Pain levels in patients during periodontal probing and mechanical non-surgical therapy
Pain levels in patients during periodontal probing and mechanical non-surgical therapy
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DOI：
10.1007/s00784-007-0126-z
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发表时间：
2007-12-01
影响因子：
3.4
通讯作者：
Canakci, Cenk Fatih
中科院分区：
文献类型：
--
作者：
Canakci, Varol;Canakci, Cenk Fatih
本研究的目的是根据年龄、性别和受试者间的差异（如牙齿类型、牙齿表面或口腔区域、探查深度和探查出血）评估牙周探查和机械非手术治疗期间的疼痛程度。对64例慢性牙周炎患者进行了研究。使用视觉模拟量表（VAS）测量患者在牙周探诊、洁治和根面平整（SRP）过程中的疼痛/不适。在牙周探诊和SRP期间，两种手术的VAS评分均随年龄的增加而降低（斯皮尔曼rho，分别为-0.301和-0.348; P < 0.01）。口腔部位的VAS评分显著低于面部部位。深度>= 4 mm的部位的探查VAS评分显著高于深度< 4 mm的部位。探诊出血部位的VAS评分显著高于探诊无出血部位（p < 0.05）。结果表明，虽然没有性别之间的差异，牙周探诊和SRP的疼痛强度显着不同的患者之间，以及在同一口的不同位置之间的变化。如果在初始检查期间在同一口腔的不同几个区域中探测的疼痛反应被记录到用于初始检查的患者图表中，则治疗师将识别具有升高的疼痛反应的患者。如果需要的话，他们将在探测和SRP期间为患者应用一些疼痛控制药物或麻醉剂。
The purpose of this study was to assess the degree of pain during periodontal probing and mechanical non-surgical therapy according to age, gender, and intersubject variation such as tooth type, tooth surfaces or regions of mouth, probing depth, and bleeding on probing. The study was carried out on 64 patients with chronic periodontitis. Pain/discomfort of patients during both periodontal probing and scaling and root planing (SRP) was measured using a visual analog scale (VAS). During periodontal probing and SRP, VAS scores decreased with increasing age for two procedures (Spearman rho, -0.301 and -0.348, respectively; P < 0.01). VAS scores were considerably lower for oral sites than for facial sites. VAS scores in probing were significantly higher in sites >= 4 mm deep than sites < 4 mm deep. Sites bleeding on probing had a significantly higher VAS scores than sites no bleeding on probing (p < 0.05). The results showed that although there is no difference between genders, the intensity of pain during periodontal probing and SRP was different dramatically between patients as well as vary between different locations in the same mouth. If pain responses for probing in different several regions in the same mouth during initial examination were noted into patient chart used for initial examination, the therapist will recognize patients with elevated pain responses. If need be, they will then apply some pain control medication or anesthetic for patients during probing and SRP.