Predictive Model of Intraoperative Pain during Endodontic Treatment: Prospective Observational Clinical Study

Kayaoğlu, Güven; Gürel, Mügem; Sarıçam, Esma; İlhan, Mustafa; Ilk, Ozlem

doi:10.1016/j.joen.2015.09.021

Cited by 25 publications

(37 citation statements)

References 28 publications

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“…Studies have reported that 97.1% of patients were satisfied with their decision to have RCT rather than extraction (11). Cost and pain were identified as the primary factors preventing patients from seeking future treatment (12). Cost and pain were identified as the primary factors preventing patients from seeking future treatment (12).…”

Section: Introductionmentioning

confidence: 99%

A survey of patients’ perceptions about, and their experiences of, root canal treatment

et al. 2018

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Root canal treatment (RCT) is widely perceived to be a painful procedure. There is a lack of data regarding patients' perceptions of RCT within the Australian population. The aims of this pilot study were to investigate the perception of adult Australian patients within the Perth Metropolitan area and to identify how this changes following treatment. Effects of demographic factors on anxiety and pain experience were also explored. Sixty-nine patients were surveyed, of which 28 (41%) completed both pre-and post-treatment surveys. Modified Visual Analogue scales and multiple choice questions identified patient concerns, nervousness and anticipated or experienced pain. Cost (55%) and pain (51%) were the greatest pre-treatment concerns. No expectation of pain was reported by 7% of patients, while 28% reported experiencing no pain during the course of treatment. Results suggest that anticipated pain is greater than pain experienced, and that after the treatment, anxiety for future RCT was significantly reduced.

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Section: Introductionmentioning

confidence: 99%

A survey of patients’ perceptions about, and their experiences of, root canal treatment

et al. 2018

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“…A constellation of local and systemic factors such as age, gender, general health, group of teeth, pulp and periapical status, and occlusal contacts, amongst others, may interact and modulate the occurrence of pain of endodontic origin (Hargreaves et al 2011). Previous investigations evaluated the association between various clinical factors and preoperative endodontic pain (PREP) (Estrela et al 2011), pain experienced during root canal treatment (Segura-Egea et al 2009, Kayaoglu et al 2016 or postoperative endodontic pain (POEP) (Arias et al 2013). The identification of predisposing factors for PREP and POEP has not always been convergent between studies.…”

Section: Introductionmentioning

confidence: 99%

Predicting pre‐ and postoperative pain of endodontic origin in a southern Brazilian subpopulation: an electronic database study

et al. 2016

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“…Assessment of the intraoperative pain experienced during root canal treatment was carried out using a visual analogue scale (VAS), allowing the patient to make an overall assessment of their pain, having been used successfully for the clinical assessment of pain, including dental pain (Kayaoglu et al , Yücel et al ). VAS is a valid and reliable method widely used in the endodontic literature (Hargreaves & Keiser , Sathorn et al , Segura‐Egea et al , Martín‐González et al , Alonso‐Ezpeleta et al ).…”

Section: Discussionmentioning

confidence: 99%

“…This finding can help dentists during the management of patients, providing evidence on the link of this psychological aspect with intraoperative pain. Assessment of the intraoperative pain experienced during root canal treatment was carried out using a visual analogue scale (VAS), allowing the patient to make an overall assessment of their pain, having been used successfully for the clinical assessment of pain, including dental pain (Kayaoglu et al 2016(Kayaoglu et al , Y€ ucel et al 2018. VAS is a valid and reliable method widely used in the endodontic literature (Hargreaves & Keiser 2002, Sathorn et al 2008 On the other hand, dental anxiety was assessed using a short version of the Dental Anxiety Inventory (S-DAI) (Stouthard et al 1993(Stouthard et al , 1994 used in previous studies on dental anxiety (van Wijk & Makkes 2008, Liu et al 2015.…”

Section: Discussionmentioning

confidence: 99%

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Association between dental anxiety and intraoperative pain during root canal treatment: a cross‐sectional study

et al. 2019

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Aim To investigate whether dental anxiety influences the intraoperative pain felt by patients during root canal treatment. Methodology In a cross‐sectional design, 180 patients (90 men and 90 women) were included. Pre‐operative anxiety levels were assessed using the short‐form Dental Anxiety Inventory (S‐DAI). Pain during root canal treatment was evaluated using a 10‐cm visual analogue scale (VAS) that ranked the level of pain between ‘Absence of pain’ and ‘Unbearable pain’. The minimal sample size was determined using the software of the National Center for Advancing Translational Sciences (NIH, UK). Multivariate logistic regression analysis was used to identify relationships between variables. Results Mean pain level during root canal treatment was 2.2 ± 2.1. The mean anxiety S‐DAI score was 27.2 ± 12.5. Fifty percent of men had mild anxiety levels, while in 70% of women anxiety was moderate or high (P = 0.017). Anxiety correlated positively with intraoperative pain (R = 0.406). Multivariate logistic regression analysis revealed that anxiety was significantly associated with intraoperative pain felt by patients (OR = 4.0; 95% C.I. = 1.7–9.3; P = 0.001). Conclusions Anxious patients were more than twice as likely to feel moderate or intense intraoperative pain during root canal treatment. To know the patient´s degree of anxiety could help the dentist to decide whether to use anxiolytic premedication and/or supplemental local anaesthesia to assure better control of pain during root canal treatment.

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Predictive Model of Intraoperative Pain during Endodontic Treatment: Prospective Observational Clinical Study

Cited by 25 publications

References 28 publications

A survey of patients’ perceptions about, and their experiences of, root canal treatment

A survey of patients’ perceptions about, and their experiences of, root canal treatment

Predicting pre‐ and postoperative pain of endodontic origin in a southern Brazilian subpopulation: an electronic database study

Association between dental anxiety and intraoperative pain during root canal treatment: a cross‐sectional study

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