Pain Perception after Periodontal Therapies

Pradhan, Sunil; Shrestha, Regina; Gorkhali, Ranjita Shrestha

doi:10.3126/jnspoi.v2i2.23615

Cited by 3 publications

(4 citation statements)

References 10 publications

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“…The outcome of the study exhibited that pain scores using VAS did not show significant differences with the stages and grades of periodontitis. A similar outcome was also observed in the previous studies [ 19 , 28 ]. However, some studies on periodontal pain did not assess pain perception with periodontal conditions [ 29 , 30 ].…”

Section: Discussionsupporting

confidence: 92%

“…The current study used the VAS for assessing the pain perception of patients after the SRP treatment which is one of the most common tools measuring pain used in many previous studies not only in periodontal treatment but also in other branches of dentistry [ 2 , 15 , 19 , 28 , 31 ]. Another pain-assessing tool numeric rating scale (NRS) also been used in different studies [ 4 , 9 , 32 , 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2023

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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.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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

et al. 2023

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“…The VAS scores were close to zero in all groups at the end of the study. Consistent with previous studies, this study demonstrated that a majority of patients exhibited mild pain perception during the first week of recovery following open flap debridement and pain was generally well tolerated (29)(30)(31). However, in the study of Canakci et al (23), which was inconsistent with the findings of our study, a higher pain perception was reported in patients receiving open flap debridement.…”

Section: Discussionsupporting

confidence: 72%

The Effects of Different Pre-operative Information Timings on Patients’ Anxiety Level and Pain Perception.

Tezci¹,

Karaduman

2021

Clinical and Experimental Health Sciences

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Objective:The purpose of this study was to investigate the impact of different timings of pre-operative information on patients' anxiety level and pain perception after open flap debridement.Methods: 45 individuals with chronic periodontitis were equally allocated to the following groups: Group 1: Informed 7 days before surgery; Group 2: Informed 1 month before the surgery and Group 3: Informed by other dentists. All patients received open flap debridement. The anxiety level before surgery was evaluated by State-Trait Anxiety Inventory (STAI) and the pain perception by Visual Analogue Scale (VAS) on the days 1, 3, and 7 after surgery. Results:The state anxiety levels significantly increased immediately before surgery in all groups (P<0.05). No statistically significant difference was found in terms of STAI and VAS between the groups (P>0.05).VAS 1st and 3rd day values were significantly correlated with STAI-Trait values (r=0.311, P=0.038 and r=0.422, P=0.004, respectively). Conclusion:Pre-operative information provided by dentists at different times has no effect on post-operative pain and anxiety of the patients. Post-operative pain is associated with pre-operative anxiety. Determining the anxiety levels of patients before the operation acts an important part in the success of periodontal surgical treatments and pain management.

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“…Hence, the use of longer acting local anesthetics may be considered in such situations. As reported earlier, periodontal surgeries produce less morbidity and discomfort to the patient (12). Therefore, second surgery was performed one week after the first surgery depending on the patients' comfort.…”

Section: Discussionmentioning

confidence: 99%

Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery – A split mouth randomized clinical trial

Tirumalasetty¹,

Doraisami²,

Konathala³

et al. 2021

eor

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PurposeTo evaluate the effectiveness of bupivacaine and lidocaine local anesthesia on the intra-surgical and post-surgical pain control in patients undergoing periodontal flap surgery. Materials and MethodsA randomized, single-blind, split-mouth design was employed in patients who are scheduled for periodontal flap surgery for at least two similar sextants with similar anesthetic techniques. Fifty patients (age range 16-65 years, 32 males and 28 females) enrolled in the present study. On one-site, the flap surgery was performed using 2% lidocaine with 1:200000 epinephrine and on the other with 0.5% bupivacaine with 1:200000 epinephrine. Base line clinical parameters, probing pocket depth, clinical attachment level were recorded. Pain during intra operative period, at the time of loss of numbness and for three consecutive days was measured using visual analog scale (VAS). ResultsSignificant differences were observed between the two groups in the intra operative pain scores (p=0.0045) and pain scores at the time of loss of numbness (p=0.0005) but not at the 1st, 2nd and 3rd day after the surgery. ConclusionBupivacaine was markedy more effective than the lidocaine. Thus the usage of bupivacaine can be substantiated for periodontal surgeries for the control of pain in the intra operative and immediate post-operative period to increase patients' comfort.

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Pain Perception after Periodontal Therapies

Cited by 3 publications

References 10 publications

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

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

The Effects of Different Pre-operative Information Timings on Patients’ Anxiety Level and Pain Perception.

Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery – A split mouth randomized clinical trial

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