Mac Giolla Phadraig Caoimhin, Lawler Alva, MacHesney Georgia, Fleischmann Isabel, McElroy Lisa, Dimitrijevic Ivana, Smith Jill, Canavan Dermot, Dougall Alison
Department of Child and Public Dental Health, Dublin Dental University Hospital and School of Dental Science, Trinity College Dublin, Dublin, Ireland.
Dublin Dental University Hospital and School of Dental Science, Trinity College Dublin, Dublin, Ireland.
Spec Care Dentist. 2025 Jan-Feb;45(1):e13089. doi: 10.1111/scd.13089. Epub 2024 Nov 14.
This study aims to identify and appraise orofacial pain assessment tools designed to score pain in adults who cannot self-report and rate their suitability for dental practice.
A protocolled systematic scoping review, in accordance with Joanna Briggs Institute methods was completed. A development panel (n = 7) reviewed attributes of each tool for suitability for use in dental practice, using predefined criteria.
Nine studies were included. Sample size ranged from n = 22 to n = 348; all participants were 65 years plus and had a cognitive impairment or dementia, excluding controls. Four tools were identified: Facial action coding system (FACS), mobilization-observation-behavior-intensity in dementia pain scale (MOBID I & II) and, orofacial pain scale-non-verbal individuals (OPS-NVI). Tools scored between two and thirteen out of twenty according to modified quality assessment criteria. No tool was deemed suitable for use in dental surgery, with the OPS-NVI scoring most favorably.
No tools were deemed ideal for use within a dental clinic. Elements of some, particularly the OPS-NVI, may be adaptable for this purpose. Despite the difficulties dental practitioners face trying to assess pain in non-speaking patients, there was no suitable tool identified. Pathways need to be designed to facilitate inclusive orofacial pain assessment for those who cannot self-report pain.
本研究旨在识别和评估用于对无法自我报告疼痛的成年人的疼痛进行评分的口腔面部疼痛评估工具，并评估其在牙科实践中的适用性。
按照乔安娜·布里格斯研究所的方法完成了一项有方案的系统范围综述。一个开发小组（n = 7）使用预先定义的标准，审查了每种工具在牙科实践中的适用性属性。
纳入了九项研究。样本量从n = 22到n = 348不等；所有参与者均为65岁及以上，有认知障碍或痴呆症，不包括对照组。识别出四种工具：面部动作编码系统（FACS）、痴呆症疼痛量表中的动员-观察-行为-强度（MOBID I和II）以及口腔面部疼痛量表-非言语个体（OPS-NVI）。根据修改后的质量评估标准，工具得分在2到13分（满分20分）之间。没有工具被认为适用于牙科手术，其中OPS-NVI得分最理想。
没有工具被认为在牙科诊所中使用是理想的。一些工具的要素，特别是OPS-NVI，可能适用于此目的。尽管牙科从业者在试图评估不说话患者的疼痛时面临困难，但没有识别出合适的工具。需要设计途径，以便为那些无法自我报告疼痛的人提供包容性的口腔面部疼痛评估。
