Citation Information :
Makkar S, Javed I, Thakur R, Negi S, Aggarwal V, Awasthi A. Efficacy of Cryotreated NaOCl on Soft Tissue Dissolution: An In Vitro Study. 2023; 11 (2):62-65.
Objective: The most frequent endodontic irrigant is sodium hypochlorite due to its antibacterial and tissue-dissolving properties. Recently, in endodontics, cryotherapy has been suggested to be an effective technique for controlling postoperative pain. The purpose of the study was to assess the effectiveness of cryotreated NaOCl for tissue dissolution.
Materials and methods: Palatal mucosal tissue of goat was collected to determine a benchmark of tissue dissolution properties of NaOCl at different temperatures. Fifteen pieces of palatal mucosa of goat of similar size were prepared and weighed. The sample was then randomly divided into three experimental groups, depending on the temperature of 5.25% NaOCl irrigant. Group I—tissue treated with warm 5.25% NaOCl, Group II—tissue treated with 5.25% normal NaOCl, Group III—tissue treated with 5.25% cryotreated NaOCl. Following an approximate exposure period of 2 minutes, the remaining tissue samples were taken out, blot dried, and checked for their weight gain. The variation in the weight of tissue in the pre-dissolution period and post-dissolution period was noted as residual weight.
Results: Kruskal–Wallis test showed that the time taken for complete dissolution was statistically significantly different among different groups (p < 0.001), with a mean rank tissue dissolution readings of 3.50 for warm NaoCl, 9.50 for normal NaOCl and 15.50 for cryotreated NaOCl.
Conclusion: Tissue dissolution with cryotreated NaOCl was less compared with normal and warm NaOCl. Cryotreated NaOCl did dissolve the tissue, but dissolution was slower when compared with normal and warm NaOCl.
Key message: To evaluate the efficacy of cryotreated NaOcl on soft tissue.
Güçlüer Ö, Akarsu E, Yavuz E, et al. Human pulp tissue dissolution ability of different extracts of Sapindus mukorossi: an in vitro study. Chin Herb Med 2020;12(2):178–182. DOI: 10.1016/j.chmed.2019.11.005.
Rosenfeld EF, James GA, Burch BS. Vital pulp tissue response to sodium hypochlorite. J Endod 1978;4(5):140–146. DOI: 10.1016/S0099-2399(78)80129-0.
Abou-Rass M, Oglesby SW. The effects of temperature, concentration, and tissue type on the solvent ability of sodium hypochlorite. J Endod 1981;7(8):376–377. DOI: 10.1016/s0099-2399(81)80059-3.
Bashetty K, Hegde J. Comparison of 2% chlorhexidine and 5.25% sodium hypochlorite irrigating solutions on postoperative pain: a randomized clinical trial. Indian J Dent Res [Internet]. 2010;21(4):523–527. DOI: 10.4103/0970-9290.74225.
Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury: A systematic review of randomized controlled trials: A systematic review of randomized controlled trials. Am J Sports Med [Internet]. 2004;32(1):251–261. DOI: 10.1177/0363546503260757.
Gundogdu EC, Arslan H. Effects of various cryotherapy applications on postoperative pain in molar teeth with symptomatic apical periodontitis: A preliminary randomized prospective clinical trial. J Endod [Internet]. 2018;44(3):349–354. DOI: 10.1016/j.joen.2017.11.002.
Higgins TR, Heazlewood IT, Climstein M. A random control trial of contrast baths and ice baths for recovery during competition in U/20 rugby union. J Strength Cond Res [Internet]. 2011;25(4):1046–1051. DOI: 10.1519/JSC.0b013e3181cc269f.
Filho JRL, Silva E De Oliveira, Batista CI, et al. The influence of cryotherapy on reduction of swelling, pain and trismus after third molar extraction. J Am Dent Assoc 2005;136(6):774–778. DOI: 10.14219/jada.archive.2005.0261.
Nandakumar M, Nasim I. Effect of intracanal cryotreated sodium hypochlorite on postoperative pain after root canal treatment – A randomized controlled clinical trial. J Conserv Dent [Internet]. 2020;23(2):131–136. DOI: 10.4103/JCD.JCD_65_20.
Rossi-Fedele G, De Figueiredo JAP. Use of a bottle warmer to increase 4% sodium hypochlorite tissue dissolution ability on bovine pulp. Aust Endod J [Internet]. 2008;34(1):39–42. DOI: 10.1111/j.1747-4477.2007.00110.x.
Nahlawi A, Hatab T, Alrazak TA, et al. Effect of intracanal cryotherapy and negative irrigation technique on postendodontic pain. J Contemp Dent Pract. 2016;17:990–996. PMID: 27965485.
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.
Moorer WR, Wesselink PR. Factors promoting the tissue dissolving capability of sodium hypochlorite. Int Endod J 1982;15(4):187–196. DOI: 10.1111/j.1365-2591.1982.tb01277.x.
Sirtes G, Waltimo T, Schaetzle M, et al. The effects of temperature on sodium hypochlorite shortterm stability, pulp dissolution capacity, and antimicrobial efficacy. J Endod 2005;31:669–671.