Farklı Anestezi ve Enstrümanlarla Gerçekleştirilen Başlangıç Periodontal Tedavinin Hastaların Anksiyete ve Algı Düzeylerine Etkilerinin Karşılaştırılması
Öz
Amaç
Bu
çalışmanın amacı, farklı anestezi teknikleri ve enstrümanlarla yapılan periodontal
tedavi uygulanan hastaların algı ve anksiyete düzeylerini karşılaştırmaktır.
Araç ve Yöntemler
Çalışma
Pamukkale Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Bölümü'nde (Ekim
2017 - Şubat 2018) gerçekleştirilmiş ve bir vaka kontrol çalışması olarak
tasarlanmıştır. 60 kronik periodontitis hastası 6 gruba ayrıldı: 1-Lokal piezo,
2-Topikal piezo, 3- Piezo, 4-Lokal el aleti, 5-Topikal el aleti, 6- El aleti.
Topikal gruplara xylocain sprey, lokal
gruplara ise jetokain ampul uygulandı.
Hastalardan, tedavi öncesi ve tedavi sonrası 10. günde dental anksiyete skalasını
(DAS) doldurmaları istendi. Görsel analog skala (VAS) tedavi günü, ikinci günü ve
tedaviden sonraki 10. günde hastalar tarafından dolduruldu. Klinik ölçümler
tedavi öncesi ve tedavi sonrası 30. günde alındı.
Sonuçlar
Tüm
gruplarda klinik ölçümlerde anlamlı bir iyileşme gözlendi. Lokal anestezi
gruplarında, işlem gününde diğer gruplara göre daha düşük VAS ağrı değerleri (p
<00.5) ölçüldü. Topikal anestezi gruplarında ise piezo ve el aleti gruplarına
göre daha düşük VAS ağrı değerleri saptandı (p> 00.5). Ultrasonik gruplar,
el aleti gruplarından daha düşük DAS skorları sergiledi (p> 00.5).
Sonuç
Lokal
anestezi daha iyi hasta kooperasyonu ve daha az VAS ağrı skorları sağladı, ancak konuşma ve çiğneme
skorlarını yükseltti. Topikal anestezi ve piezo ile gerçekleştirilen tedavi,
dental anksiyete hastaları için daha yararlı olabilir.
Anahtar Kelimeler
Kaynakça
- 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.
Comparison of Anxiety and Perception Levels of Patients Undergoing Initial Periodontal Treatment Using Different Instruments
Öz
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.
Anahtar Kelimeler
Kaynakça
- 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.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Original Research Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Aralık 2018 |
| Gönderilme Tarihi | 21 Mayıs 2018 |
| Yayımlandığı Sayı | Yıl 2018Cilt: 21 Sayı: 4 |
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