The frequency and characteristics of pain and discomfort associated with root filled teeth: a practice‐based study

Sjögren, Jakob Jonsson; Kvist, Thomas; Eliasson, Alf; EndoReCo,; Pigg, Maria

doi:10.1111/iej.13124

Cited by 18 publications

(26 citation statements)

References 30 publications

(73 reference statements)

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“…In a systematic review by Nixdorf et al (2010), the frequency of persistent pain after endodontic procedures was estimated to be 5.3%. In a cross‐sectional study, patients undergoing a routine check‐up at 23 Swedish public dental clinics reported pain or discomfort in 4.9% of root filled teeth (Jonsson Sjögren et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Patient record assessment of results and related resources spent during 1 year after initiation of root canal treatment in a Swedish public dental organization

Wigsten

Kvist

2022

Int Endodontic J

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Aim: To document treatment outcomes and related resources, in patients undergoing root canal treatment (RCT) in county public dental clinics, by monitoring patient records for 12 months from treatment start. Methodology:The subjects comprised 243 patients starting RCT at 20 public dental clinics in Västra Götaland county, Sweden. Their computerized dental records were monitored prospectively for a year after starting their endodontic treatment.Treatment was completed with either a root filling or extraction. The following treatment-specific variables were registered: number of appointments and days until treatment was completed, possible complications and prescriptions for antibiotics, and for the root filled teeth: type of coronal restoration and further procedures undertaken within the year. The treatment outcomes were compared with the preoperative variables and in a logistic regression analysis.Results: Complete data were available for 240 patients (98.8%): 128 women and 112 men, with a mean age of 48.5 years (SD = 16.3). Molar teeth predominated (n = 113, 47.1%). Most cases were completed with a root filling (n = 169, 70.4%).The remainder were extracted (n = 32, 13.3%) or were still uncompleted (n = 39, 16.3%). On average, a root filling was completed in 2.4 (SD = 0.9) appointments, or extraction at the third appointment (SD = 1.6). The molars were less often completed and often predominant among the extracted teeth. The indication for extraction was often for endodontic or RCT-related reasons. Most complications were registered in the molars and antibiotics were prescribed in 20 cases. Most root filled teeth were restored with a direct restoration. Four root filled teeth (2.4%) were extracted within the time period.Conclusions: Patient records, followed from the start of treatment, show that 12 months on, the root filling had not been completed in just under 30% of the teeth.Of these, about half were extracted. Of particular concern is the outcome for endodontic treatment of molar teeth. In the general practice setting, molar endodontics

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Section: Introductionmentioning

confidence: 99%

Patient record assessment of results and related resources spent during 1 year after initiation of root canal treatment in a Swedish public dental organization

Wigsten

Kvist

2022

Int Endodontic J

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“…Few studies have evaluated the frequency of persistent pain from root‐filled teeth treated in general dental practice. Jonsson Sjögren et al (2019) reported similar results: pain or discomfort was registered in 4.9% of the root‐filled teeth ( n = 62). The overall pain intensity was also rated as mild (Numeric Rating Scale, NRS = 2.1).…”

Section: Discussionmentioning

confidence: 67%

Patient satisfaction with root canal treatment and outcomes in the Swedish public dental health service: A prospective cohort study

et al. 2021

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Aim To document satisfaction with root canal treatment procedures and outcomes among patients treated at Swedish public dental clinics. Method The original material comprised 243 patients who began root canal treatment (RCT) at 20 public dental clinics in the county of Västra Götaland, Sweden. One to three years later, 236 (97.1%) were posted a questionnaire of eight items, rating patient perceptions of RCT completion, present pain intensity and satisfaction with the RCT. To evaluate the reliability of the original responses, the first 50 respondents were mailed a follow‐up questionnaire. Both descriptive and analytical statistics were used to compare respondents and nonrespondents and tooth groups. Results One hundred and fifty‐nine patients (67.4%) responded: 86 (54.1%) women and 73 (45.9%) men. The mean age 52.5 years, was higher than for nonrespondents (p < .001). A completed root filling was registered for the majority of the teeth (n = 112, 70.9%), but significantly fewer molars had been completed (n = 46, 59.7%, p = .02). Fifty per cent (n = 59) of the patients reported current pain, mostly mild in intensity (n = 45, 38.1%). One hundred and twenty‐three patients (80.9%) recalled experiencing pain during RCT. The highest satisfaction was registered for the item ‘chewing ability’ (mean = 1.6, SD = 1.9). The majority of patients (n = 114, 75.0%) stated that in retrospect they would still have chosen RCT. However, these patients belonged to the group which either registered the tooth as still present or had not experienced much discomfort during or after RCT. Forty‐four patients (88.0%) responded to the second questionnaire. The reliability of the responses was good. In summary, one to 3 years after beginning RCT at a public dental clinic, patient satisfaction was high, even though every fourth molar had been extracted or treatment had not been completed and half the patients reported persistent pain. The reliability of the patients’ responses was considered to be good. Conclusions The results indicate a need for further clinical observational studies of RCTs undertaken in general dental practice, with special reference to patient‐centred outcomes.

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“…The diagnosis of percussion pain depends on patients’ subjective feelings when knocking the affected teeth 22 . According to the comparison of the reaction between the affected teeth and the normal teeth, percussion pain can be divided into five grades: percussion pain (–) means the reaction of knocking with proper force is the same as that of normal teeth; percussion pain (±) means discomfort or strange feeling is caused by percussion with appropriate strength; percussion pain (+) represents light pain is caused by heavy knocking; percussion pain (+++) means severe pain is caused by tapping; percussion pain (++) is between (+) and (+++).…”

Section: Methodsmentioning

confidence: 99%

Predicting postoperative pain following root canal treatment by using artificial neural network evaluation

Gao

Xing

et al. 2021

Sci Rep

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This study aimed to evaluate the accuracy of back propagation (BP) artificial neural network model for predicting postoperative pain following root canal treatment (RCT). The BP neural network model was developed using MATLAB 7.0 neural network toolbox, and the functional projective relationship was established between the 13 parameters (including the personal, inflammatory reaction, operative procedure factors) and postoperative pain of the patient after RCT. This neural network model was trained and tested based on data from 300 patients who underwent RCT. Among these cases, 210, 45 and 45 were allocated as the training, data validation and test samples, respectively, to assess the accuracy of prediction. In this present study, the accuracy of this BP neural network model was 95.60% for the prediction of postoperative pain following RCT. To conclude, the BP network model could be used to predict postoperative pain following RCT and showed clinical feasibility and application value.

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The frequency and characteristics of pain and discomfort associated with root filled teeth: a practice‐based study

Cited by 18 publications

References 30 publications

Patient record assessment of results and related resources spent during 1 year after initiation of root canal treatment in a Swedish public dental organization

Patient record assessment of results and related resources spent during 1 year after initiation of root canal treatment in a Swedish public dental organization

Patient satisfaction with root canal treatment and outcomes in the Swedish public dental health service: A prospective cohort study

Predicting postoperative pain following root canal treatment by using artificial neural network evaluation

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