Fardal Oystein, Johannessen Anne C, Linden Gerard J
Faculty of Dentistry, University of Bergen, Norway.
J Periodontol. 2002 Sep;73(9):1060-6. doi: 10.1902/jop.2002.73.9.1060.
The perceptions that patients have of periodontal therapy have not been extensively studied and are not well understood. The purpose of this study was to assess the degree of discomfort associated with periodontal therapy carried out in a specialist practice.
A consecutive group of 150 patients (90 females, 60 males; mean age 54.5 years) who had completed periodontal therapy, which included surgery, in a periodontal practice in Norway was studied. The patients indicated the discomfort they had experienced with periodontal therapy on a visual analog scale (VAS). Other factors associated with postoperative discomfort such as the use of analgesics were recorded.
The mean VAS scores were low for all procedures investigated. The highest mean score was recorded for anesthesia in the upper anterior region. There were small differences between the levels of discomfort reported by males compared to females. The VAS scores decreased with increasing age for anesthesia in the lower arch (P = 0.004) and surgery in the lower arch (P = 0.003). Virtually all (97%) of the patients perceived periodontal treatment to be associated with no more discomfort than conventional dental treatment.
Very low reported levels of discomfort were associated with both non-surgical and surgical periodontal therapy by Norwegian patients treated in a specialist periodontal practice.
患者对牙周治疗的认知尚未得到广泛研究，也未被充分理解。本研究的目的是评估在专科诊所进行的牙周治疗所带来的不适程度。
对挪威一家牙周诊所连续150例完成包括手术在内的牙周治疗的患者（90名女性，60名男性；平均年龄54.5岁）进行研究。患者通过视觉模拟量表（VAS）指出他们在牙周治疗过程中所经历的不适。记录与术后不适相关的其他因素，如镇痛药的使用情况。
所有调查的治疗程序的VAS平均得分都较低。上颌前部区域麻醉的平均得分最高。男性和女性报告的不适程度差异较小。在下颌弓进行麻醉（P = 0.004）和手术（P = 0.003）时，VAS得分随年龄增长而降低。几乎所有（97%）的患者认为牙周治疗带来的不适不超过传统牙科治疗。
在挪威专科牙周诊所接受治疗的患者中，非手术和手术牙周治疗所报告的不适程度都非常低。
