3 years ago

Factors associated with pain and analgesic consumption following non-surgical periodontal therapy under local anesthesia and carried out by dental students

Caroline Schirmer, Júlia Franciele Rost, Gabriela Otero dos Santos, Maria Beatriz Cardoso Ferreira, Patrícia Weidlich
Aim Evaluate factors associated with pain and analgesic consumption following non-surgical periodontal therapy. Materials and methods The sample consisted of 218 patients with chronic periodontitis, submitted to non-surgical scaling and root planing under local anesthesia at a public dental service in southern Brazil. The data collection instruments included a demographic questionnaire, as well as State-Trait Anxiety Inventory, Corahʼs Dental Anxiety Scale, Visual Analogue Scale, Numerical Rating Scale and Verbal Rating Scale. The presence and intensity of pain were evaluated at 2, 6, 12, 24 and 48 hours after scaling and root planing. Results 52.3% of the patients reported mild intensity pain at some point during the 48 hours after scaling and root planing with local anesthesia. Smoking (PR=1.47; 95%CI=1.16-1.65), severe periodontal inflammation (PR=1.31; 95%CI=1.09-1.58) and dental anxiety (PR=1.24; 95%CI=1.03-1.49) were associated with postoperative pain after adjusting for age, gender, and state and trait anxiety scores. Moreover, 46.8% of the subjects used analgesics at some time during the 48-hour follow-up period and dental anxiety was the only factor associated with postoperative analgesic use. Conclusions Smoking, severe periodontal inflammation and dental anxiety were identified as factors associated with pain after non-surgical scaling and root planing with local anesthesia. Dental anxiety was also a factor associated with postoperative analgesic use. This article is protected by copyright. All rights reserved.

Publisher URL: http://onlinelibrary.wiley.com/resolve/doi

DOI: 10.1111/jcpe.12833

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