DOI QR코드

DOI QR Code

Effect of cryotherapy duration on experimentally induced connective tissue inflammation in vivo

  • Received : 2023.02.15
  • Accepted : 2023.04.28
  • Published : 2023.08.31

Abstract

Objectives: This study tested the hypothesis that cryotherapy duration influences lipopolysaccharide (LPS)-induced inflammation in a rat model. Materials and Methods: Six Wistar rats (Rattus norvegicus albinus) were used. Five sites were selected per animal and divided into 5 groups: a negative control group (NC), 2 positive control groups (PC1 and PC2), and 2 experimental groups (E1 and E2). Cryotherapy was applied for 1 minute (E1) or 5 minutes (E2). An acute inflammatory response was induced in the PC and E groups via subcutaneous administration of 0.5 mL/kg. In the PC2 group, a catheter was inserted without additional treatment. For the E1 and E2 groups, 2.5℃ saline solution was administered through the implanted catheters for 1 and 5 minutes, respectively. The rats were sacrificed, and samples were obtained and processed for histological analysis, specifically examining the presence of polymorphonuclear neutrophils and hemorrhage. The χ2 test was used to compare the presence of acute inflammation across groups. Dependent variables were compared using the linear-by-linear association test. Results: Inflammation and hemorrhage varied significantly among the groups (p = 0.001). A significantly higher degree of acute inflammation was detected (p = 0.0002) in the PC and E1 samples than in the E2 group, in which cryotherapy was administered for 5 minutes. The PC and E1 groups also exhibited significantly greater numbers of neutrophils (p = 0.007), which were essentially absent in both the NC and E2 groups. Conclusions: Cryotherapy administration for 5 minutes reduced the acute inflammation associated with LPS and catheter implantation.

