Association between dental anxiety and intraoperative pain during root canal treatment: a cross‐sectional study

Abstract

Aim To investigate whether dental anxiety influences the intraoperative pain felt by patients during root canal treatment. Methodology In a cross‐sectional design, 180 patients (90 men and 90 women) were included. Pre‐operative anxiety levels were assessed using the short‐form Dental Anxiety Inventory (S‐DAI). Pain during root canal treatment was evaluated using a 10‐cm visual analogue scale (VAS) that ranked the level of pain between ‘Absence of pain’ and ‘Unbearable pain’. The minimal sample size was determined using the software of the National Center for Advancing Translational Sciences (NIH, UK). Multivariate logistic regression analysis was used to identify relationships between variables. Results Mean pain level during root canal treatment was 2.2 ± 2.1. The mean anxiety S‐DAI score was 27.2 ± 12.5. Fifty percent of men had mild anxiety levels, while in 70% of women anxiety was moderate or high (P = 0.017). Anxiety correlated positively with intraoperative pain (R = 0.406). Multivariate logistic regression analysis revealed that anxiety was significantly associated with intraoperative pain felt by patients (OR = 4.0; 95% C.I. = 1.7–9.3; P = 0.001). Conclusions Anxious patients were more than twice as likely to feel moderate or intense intraoperative pain during root canal treatment. To know the patient´s degree of anxiety could help the dentist to decide whether to use anxiolytic premedication and/or supplemental local anaesthesia to assure better control of pain during root canal treatment.

Association Between Pain during Intracanal Diode Laser Application and Demographic and Preoperative Factors

“…Murillo-Benitez et al (2020) reported that there was no correlation between intraoperative pain and age; and between intraoperative pain and gender; there was correlation between preoperative pain and intraoperative pain. Murillo-Benitez et al (2020) did not irradiated root canals using laser. Although a direct comparison is not possible, it can be claimed that the results related to age and gender are in accordance with the results of the present study, but the result related to preoperative pain is not.…”

“…Genc Sen and Kaya (2019) reported that diode laser application provided less postoperative pain than control group and improved postoperative comfort after endodontic retreatment. Murillo-Benitez et al (2020) investigated correlation between intraoperative pain and some factors such as age, gender, and anxiety during endodontic treatment. Murillo-Benitez et al (2020) reported that there was no correlation between intraoperative pain and age; and between intraoperative pain and gender; there was correlation between preoperative pain and intraoperative pain.…”

“…Murillo-Benitez et al (2020) investigated correlation between intraoperative pain and some factors such as age, gender, and anxiety during endodontic treatment. Murillo-Benitez et al (2020) reported that there was no correlation between intraoperative pain and age; and between intraoperative pain and gender; there was correlation between preoperative pain and intraoperative pain. Murillo-Benitez et al (2020) did not irradiated root canals using laser.…”

Dor durante o tratamento odontológico em pacientes com doença de Parkinson

“…Nesta pesquisa, a dor foi de maior intensidade entre as mulheres, sem alcançar significância estatística, mas próximo disso. Sobre esse aspecto, alguns estudos odontológicos não encontraram associação entre o sexo do paciente e a dor intraoperatória; 10,27 outros, sim. 28 Na área médica, os achados de dores intraoperatórias mais intensas em mulheres que em homens são mais frequentes, porém inconclusivos.…”

Effect of pranayama techniques with Marmanasthanam Kriya as yogic relaxation on biopsychosocial parameters prior to endodontic therapy: A cross sectional study

“…[ 3 ] Anxious patients are more than twice likely to feel moderate-to-intense intraoperative pain during root canal treatment (RCT). [ 4 ] To provide good oral health in addition to creating a healthy patient–dentist relationship, it is vital to reduce dental anxiety in every patient as it is a psychological inhibitor.…”