Department of Preventive Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Alkharj 11942, Saudi Arabia.
Medicina (Kaunas). 2023 Jun 26;59(7):1203. doi: 10.3390/medicina59071203.
: 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. 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. 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 ( < 0.05) with time. Analgesic consumption and anxiety level are significantly associated with pain perception after SRP treatment.
: 牙周炎和牙龈炎最常见的治疗方法是刮治和根面平整，被认为是一种痛苦的牙科治疗。本研究旨在评估 II 期和 III 期牙周炎患者刮治和根面平整（SRP）后的疼痛感知和镇痛药消耗。在开始 SRP 之前，测量所有牙周参数，如探诊深度（PD）、探诊出血（BOP）和临床附着水平（CAL）。还使用改良牙科焦虑量表（MDAS）问卷评估患者的焦虑水平。SRP 后使用视觉模拟量表（VAS）记录患者的疼痛感知。患者在牙周治疗后两小时、四小时、八小时、24 小时和 48 小时后被要求在 VAS 表上标记他们的疼痛水平。VAS 中使用以下疼痛强度截止点：0 = 无疼痛，1-4 = 轻度疼痛，4-6 = 中度疼痛，7-10 = 重度疼痛。如果疼痛无法忍受，建议患者服用镇痛药。进行多变量逻辑回归以进行所有因变量与患者疼痛感知的关联。进行非参数 Friedman 检验以评估不同时间的疼痛感知。共有 52 名患者参与了本研究，包括 32 名男性和 20 名女性，平均年龄为 43.10 ± 12.33 岁。多变量分析表明，MDAS 和镇痛药消耗与疼痛感知显著相关。其他临床变量与疼痛感知无关。Friedman 检验表明疼痛感知与时间显著相关（<0.05）。SRP 治疗后镇痛药消耗和焦虑水平与疼痛感知显著相关。
