The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 12 , ISSUE 4 ( July-August, 2011 ) > List of Articles

RESEARCH ARTICLE

Pain during Root Canal Treatment: An Investigation of Patient Modifying Factors

Hamid Jafarzadeh, Christopher I Udoye

Citation Information : Jafarzadeh H, Udoye CI. Pain during Root Canal Treatment: An Investigation of Patient Modifying Factors. J Contemp Dent Pract 2011; 12 (4):301-304.

DOI: 10.5005/jp-journals-10024-1050

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The study highlighted the effect of patient-related factors on levels of pain felt by subjects during root canal treatment, as well as the association between treatment duration and pain severity.

Materials and methods

Maxillary central incisors with either necrotic pulp or irreversibly inflamed pulp, with or without preoperative pain were studied in 160 subjects aged 18 years and above. Subject's age and gender as well as pulp status and preoperative pain status were recorded. The procedure was done using a standard protocol. Visual analog scale was used to record the level of pain felt.

Results

Those cases with irreversible pulpitis felt higher pain. None with necrotic pulp experienced intense pain, while those in the 51 to 60 year age bands had severe, unbearable or intense pain. Mild pain was a common denominator in all age bands. Pain level increased with treatment duration.

Conclusion

Except for age, the level of pain felt by subjects during RCT is significantly correlated with gender and pulp status. Furthermore, the experienced pain levels increased with treatment duration.

Clinical significance

Clinicians should be prepared to make use of supplemental local anesthesia in women and in teeth with IP. All treatment must be accomplished within reasonable time period.

How to cite this article

Udoye CI, Jafarzadeh H. Pain during Root Canal Treatment: An Investigation of Patient Modifying Factors. J Contemp Dent Pract 2011;12(4):301-304.


PDF Share
  1. Anticipated and experienced pain associated with endodontic therapy. J Am Dent Assoc 2002;133:45-54.
  2. The dependence of the results of pulp therapy on certain factors: An analytic study based on radiographic and clinical follow-up examinations. Acta Odontol Scand 1956;14: 1-175.
  3. Prognosis of initial endodontic therapy. Endod Topics 2002;2:59-88.
  4. The prevalence of postoperative pain and flare-up in single and multiple-visit endodontic treatment: A systematic review. Int Endod J 2008;41: 91-99.
  5. Psychological and neural mechanisms of the affective dimension of pain. Science 2000;288:1769-72.
  6. The descriptor differential scale: Applying psychophysical principles to clinical pain assessment. Pain 1988;35:279-88.
  7. Pain in endodontics: Causes, prevention and management. Endodontol 2001;13:63-66.
  8. Public knowledge and opinion about endodontics. A public opinion survey commissioned by the American Association of Endodontists, Chicago 1984.
  9. Incidence of pain associated with clinical factors during and after root canal therapy (Part 1). Interappointment pain. J Endod 1983;9:384-87.
  10. Local anesthetics: Special considerations in endodontics. J Tenn Dent Assoc 2003;83:14-18.
  11. Supplementary routes to local anaesthesia. Int Endod J 2002;35:885-96.
  12. Pain associated with root canal treatment. Int Endod J 2009;42:614-20.
  13. Lifespan developmental approaches to pain. In: Gatchel RJ, Turk DC (Eds). Psychosocial factors in pain. New York: Guilford Press.
  14. Does gender affect appraisal of pain and pain coping strategies? Clin J Pain 1999;15:31-40.
  15. Gender and age differences in attitudes to dental pain and dental control. Community Dent Oral Epidemiol 1997;25:314-18.
  16. Measurement of mechanical allodynia and local anesthetic efficacy in patients with irreversible pulpitis and acute periradicular periodontitis. J Endod 2007;33:796-99.
  17. Effect of biological sex differences on the perception of acute pain stimulation in the dental setting. Pain Res Manage 1996;1:201-06.
  18. Sensory-affective relationships among different types of clinical and experimental pain. Pain 1987;28:297-307.
  19. Post-endodontic obturation pain: A comparative evaluation. Quintessence Int 1988;19:431-38.
  20. Gender variations in clinical pain experience. Pain 1996;65:123-67.
  21. Pain in older persons. Disabil Rehabil 1994;16:127-39.
  22. The changing nature of pain complaints over the life span. New York: Plenum 1999.
  23. Sex differences on temporal summation but not sensory-discriminative processing of thermal pain. Pain 1998;75:121-27.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.