Pain After Periodontal Scaling and Root Planing

Pihlstrom, Bruce Lee; Hargreaves, Kenneth M.; Bouwsma, Otis J.; Myers, William; Goodale, Mary Beth; Doyle, Matthew

doi:10.14219/jada.archive.1999.0303

Cited by 40 publications

(77 citation statements)

References 8 publications

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“…Though the pain responses were higher in women than in men, there was no statistically significant gender difference in the mean VAS (P = 0.432), which is in agreement with other studies (8,13,20,25).…”

Section: Discussionsupporting

confidence: 91%

Relationship between dental anxiety and pain perception during scaling

2011

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Dental pain, anxiety and fear are important factors that prevent patients from seeking dental care. In this study, we aimed to evaluate the pain perception of patients during scaling and its relationship with dental anxiety. One hundred dental patients participated in the study. Pain levels after scaling were assessed with a Visual Analog Scale (VAS) and an Anxiety Questionnaire consisting of seven questions. The mean VAS score for the entire study group was 17.3 ± 13.8 with no statistically significant differences between gender and different age groups. The mean anxiety score was 11.66 ± 4.17. This was significantly higher in women (P = 0.005), but there were no statistically significant differences between different age groups. There was a statistically significant correlation between VAS and total anxiety score (P < 0.001) as well as each question, except for questions number 3 and 4 in men. Patients were found to experience only limited pain during scaling. They were anxious because they expected pain, women being more anxious than men. Hence, dentists should seek to alleviate or reduce pain and anxiety related to treatment not only to successfully complete the treatment, but also to sustain and carry the patients into successful maintenance and patient recall. (J Oral Sci 53, 341-348, 2011)

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Section: Discussionsupporting

confidence: 91%

Relationship between dental anxiety and pain perception during scaling

2011

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“…Females pain responses were higher than males (P = 0.05) which is not in agreement with other studies [22] [30] [31]. This can be attributed to the fact that other studies had been done on the procedures which were supposed to be less painful and may be because of sexually dimorphic pain modulation systems or factors that activate these systems [3].…”

Section: Discussioncontrasting

confidence: 63%

Assessment of Relationship between Pain and Anxiety Following Dental Extraction—A Prospective Study

Sharma¹,

Majumder²,

Rao³

et al. 2015

PST

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“…It is noteworthy that an important aspect of this study was the assessment of patient anxiety before surgery using an anxiety scale (22), considering that stress and anxiety influence the perception of pain/discomfort, since this is subjective and varies a lot between individuals (31,32). Another important aspect of the present study is associated with the caution used when evaluating the anxiety level before surgery and monitoring the surgery time required for the procedures and number of analgesics consumed in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Preemptive and Postoperative Medication Protocols for Root Coverage Combined with Connective Tissue Graft

et al. 2018

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This trial evaluated the preemptive and postoperative effect of dexamethasone and ibuprofen on prevention of pain/discomfort, edema and interference in daily life in patients undergoing root coverage combined with subepithelial connective tissue graft (CAF + CTG). Twenty patients were randomly assigned as follows: NSAID Group: 400mg Ibuprofen 60 min preemptive + 400mg Ibuprofen postoperative; or SAID Group: 4mg Dexamethasone 60 min preemptive + 4mg Dexamethasone postoperative. The postoperative medication was administered 8 and 16 h post-surgery. Each patient received questionnaires based on a numeric scale (101-point numeric scale rate ) and multiple choice questions (four-point verbal rating scale ) about trans-operative pain/discomfort, hourly for 8 h after surgery and once a day for three days. A Visual Analogue Scale (VAS) for edema and interference in daily life during the 1st, 2nd, 3rd and 7th day was also answered. The degree of anxiety was rated statistically by the Chi-square test. The MannWhitney and Friedman tests were used for the other questionnaires. The surgery time and number of analgesic pills consumed were compared using Student's t-test. Patients who used dexamethasone presented a trend toward less pain when compared to individuals who ingested ibuprofen, with a significant difference observed 3 h after the procedure (p<0.05). The use of dexamethasone also promoted less edema until the 2nd day and lower interference in daily life on the third day when compared with ibuprofen (p<0.05). We concluded that the use of dexamethasone as a preemptive and postoperative medication was more suitable as a drug therapeutic protocol for CAF + CTG.

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Pain After Periodontal Scaling and Root Planing

Cited by 40 publications

References 8 publications

Relationship between dental anxiety and pain perception during scaling

Relationship between dental anxiety and pain perception during scaling

Assessment of Relationship between Pain and Anxiety Following Dental Extraction—A Prospective Study

Preemptive and Postoperative Medication Protocols for Root Coverage Combined with Connective Tissue Graft

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