid DS, Kenawi LM. The effect of intracanal cryotherapy in reducing postoperative pain in patients with irreversible pulpitis: a randomized control trial. Int J Health Sci 2018;8:83–88.
  16. Jain A, Davis D, Bahuguna R, et al. Role of cryotherapy in reducing postoperative pain in patients with irreversible pulpitis. an in-vivo study. Int J Den Med Sci 2018;2:43–49.
  17. Sadaf D. Limited quality evidence suggests that application of cryotherapy may be helpful in reducing postoperative pain in root canal therapy in patients with symptomatic apical periodontitis. J Evid Based Dent Pract 2019;19(2):195–197. DOI: 10.1016/j.jebdp.2019.05.005.
  18. Alharthi AA, Aljoudi MH, Almaliki MN, et al. Effect of intra-canal cryotherapy on post-endodontic pain in single-visit RCT: a randomized controlled trial. Saudi Dent J 2019;31(3):330–335. DOI: 10.1016/j.sdentj.2019.03.004.
  19. Vieyra JP, Enriquez FJJ, Acosta FO, et al. Reduction of postendodontic pain after one-visit root canal treatment using three irrigating regimens with different temperature. Niger J Clin Pract 2019;22(1):34–40. DOI: 10.4103/njcp.njcp_349_18.
  20. Vera J, Ochoa J, Romero M, 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. DOI: 10.1016/j.joen.2017.08.038.
  21. Al-Abdullah A, Abdullah A, Al-Marrawi K. Comparative study to investigate the effect of cryotherapy on post-operative pain using two different preparation techniques (In vivo study). Int J Appl Dent Sci 2020;6(3):163–168.
  22. Thompson SA. An overview of nickel-titanium alloys used in dentistry. Int Endod J 2000;33(4):297–310. DOI: 10.1046/j.1365-2591.2000.00339.x.
  23. Brockhurst PJ, Denholm I. Hardness and strength of endodontic files and reamers. J Endod 1996;22(2):68–70. DOI: 10.1016/S0099-2399(96)80274-3.
  24. Brockhurst P, Hsu E. Hardness and strength of endodontic instruments made from NiTi alloy. Aust Endod J 1998;24(3):115–119. DOI: 10.1111/j.1747-4477.1998.tb00034.x.
  25. Lee DH, Park B, Saxena A, et al. Enhanced surface hardness by boron implantation in nitinol alloy. J Endod 1996;22(10):543–546. DOI: 10.1016/S0099-2399(96)80015-X.
  26. Vinothkumar TS, Miglani R, Lakshminarayananan L. Influence of deep dry cryogenic treatment on cutting efficiency and wear resistance of nickel-titanium rotary endodontic instruments. J Endod 2007;33(11):1355–1358. DOI: 10.1016/j.joen.2007.07.017.
  27. Kim JW, Griggs JA, Regan JD, et al. Effect of cryogenic treatment on nickel-titanium endodontic instruments. Int Endod J 2005;38(6):364–371. DOI: 10.1111/j.1365-2591.2005.00945.x.
  28. Bensely A, Prabhakaran A, Mohan Lal D, et al. Enhancing the wear resistance of case carburized steel (En 353) by cryogenic treatment. Cryogenics 2005;45(12):747–754. DOI: 10.1016/j.cryogenics.2005.10.004.
  29. Singh PJ, Guha B, Achar DRG. Fatigue life improvement of AISI 304L cruciform welded joints by cryogenic treatment. Eng Fail Anal 2003;10(1):1–12. DOI: 10.1016/S1350-6307(02)00033-X.
  30. Molinari A, Pellizzari M, Gialanella S, et al. Effect of cryogenic treatment on the mechanical properties of tool steels. J Mater Process Technol 2001;118(1–3):350–355. DOI: 10.1016/S0924-0136(01) 00973-6.
  31. Moore K, Collins DN. Cryogenic treatment on three heat treated tool steels. Eng Mater 1993;86:47–54. DOI: 10.4028/www.scientific.net/KEM.86-87.47.
  32. Huang JY, Ahu YT, Liao XZ. Microstructure of cryogenic treated M2 tool steel. Mater Sci Eng A339 2003(1-2):241–244. DOI: 10.1016/S0921-5093(02)00165-X.
  33. Sabet Y, Shahsiah S, Yazdizadeh M, et al. Effect of deep cryogenic treatment on cyclic fatigue resistance of controlled memory wire nickel-titanium rotary instruments. Dent Res J (Isfahan) 2020;17(4):300–305. DOI: 10.4103/1735-3327.292069.
  34. George GK, Sanjeev K, Sekar M. An in vitro evaluation of the effect of deep dry cryotreatment on the cutting efficiency of three rotary nickel titanium instruments. J Conserv Dent 2011;14(2):169–172. DOI: 10.4103/0972-0707.82627.
  35. Keskin C, Sariyilmaz E, Keleş A, et al. Effect of intracanal cryotherapy on the fracture resistance of endodontically treated teeth. Acta Odontol Scand 2019;77(2):164–167. DOI: 10.1080/00016357.2018.1549748.
  36. Bahcall J, Johnson B, Xie Q, et al. Introduction to vital pulp cryotherapy. Endod Pract US 2019;1:14.
  37. Topçuoğlu HS, Arslan H, Topçuoğlu G, et al. 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):965–969. DOI: 10.1016/j.joen.2019.05.001.
  38. Mandras N, Allizond V, Bianco A, et al. Antimicrobial efficacy of cryotreatment against enterococcus faecalis in root canals. Lett Appl Microbiol 2013;56(2):95–98. DOI: 10.1111/lam.12017.
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