Comparison of Anxiety and Perception Levels of Patients Undergoing Initial Periodontal Treatment Using Different Instruments
Abstract
Objectives
The aim of this study is to compare perception and anxiety levels of patients who are received different anesthesia and instruments prior to periodontal treatment.
Material and Methods
The study performed in the Periodontology Department of Pamukkale University’s Faculty of Dentistry (October 2017 - February 2018) and was designed as a case control study. 60 periodontitis patients were divided into 6 groups: 1-Local piezo, 2-Topical piezo, 3- Piezo, 4-Local hand instrument, 5-Topical hand instrument, 6- Hand instrument. Topical groups were received xylocain spray, local groups were received jetocain ampoule. Patients were asked to fill dental anxiety scale (DAS) scale before the treatment and 10th day. The visual analogue scale (VAS) was filled out on the day of treatment, on the second day and on the 10th day following treatment. Clinical measurements were taken on the treatment day and on the 30th day.
Results
There was a significant decrease in clinical measurements in all groups. Local anesthesia groups revealed lower VAS pain values (p<00.5) compared to other groups on the day of the procedure. Topical anesthesia groups revealed lower VAS pain values as compared to the piezo and hand instrument groups, respectively (p>00.5). The ultrasonic groups exhibited lower DAS scores than the hand instrument groups (p>00.5).
Conclusion
Local anesthesia provided better patients cooperation and VAS pain scores, but did not yield good speech and chewing scores. Topical anesthesia and piezo may be more useful to patients with dental anxiety.
Keywords
References
- 1. Burt B. Position paper: epidemiology of periodontal diseases. J Periodontol 2005;76:1406-1419.2. Chung DT, Bogle G, Bernardini M, Stephens D, Riggs ML, Egelberg JH. Pain experienced by patients during periodontal maintenance. J Periodontol 2003;74:1293-1301.3. Sherman PR, Hutchens LH, Jr., Jewson LG. The effectiveness of subgingival scaling and root planing. II. Clinical responses related to residual calculus. J Periodontol 1990;61:9-15.4. Sherman PR, Hutchens LH, Jr., Jewson LG, Moriarty JM, Greco GW, McFall WT, Jr. The effectiveness of subgingival scaling and root planning. I. Clinical detection of residual calculus. J Periodontol 1990;61:3-8.5. Ritz L, Hefti AF, Rateitschak KH. An in vitro investigation on the loss of root substance in scaling with various instruments. J Clin Periodontol 1991;18:643-647.6. Chabanski MB, Gillam DG, Bulman JS, Newman HN. Prevalence of cervical dentine sensitivity in a population of patients referred to a specialist Periodontology Department. J Clin Periodontol 1996;23:989-992.7. Tunkel J, Heinecke A, Flemmig TF. A systematic review of efficacy of machine-driven and manual subgingival debridement in the treatment of chronic periodontitis. J Clin Periodontol 2002;29 Suppl 3:72-81; discussion 90-71.8. Christgau M, Manner T, Beuer S, Hiller KA, Schmalz G. Periodontal healing after non-surgical therapy with a modified sonic scaler: a controlled clinical trial. J Clin Periodontol 2006;33:749-758.9. Nicoll BK, Peters RJ. Heat generation during ultrasonic instrumentation of dentin as affected by different irrigation methods. J Periodontol 1998;69:884-888.10. Trenter SC, Walmsley AD. Ultrasonic dental scaler: associated hazards. J Clin Periodontol 2003;30:95-101.11. Hoffman A, Marshall RI, Bartold PM. Use of the Vector scaling unit in supportive periodontal therapy: a subjective patient evaluation. J Clin Periodontol 2005;32:1089-1093.12. Definitions" IAftSoPP. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage Derived from The need of a taxonomy. Pain 1979;6:10.1016/0304-3959(1079)90046-90040.13. Corah NL. Development of a dental anxiety scale. J Dent Res 1969;48:596.14. Corah NL, Gale EN, Illig SJ. Assessment of a dental anxiety scale. J Am Dent Assoc 1978;97:816-819.15. Boyce RA, Kirpalani T, Mohan N. Updates of Topical and Local Anesthesia Agents. Dent Clin North Am 2016;60:445-471.16. Kirova DG, Atanasov DT, Lalabonova CK, Janevska S. Dental anxiety in adults in Bulgaria. Folia Med (Plovdiv) 2010;52:49-56.17. Loe H, Silness J. Periodontal Disease in Pregnancy. I. Prevalence and Severity. Acta Odontol Scand 1963;21:533-551.18. Akpinar A, Toker H, Lektemur Alpan A, Calisir M. Postoperative Discomfort After Nd: YAG laser and conventional frenectomy: comparison of both genders. Aust Dent J 2015.19. Canakci V, Canakci CF. Pain levels in patients during periodontal probing and mechanical non-surgical therapy. Clin Oral Investig 2007;11:377-383.20. Rollke L, Schacher B, Wohlfeil M, et al. Regenerative therapy of infrabony defects with or without systemic doxycycline. A randomized placebo-controlled trial. J Clin Periodontol 2012;39:448-456.21. Muller N, Moene R, Cancela JA, Mombelli A. Subgingival air-polishing with erythritol during periodontal maintenance: randomized clinical trial of twelve months. J Clin Periodontol 2014;41:883-889.22. Akpinar A, Toker H, Lektemur Alpan A, Calisir M. Postoperative Discomfort After Nd: YAG laser and conventional frenectomy: comparison of both genders. Aust Dent J 2015.23. Guzeldemir E, Toygar HU, Cilasun U. Pain perception and anxiety during scaling in periodontally healthy subjects. J Periodontol 2008;79:2247-2255.24. Karadottir H, Lenoir L, Barbierato B, et al. Pain experienced by patients during periodontal maintenance treatment. J Periodontol 2002;73:536-542.25. Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: a review. Aust Dent J 2013;58:390-407; quiz 531.26. Magnusson I, Jeffcoat MK, Donaldson D, Otterbom IL, Henriksson J. Quantification and analysis of pain in nonsurgical scaling and/or root planing. J Am Dent Assoc 2004;135:1747-1754.27. Wambier LM, de Geus JL, Boing TF, et al. Intrapocket topical anesthetic versus injected anesthetic for pain control during scaling and root planing in adult patients: Systematic review and meta-analysis. J Am Dent Assoc 2017;148:814-824 e812.28. Schuurs AH, Duivenvoorden HJ, Thoden van Velzen SK, Verhage F, Makkes PC, Eijman MA. Dimensionality of dental anxiety measurements. Community Dent Oral Epidemiol 1985;13:152-155.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Authors
Aysan Lektemür Alpan
*
Türkiye
Publication Date
December 30, 2018
Submission Date
May 21, 2018
Acceptance Date
November 27, 2018
Published in Issue
Year 2018 Volume: 21 Number: 4