Association between pain, anxiety, and pain relief in patients receiving emergent endodontic treatment

Wu, Long Ting; Lin, Cheng‐Jian; Yang, Shue Fen

doi:10.1007/s00784-021-03997-3

Cited by 5 publications

(4 citation statements)

References 30 publications

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“…For example, pain intensity was higher the day before the consultation for severe pain, and it was the opposite for low and moderate pain. This could reflect the patient expectations [ 79 ], positive contextual effect of the care [ 80 ], or natural evolution of the disease, for example, natural drainage of an abcess or necrosis of the pulp evolving into an asymptomatic state. Whatever the reason is, the DEU was beneficial to these patients although it is important to keep in mind that on D7, 8.8% of the patients still experienced a moderate to severe level of pain, scores [6–10].…”

Section: Discussionmentioning

confidence: 99%

“…It should be noted that satisfaction was not only the reflection of pain relief since the evaluation was performed immediately after the visit on D0, when medication and procedures were sometimes not fully effective in pain reduction. However, among the many medical and nonmedical parameters contributing to patient satisfaction [ 84 ], pain relief remains the main expectation of the patient, independently of age, sex, or intensity of pain [ 84 – 86 ], and pain relief is correlated to patient expectations [ 79 ]. Unfortunately, no reevaluation of satisfaction on D1, D3, or D7 was performed in this study.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of and Patient’s Satisfaction with Dental Emergency Unit in Pitié Salpêtrière Hospital (Paris), Focusing on Pain and Anxiety

Demeestere

Alcabes

Toledo

et al. 2022

International Journal of Dentistry

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Background. The Dental Emergency Unit (DEU) of the Pitié Salpêtrière Hospital receives mainly painful emergencies. This study aimed at evaluating the suppression of pain and anxiety as well as the patient’s satisfaction after a visit to the DEU. Patients and Methods. A prospective study was carried out in 2019 (NCT03819036) in adult patients. Data was collected on D0 on site and then on D1, D3, and D7 by phone, during daytime. The main objective and secondary objectives were, respectively, to assess the intensity of pain on D1; the intensity of pain on D3 and D7; the evolution of anxiety on D1, D3, and D7; and the patients’ satisfaction. They were evaluated with a 0–10 numeric scale (NS) on D1, D3 and D7; mean scores were compared with nonparametric statistics (ANOVA, Dunn’s test). Results. 814 patients were contacted and 581 patients included; 87 were lost to follow-up. 376 patients completed all the questionnaires. In the final sample (59% men, 40 ± 16 y.o.), 86% had health insurance. The mean pain scores were as follows: D0: 6.36 ± 0.12; D1: 3.49 ± 0.13; D3: 2.23 ± 0.13; D7: 1.07 ± 0.11—indicating a significant decrease of 45%, 65%, and 93% on D1, D3, and D7, respectively, compared to D0 ( p < 0.0001 ) between D0 and D1, D3, D7. The mean NS anxiety scores were as follows: D0: 3.32 ± 0.15; D1: 3.69 ± 0.16; D3: 2.75 ± 0.16; D7: 1.98 ± 0.15. The decrease was significant between D0 and D7 ( p < 0.0001 ). The perception of general heath improved between D1 and D7. The overall score of satisfaction was 8.64 ± 0.06. Conclusion. DEU enabled a significant reduction in pain and anxiety with high overall satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effectiveness of and Patient’s Satisfaction with Dental Emergency Unit in Pitié Salpêtrière Hospital (Paris), Focusing on Pain and Anxiety

Demeestere

Alcabes

Toledo

et al. 2022

International Journal of Dentistry

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“…Pain and anxiety are also associated with endodontic treatment. Patients with symptomatic irreversible pulpitis who needed emergent endodontic treatment also show high dental anxiety [31].…”

Section: Pain Related Fearmentioning

confidence: 99%

“…Assessment of expected pain relief may be integrated into pre-treatment assessment for painful dental patients. However, further evaluation of the association should be done [31]. In contrast, pain is usually what brings the patient to the dental practice and with anesthetic measures a dentist is able to control the patient's cause of pain or dull the effect of the procedure [34].…”

Section: Pain Related Fearmentioning

confidence: 99%

Dentophobia-latent Component Factor Analysis of Dental Concerns Assessment Scale

Kiani

Kostadinov

Стефанов

et al. 2023

Open Access Maced J Med Sci

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BACKGROUND: Dentophobia (DF) is unreasonable, irrational, excessive, and socially limiting fear of specific situations related to dental care. The condition is part of the ultimate and pathological cluster of dental anxiety. AIM: Objectives of the present study are: (1) Identification of latent factors in the psychological manifestation of dental fear, anxiety, and phobia and (2) comparison of these factors with the degree of manifestation of the psychological construct and gender differences. METHODS: A cross-sectional online-based survey was conducted. The primary sociological information is collected through a direct individual survey including 32 items divided into four sections. Statistical data processing includes descriptive statistics, non-parametric hypothesis tests, exploratory and confirmatory factor analysis for detection and verification of latent factors, internal validity analysis. DISCUSSION: The presence of a latent factor conditionally describing “pain related fear” is a possible reason for the overlap of DF with other panic disorders related to medical care described in the literature. A study performed for a wider and diverse population sample would produce more credible findings from which to draw more accurate conclusions. CONCLUSION: This study provides a better understanding of how to identify patients who are prone to, or already suffer from dental anxiety and allows dentists and health-care professionals to provide better health. The analysis of this study discovered a significant difference between latent factors from the construct encompassing the pain related fear and social fear.

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The influence of anxiety on pain perception and its repercussion on endodontic treatment: a systematic review

et al. 2023

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Association between pain, anxiety, and pain relief in patients receiving emergent endodontic treatment

Cited by 5 publications

References 30 publications

Effectiveness of and Patient’s Satisfaction with Dental Emergency Unit in Pitié Salpêtrière Hospital (Paris), Focusing on Pain and Anxiety

Effectiveness of and Patient’s Satisfaction with Dental Emergency Unit in Pitié Salpêtrière Hospital (Paris), Focusing on Pain and Anxiety

Dentophobia-latent Component Factor Analysis of Dental Concerns Assessment Scale

The influence of anxiety on pain perception and its repercussion on endodontic treatment: a systematic review

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