치주낭 측정시 probe 굵기에 따른 환자의 통증과 측정값의 비교분석
Comparison analysis of pain experienced by patients during periodontal examination using thinner versus thicker probes
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
During periodontal examination and periodontal recall visit, patients might feel pain. Probing with 0.45mm diameter probe, “overprobing” into connective tissue underlying periodontal pocket could be the primary aspect of pain. The purpose of present study, performed during recall visit, was to compare the levels of pain experienced by patients during periodontal probing using probes with the tip diameter of either 0.45mm or 0.63mm. Twenty patients were enrolled: 3 periodontists each exammined 20 patients at the Dankook university dental hospital. in each patient at six sites per tooth, diagonal maxillary/mandibular quadrants were probed with 0.45mm diameter and 0.63mm diameter probe. Lower pain responses following probing with the 0.63mm diameter probe as compared to the 0.45mm probe were observed for patients of therapist 2 and the upper VAS quartile Groups(P<0.05). For therapist 1 and 3 groups, no differences were found. Patient worry about the pain while dental treatment procedures. If therapist use 0.63mm diameter probe while periodontal examination and recall visit, the patient’s pain and discomfort could be reduced. Therefore, patient will cooperate more during the treatment, which leads to a better result. Dental therapists should make an effort to minimize the degree of discomfort during treatment. Dental therapist periodically should evaluate this part of their skill by asking patients and promote this skill.
Abstract
During periodontal examination and periodontal recall visit, patients might feel pain. Probing with 0.45mm diameter probe, “overprobing” into connective tissue underlying periodontal pocket could be the primary aspect of pain. The purpose of present study, performed during recall visit, was to compare the levels of pain experienced by patients during periodontal probing using probes with the tip diameter of either 0.45mm or 0.63mm. Twenty patients were enrolled: 3 periodontists each exammined 20 patients at the Dankook university dental hospital. in each patient at six sites per tooth, diagonal maxillary/mandibular quadrants were probed with 0.45mm diameter and 0.63mm diameter probe. Lower pain responses following probing with the 0.63mm diameter probe as compared to the 0.45mm probe were observed for patients of therapist 2 and the upper VAS quartile Groups(P<0.05). For therapist 1 and 3 groups, no differences were found. Patient worry about the pain while dental treatment procedures. If therapist use 0.63mm diameter probe while periodontal examination and recall visit, the patient’s pain and discomfort could be reduced. Therefore, patient will cooperate more during the treatment, which leads to a better result. Dental therapists should make an effort to minimize the degree of discomfort during treatment. Dental therapist periodically should evaluate this part of their skill by asking patients and promote this skill.
참고문헌 (21)
- "Measurement of attachment level in clinical trial", pp.1072~1077
- "Patterns of progression and regression of advanced destructive periodontal disease", pp.472~481
- "Comparison of different data analysis for detecting change in attachment level", pp.298~310
- "Clinical parameters as predictors of destructive periodontal disease activity", pp.257~265
- "Relationship between gingival inflammation and painfulness of periodontal probing", pp.213~215
- "Anxiety about dental hygienist treatment", pp.91~95
- "Pain and discomfort levels in patients during root surface debridment with sonic metal or plastic inserts", pp.645~650
- "Evaluating patient perception as short-term outcomes of periodontal treatment A comparison of surgical and non-surgical therapy", pp.990~997
- "The effect of electronic dental analgesia during sonic scaling", pp.728~730
- "What hurts during dental hygiene treatment", 72, pp.25~30 (1998)
- "Pain threshold values during periodontal probing: Assessment of maxillary incisor and molar sites", 69, pp.812~818 (1998)
- "Prediction and diagnosis of attachment loss by enhanced chemiluminescent assay of crevicular fluid alkaline phosphatase levels", 26, pp.190~198 (1999)
- "Pain experienced by patients during periodontal maintenance treatment", 73, pp.536~542 (2002)
- "Pain experienced by patients during periodontal maintenance", 74, pp.1293~1301 (2003)
- "Interinvestigator discrepancies and correlations between probing force and recorded depth", pp.38~42
- "Evaluation of periodontal probing forces", pp.488~492
- "Methods of evaluation", pp.13~56, Munksgaard 1994
- "Periodontal probing: probe tip diameter", 71, pp.96~103 (2000)
- "Probing force and the relationship of the probe tip to the periodontal tissues", pp.106~114
- "Microscopic evaluation of pocket depth measurements performed with six different probing forces in dogs", pp.107~116
- "Location of probe tip in bleeding and non-bleeding pockets with minimal gingival inflammation", pp.421~427