We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Predicting pre- and postoperative pain of endodontic origin in a southern Brazilian subpopulation: an electronic database study.
- Authors
Gomes, M. S.; Böttcher, D. E.; Scarparo, R. K.; Morgental, R. D.; Waltrick, S. B. G.; Ghisi, A. C.; Rahde, N. M.; Borba, M. G.; Blomberg, L. C.; Figueiredo, J. A. P.
- Abstract
Aim To determine the prevalence of preoperative endodontic pain ( PREP) and the incidence of postoperative endodontic pain ( POEP), identifying the predictors of PREP and POEP in a southern Brazilian subpopulation, using clinical data from an electronic chart database ( ECD). Methodology This retrospective observational study included 563 consecutive individuals presenting for root canal treatment ( RCT). Patients were treated by undergraduate and graduate students, following standard RCT protocols. Demographic, medical and dental variables were extracted from a pre-structured and standardized ECD. The main outcomes PREP and incident POEP were collected through a 0-10 numeric rating scale, dichotomized as none/mild (<4) or moderate/severe (≥4) pain. Predictive models calculating the prevalence ratios ( PR) of PREP and the relative risks ( RR) of incident POEP were carried out with Poisson regression analysis, estimating the relationship between clinical factors, PREP and incident POEP. Results Mean age at baseline was 49.2 ± 17.1 years, with 68.4% women. The prevalence and incidence of moderate/severe PREP and POEP were 44.4% and 3.8%, respectively. RCT intervention significantly reduced PREP ( P < 0.001). Multivariate analysis revealed that group of teeth, location (mandibular teeth), pulpitis, necrotic pulp, preoperative swelling and periapical radiolucency were independently associated with moderate/severe PREP, whilst age ≥60 years and root canal retreatments were independent protective factors to PREP ( P < 0.05). No demographic, medical or dental variables were associated with POEP, although molar teeth ( RR = 4.23, 95% CI = 0.93-19.2, P = 0.056) had a borderline nonsignificant association. Conclusions Moderate/severe PREP was independently associated with age, group of teeth, location, preoperative swelling, retreatments and pulp and periapical status. No demographic, medical or dental variable predicted moderate/severe POEP following RCT amongst this subpopulation.
- Subjects
POSTOPERATIVE pain; ENDODONTICS; MEDICAL forecasting; BRAZILIANS; ROOT canal treatment; DENTAL pulp diseases; ONLINE databases; CHARTS, diagrams, etc.; HEALTH
- Publication
International Endodontic Journal, 2017, Vol 50, Issue 8, p729
- ISSN
0143-2885
- Publication type
Article
- DOI
10.1111/iej.12684