Keywords

References

  1. Burgener B, Ford AR, Situ H, Fayad MI, Hao JJ, Wenckus CS, Johnson BR, BeGole EA, George A. Biologic markers for odontogenic periradicular periodontitis. J Endod 2010;36:1307-1310. https://doi.org/10.1016/j.joen.2010.04.018
  2. Ricucci D, Pascon EA, Ford TR, Langeland K. Epithelium and bacteria in periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:239-249. https://doi.org/10.1016/j.tripleo.2005.03.038
  3. Punchard NA, Whelan CJ, Adcock I. The Journal of Inflammation. J Inflamm (Lond) 2004;1:1.
  4. Krenn S, Gutwald R, Bonigk M, Krenn V. Dental Apical Inflammation Score (DAIS): histopathological scoring for the evaluation of the apical inflammatory activity and local bone destruction. Pathol Res Pract 2020;216:153223.
  5. Torabinejad M, Eby WC, Naidorf IJ. Inflammatory and immunological aspects of the pathogenesis of human periapical lesions. J Endod 1985;11:479-488. https://doi.org/10.1016/S0099-2399(85)80221-1
  6. Herrera V, Wendie E. Inflamacion. Rev Actual Clinica 2014;43:2261-2265.
  7. Moore TL, Weiss TD. Mediators of inflammation. Semin Arthritis Rheum 1985;14:247-262. https://doi.org/10.1016/0049-0172(85)90044-7
  8. Rosenberg PA. Clinical strategies for managing endodontic pain. Endod Topics 2002;3:78-92. https://doi.org/10.1034/j.1601-1546.2002.30108.x
  9. 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;41:91-99. https://doi.org/10.1111/j.1365-2591.2007.01316.x
  10. Vera J, Ochoa J, Romero M, Vazquez-Carcano M, Ramos-Gregorio CO, Aguilar RR, Cruz A, Sleiman P, Arias A. Intracanal cryotherapy reduces postoperative pain in teeth with symptomatic apical periodontitis: a randomized multicenter clinical trial. J Endod 2018;44:4-8. https://doi.org/10.1016/j.joen.2017.08.038
  11. Kowal MA. Review of physiological effects of cryotherapy. J Orthop Sports Phys Ther 1983;5:66-73. https://doi.org/10.2519/jospt.1983.5.2.66
  12. Vera J, Ochoa-Rivera J, Vazquez-Carcano M, Romero M, Arias A, Sleiman P. Effect of intracanal cryotherapy on reducing root surface temperature. J Endod 2015;41:1884-1887. https://doi.org/10.1016/j.joen.2015.08.009
  13. Keskin C, Ozdemir O, Uzun I, Guler B. Effect of intracanal cryotherapy on pain after single-visit root canal treatment. Aust Endod J 2017;43:83-88. https://doi.org/10.1111/aej.12175
  14. 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 2018;44:349-354. https://doi.org/10.1016/j.joen.2017.11.002
  15. Alharthi AA, Aljoudi MH, Almaliki MN, Almalki MA, Sunbul MA. Effect of intra-canal cryotherapy on post-endodontic pain in single-visit RCT: a randomized controlled trial. Saudi Dent J 2019;31:330-335. https://doi.org/10.1016/j.sdentj.2019.03.004
  16. Ramirez K, Quesada-Yamasaki D, Fornaguera-Trias JA. A protocol to perform systemic lipopolysacharide (LPS) challenge in rats. Odovtos-Int J Dent Sc 2019;21:53-66. https://doi.org/10.15517/ijds.v21i1.35510
  17. Aldapa-Vega G, Pastelin-Palacios R, Isibasi A, Moreno-Eutimio MA, Lopez-Macias C. Modulation of immune response by bacterial lipopolysaccharides. Alergia 2016;63:293-302.
  18. Maitra U, Deng H, Glaros T, Baker B, Capelluto DG, Li Z, Li L. Molecular mechanisms responsible for the selective and low-grade induction of proinflammatory mediators in murine macrophages by lipopolysaccharide. J Immunol 2012;189:1014-1023. https://doi.org/10.4049/jimmunol.1200857
  19. Gao Y, You X, Liu Y, Gao F, Zhang Y, Yang J, Yang C. Induction of autophagy protects human dental pulp cells from lipopolysaccharide-induced pyroptotic cell death. Exp Ther Med 2020;19:2202-2210. https://doi.org/10.3892/etm.2020.8475
  20. Fayyad DM, Abdelsalam N, Hashem N. Cryotherapy: a new paradigm of treatment in endodontics. J Endod 2020;46:936-942. https://doi.org/10.1016/j.joen.2020.03.019
  21. Watkins AA, Johnson TV, Shrewsberry AB, Nourparvar P, Madni T, Watkins CJ, Feingold PL, Kooby DA, Maithel SK, Staley CA, Master VA. Ice packs reduce postoperative midline incision pain and narcotic use: a randomized controlled trial. J Am Coll Surg 2014;219:511-517. https://doi.org/10.1016/j.jamcollsurg.2014.03.057
  22. Hubbard TJ, Denegar CR. Does cryotherapy improve outcomes with soft tissue injury? J Athl Train 2004;39:278-279.
  23. Nadler SF, Weingand K, Kruse RJ. The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. Pain Physician 2004;7:395-399. https://doi.org/10.36076/ppj.2004/7/395
  24. Sadaf D, Ahmad MZ, Onakpoya IJ. Effectiveness of intracanal cryotherapy in root canal therapy: a systematic review and meta-analysis of randomized clinical trials. J Endod 2020;46:1811-1823.e1. https://doi.org/10.1016/j.joen.2020.08.022
  25. Gupta A, Aggarwal V, Gurawa A, Mehta N, Abraham D, Singh A, Jala S, Chauhan N. Effect of intracanal cryotherapy on postendodontic pain: a systematic review and meta-analysis of randomized controlled trials. J Dent Anesth Pain Med 2021;21:15-27. https://doi.org/10.17245/jdapm.2021.21.1.15
  26. Almohaimede A, Al-Madi E. Is intracanal cryotherapy effective in reducing postoperative endodontic pain? an updated systematic review and meta-analysis of randomized clinical trials. Int J Environ Res Public Health 2021;18:11750.
  27. Hespanhol FG, Guimaraes LS, Antunes LA, Antunes LS. Effect of intracanal cryotherapy on postoperative pain after endodontic treatment: systematic review with meta-analysis. Restor Dent Endod 2022;47:e30.
  28. Kumari N, Kaur H, Choudhary R, Yeluri R. Comparative evaluation of intracanal cryotherapy and curcumin as a final irrigant in reducing post endodontic pain in primary teeth. J Indian Soc Pedod Prev Dent 2022;40:297-301.  https://doi.org/10.4103/jisppd.jisppd_216_22