Investigation of factors that influence pain experienced and the use of pain medication following periodontal surgery

Beaudette, Jennifer R.; Fritz, P; Sullivan, Philip; Piccini, Assunta; Ward, Wendy E.

doi:10.1111/jcpe.12885

Cited by 20 publications

(25 citation statements)

References 21 publications

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“…Interpretation of VAS score varies with individual. The same score could mean different levels of pain in males and females 14. Pain and Periodontal dressing: The present study could not demonstrate any difference in pain with or without the placement of periodontal dressing Jones and Cassingham (1979) 18.…”

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confidence: 54%

Pain Perception after Periodontal Therapies

Pradhan

Shrestha

Gorkhali

2018

J Nepal Soc Perio Oral Implantology

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Background: Pain perception is a complex sensory experience which is perceived by different individuals in different manners. The pain perceived by the patient after periodontal surgery may vary based on different parameters. Aim: This observational study was conducted to evaluate the perception of pain after periodontal therapies. Materials and Methods: A total of 63 surgeries were carried out in 50 patients and the surgeries were divided into three categories: open flap debridement, resective and regenerative surgeries, and periodontal plastic surgeries. The pain experienced by the patient was recorded on the visual analog scale that ranged from 0 to 10. Results: The mean VAS score for different periodontal surgeries was 2.49. The study showed highest mean VAS in open flap debridement (2.74) followed by periodontal plastic surgery (2.5) and the lowest in resective and regenerative procedures (2.13). Among various variables such as age, sex, periodontal dressing, arch, amount of local anaesthesia and time duration, the data showed statistical difference between VAS score and sex (p = 0.04) and between VAS score and amount of local anaesthesia (p = 0.012). Conclusion: The study showed there is low pain perception after different periodontal surgeries as measured by VAS. Proper understanding of the variables that affect pain is important as they may produce emotional responses that could influence compliance and the therapy result. Inadvertent use of large dose of anaesthetics beforehand assuming high anticipation of pain should be discouraged as the increase in volume relates to increased pain.

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confidence: 54%

Pain Perception after Periodontal Therapies

Pradhan

Shrestha

Gorkhali

2018

J Nepal Soc Perio Oral Implantology

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“…Continuously high levels of dental fear caused by discomfort or pain experienced during the periodontal treatment process might have negative effects on the clinical outcome [14]. Pain per se or the memory of pain was proved to be the stimuli inducing dental fear during periodontal treatment [15][16][17]. Psychological stability was deemed bene cial in terms of reducing post-treatment pain and life activities impairment degree [18].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the relationship among dental fear, scaling root planning and periodontal status using periodontitis stages： a retrospective study

Liu

Zhang

et al. 2020

Preprint

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Background: The present study used the new classification of periodontitis and validated questionnaires to assess the relationship among dental fear, scaling and root planning (SRP) pain and periodontal status for clinical evaluation. Methods: One hundred and twenty periodontitis patients were enrolled for retrospective analysis and staging according to the new classification of periodontitis. All patients included in this study from July 2018 to January 2020 were divided into periodontitis stages. Scaling and root planning (SRP) was performed and Visual analogue scale (VAS) was determined for every patient immediately after SRP. Application of questionnaires including Corah’s Dental Anxiety Scales (DAS), Dental Fear Survey (DFS), and the short-form Dental Anxiety Inventory (S-DAI) were implemented from the first attendance and consequent visits after 6 months. All patient demographic data were collected including age, gender, marital status and education level. The scores of each dental fear scale and combination scales were also recorded. Patients were further subdivided into two categories based on DAS scores (low dental fear group: DAS<13; high dental fear group: DAS≥13). Statistical analysis was performed using t-test, chi-square, pearson and spearman correlative analysis to evaluate the relationship and differences among dental fear, SRP pain and periodontal status. Results: Compared to pre-SRP treatment, dental fear level of DFS and combination scales were significantly decreased in the post-treatment period for all the periodontitis stages. There was no statistically significant difference between the pre-treatment and post-treatment periods on S-DAI and DAS in stage I and II; meanwhile, there were statistically significant differences between pre-treatment and post-treatment periods on S-DAI and DAS in stage III and IV. The correlation among periodontitis stages, VAS and dental fear level assessed via DAS, DFS and S-DAI, was statistically significant. In the categories divided according to DAS scale, the proportion of high periodontitis stages was significantly increased in high dental fear group (DAS≥13). Conclusion: SRP can reduce dental fear level in all periodontitis stages, especially in stage III and IV. Correlations exists among periodontal status, dental fear and SRP pain. High dental fear is associated with poor periodontal status.

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“…These include: the surgeon's experience, complexity of the surgery, the extension of the surgical site, the duration of the surgery, the amount of anesthesia used, and having periosteal fenestration/dissection. [15][16][17][18][19][20][21] In addition, dental anxiety has been identified as a significant factor contributing to a higher pain perception postsurgery. 22,23 However, in the past, the efficacy of over the counter (OTC) pain medications has been reported as poor.…”

Section: Introductionmentioning

confidence: 99%

Five different solutions to mitigate overprescribing opioid medications

Font

Johnson

Powell

2020

Journal of Dental Education

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PurposeThe University of Colorado School of Dental Medicine took 5 distinct actions to mitigate the amount of opioids prescribed at the dental school between the years 2016‐2020.MethodsThis retrospective study evaluated a comprehensive 5‐step quality improvement strategy which was implemented to decrease opioid prescribing. a) development of a Dental Pain Management Protocol, b) implementation of the protocol with pre‐doctoral students, c) incorporating the results of a Master's project that determined the actual postoperative pain after periodontal/oral surgical procedures, d) development of a favorite electronic prescription list, and e) creation of patient instructions to allow for information on nonopioid analgesic use after dental procedures to be disseminated to the patient.ResultsThere was a significant decrease (P = 0.05) in the opioid prescribing trend with the implementation of these 5 actions, resulting in an overall 68.8% decrease for prescription writing of opioids and a 78.6% decrease of opioid pills over this 3 year period.ConclusionSimple guidelines and protocols resulted in a drastic decrease in opioid prescribing, with limited negative feedback from faculty and patients.

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Investigation of factors that influence pain experienced and the use of pain medication following periodontal surgery

Cited by 20 publications

References 21 publications

Pain Perception after Periodontal Therapies

Pain Perception after Periodontal Therapies

Evaluation of the relationship among dental fear, scaling root planning and periodontal status using periodontitis stages： a retrospective study

Five different solutions to mitigate overprescribing opioid medications

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