Pain Assessment and Need for Analgesics after Scaling and Root Planing in Patients with Stage II and Stage III Periodontitis

Abstract

Background and Objectives: The most common treatment procedure for periodontitis and gingivitis is scaling and root planing, which is perceived as a painful dental treatment. The current study aimed to assess pain perception and analgesics consumption after scaling and root planing (SRP) in patients with stage II and stage III periodontitis. Materials and Methods: Before starting the SRP, all the periodontal parameters, such as probing depth (PD), bleeding on probing (BOP), and clinical attachment level (CAL), were measured. The anxiety level of the patients was also assessed using the modified dental anxiety scale (MDAS) questionnaire. Pain perception of the patients was recorded with the visual analog scale (VAS) after performing the SRP. Patients were asked to mark their pain level on the VAS sheet after two hours, four hours, eight hours, 24 h, and 48 h after the periodontal treatment. The following cut-off points were used for the pain intensity in the VAS: 0 = no pain, 1–4 = mild pain, 4–6 = moderate pain, and 7–10 = severe pain. Patients were advised to take analgesics if the pain was intolerable. Multivariate logistic regression was performed to conduct the association of all dependent variables and the pain perception of patients. A nonparametric Friedman test was conducted to assess pain perception at different times. Results: A total of 52 patients including 32 males and 20 females participated in the current study, with a mean age of 43.10 ± 12.33 years. Multivariate analyses showed that MDAS and analgesic consumption is significantly associated with pain perception. Other clinical variables are not associated with pain perception. The Friedman test exhibited that pain perception is significantly associated (p < 0.05) with time. Conclusions: Analgesic consumption and anxiety level are significantly associated with pain perception after SRP treatment.

Pain management in periodontal therapy using local anesthetics and other drugs: an integrative review

“…There are various periodontal procedures, and a common concern among patients is postoperative pain [ 6 7 ]. Periodontal treatment can be painful, with aggravated intensity influenced by physiological and cognitive components [ 8 ].…”

“…The pain assessment process is complex and can be influenced by factors, such as anxiety, previous experience, and age [ 10 11 ]. Understanding patients' pain intensity and the variables affecting this process is essential because pain can produce emotional responses that influence patients' acceptance and comfort regarding procedures [ 6 7 ]. Thus, the ability to effectively manage the patient's pain response requires the skill of a prudent professional [ 12 ].…”