World Journal of Dentistry

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VOLUME 14 , ISSUE 6 ( June, 2023 ) > List of Articles

ORIGINAL RESEARCH

Comparative Evaluation of Preprocedural Anxiety and Pain Experience following Single and Two-visit Root Surface Debridement in Patients with Chronic Periodontitis

Priya Kesavan, Saranyan Ravi, Madhushriee Venkatesh, Vignesh Krishnaswamy

Keywords : Anxiety, Chronic periodontitis, Pain, Root surface debridement

Citation Information : Kesavan P, Ravi S, Venkatesh M, Krishnaswamy V. Comparative Evaluation of Preprocedural Anxiety and Pain Experience following Single and Two-visit Root Surface Debridement in Patients with Chronic Periodontitis. World J Dent 2023; 14 (6):515-519.

DOI: 10.5005/jp-journals-10015-2255

License: CC BY-NC 4.0

Published Online: 24-08-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: To compare the level of dental anxiety and pain perception following single and two-visit root surface debridement (RSD) in patients with chronic periodontitis. Materials and methods: A total of 30 patients with chronic periodontitis who required RSD were included in this study. Patients were divided into two groups. Group I—RSD with a single-visit (n = 15) and group II—RSD with two-visits (n = 15). Patients in group I received treatment in a single-visit, while those in group II received treatment over the course of two sessions separated by 1 week. A visual analog scale (VAS) was used to assess postoperative pain perception, and a questionnaire was used to assess preoperative anxiety. Results: Both the single- and two-visit groups had statistically significant differences in pain perception and anxiety levels (p < 0.05). Within group II, there was a statistically significant difference in pain perception and anxiety levels between the visits. The mean anxiety levels and pain scores were reduced on the second-visit when compared with the first-visit in group II. The mean anxiety scores reduced from 16 to 8.2 and the mean pain scores reduced from 2.5 to 0.8 between two-visits (p < 0.05). Conclusion: From the above results, the present study concluded that the two-visits of RSD tend to make the procedure more comfortable, which lowered the anxiety level and pain perception. Clinical significance: Patients with two-visits to RSD have reduced anxiety levels. Thus, in the management of highly anxious patients, two-visits to RSD can help in lowering the anxiety levels and pain perception.


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  1. Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Paediatr Dent 2007;17(6):391–406. DOI: 10.1111/j.1365-263X.2007.00872.x
  2. Van Steenberghe D, Garmyn P, Geers L, et al. Patients’ experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Periodontol 2004;75(11):1465–1470. DOI: 10.1902/jop.2004.75.11.1465
  3. Smart GJ, Wilson M, Davies EH, et al. The assessment of ultrasonic root surface debridement by determination of residual endotoxin level. J Clin Periodontol 1990;17(3):174–178. DOI: 10.1111/j.1600-051x.1990.tb01082.x
  4. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999;4(1):1–6. DOI: 10.1902/annals.1999.4.1.1
  5. Chung DT, Bogle G, Bernardini M, et al. Pain experienced by patients during periodontal maintenance. J Periodontol 2003;74(9):1293–1301. DOI: 10.1902/jop.2003.74.9.1293
  6. Guzeldemir E, Toygar HU, Cilasun U. Pain perception and anxiety during scaling in periodontally healthy subjects. J Periodontol 2008;79(12):2247–2255. DOI: 10.1902/jop.2008.080152
  7. Saini R, Saini S, Sharma S. Biofilm: a dental microbial infection. J Nat Sci Biol Med 2011;2(1):71–75. DOI: 10.4103/0976-9668.82317
  8. Santuchi CC, Cortelli SC, Cortelli JR, et al. Pre- and post-treatment experiences of fear, anxiety, and pain among chronic periodontitis patients treated by scaling and root planing per quadrant versus one-stage full-mouth disinfection: a 6-month randomized controlled clinical trial. J Clin Periodontol 2015;42(11):1024–1031. DOI: 10.1111/jcpe.12472
  9. Sanikop S, Agrawal P, Patil S. Relationship between dental anxiety and pain perception during scaling. J Oral Sci 2011;53(3):341–348. DOI: 10.2334/josnusd.53.341
  10. Odai ED, Ehizele AO, Enabulele JE. Assessment of pain among a group of Nigerian dental patients. BMC Res Notes 2015;8:251. DOI: 10.1186/s13104-015-1226-5
  11. Poppe K, Blue C. Subjective pain perception during calculus detection with use of a periodontal endoscope. J Dent Hyg 2014;88(2):114–123.
  12. Ngamkham S, Vincent C, Finnegan L, et al. The McGill Pain Questionnaire as a multidimensional measure in people with cancer: an integrative review. Pain Manag Nurs 2012;13(1):27–51. DOI: 10.1016/j.pmn.2010.12.003
  13. Canakçi CF, Canakçi V. Pain experienced by patients undergoing different periodontal therapies. J Am Dent Assoc 2007;138(12): 1563–1573. DOI: 10.14219/jada.archive.2007.0105
  14. Grant DA, Lie T, Clark SM, et al. Pain and discomfort levels in patients during root surface debridement with sonic metal or plastic inserts. J Periodontol 1993;64(7):645–650. DOI: 10.1902/jop.1993.64.7.645
  15. Matthews DC, McCulloch CA. Evaluating patient perceptions as short-term outcomes of periodontal treatment: a comparison of surgical and non-surgical therapy. J Periodontol 1993;64(10):990–997. DOI: 10.1902/jop.1993.64.10.990
  16. Karadottir H, Lenoir L, Barbierato B, et al. Pain experienced by patients during periodontal maintenance treatment. J Periodontol 2002;73(5):536–542. DOI: 10.1902/jop.2002.73.5.536
  17. Heaton LJ, Garcia LJ, Gledhill LW, et al. Development and validation of the Spanish Interval Scale of Anxiety Response (ISAR). Anesth Prog 2007;54(3):100–108. DOI: 10.2344/0003-3006(2007)54[100:DAVOTS]2.0.CO;2
  18. Lin CS, Lee SY. Dental anxiety and expectation of pain: cognitive modulation of the pain experience of dental patients. J Dent Sci 2007;2(3):129–135.
  19. Naik VK, Balasundaram A, Appukuttan D, et al. Preprocedural anxiety and pain perception following root surface debridement in chronic periodontitis patients. J Nat Sc Biol Med 2018;9(1):82–89. DOI: 10.4103/jnsbm.JNSBM_70_17
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