Department of Restorative Dental Sciences, College of Dentistry, Majmaah University, Al-Majmaah, Saudi Arabia.
Department of Endodontics, New York University College of Dentistry, New York, United States.
Eur Endod J. 2020 Dec;5(3):199-204. doi: 10.14744/eej.2020.17363.
The present study aimed to assess preoperative levels of patient anxiety and pain before root canal treatment, and to explore variables that may affect these levels.
Ninety-five patients presenting for an endodontic visit were recruited for the study. A questionnaire was administered. Visual analog scales were used to record levels of pain and anxiety. Data was tabulated, and analysis was performed using the Pearson Chi-Squire test with continuity correction, and the level of significance was set at 0.05 (P=0.05).
Anxiety was detected more frequently in females (60%) than in males (33%) (P=0.016). Sixty-two percent of patients who were waiting for a new treatment were anxious, compared to 39% of those who were returning to continue treatment (P=0.049). Sixty-nine percent of patients in pain reported being anxious (P=0.015). Patients aged 18-30 years reported more pain than those older than 30 years (P=0.023). Forty-three percent of new patients reported being in pain, whereas only 20% of patients returning for a treatment reported pain (P=0.027).
Anxiety associated with root canal treatment is prevalent, and it was reported primarily by young females who were presenting for a new treatment. Pain and anxiety are highly inter-related, and they are usually reduced after the first endodontic session.
本研究旨在评估根管治疗前患者的焦虑和疼痛水平，并探讨可能影响这些水平的变量。
本研究招募了 95 名接受牙髓治疗的患者。他们填写了一份问卷，使用视觉模拟量表记录疼痛和焦虑水平。对数据进行制表，并使用 Pearson Chi-Squire 检验（带连续性校正）进行分析，显著性水平设为 0.05（P=0.05）。
女性（60%）比男性（33%）更容易感到焦虑（P=0.016）。等待新治疗的患者中有 62%感到焦虑，而返回继续治疗的患者中有 39%感到焦虑（P=0.049）。69%有疼痛的患者感到焦虑（P=0.015）。18-30 岁的患者比 30 岁以上的患者报告更多的疼痛（P=0.023）。43%的新患者报告有疼痛，而返回治疗的患者中只有 20%报告有疼痛（P=0.027）。
根管治疗相关的焦虑很常见，主要由年轻女性报告，她们正在接受新的治疗。疼痛和焦虑高度相关，通常在第一次根管治疗后会减轻。
