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Characteristics and impact of pain from root-filled teeth: A practice-based cross-sectional study comparing painful teeth with and without signs of inflammatory dental disease
Malmö University, Faculty of Odontology (OD). Dental Research Department, Public Dental Health Service, 701 16 Örebro, Sweden.
Department of Endodontology, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden.
Malmö University, Faculty of Odontology (OD).ORCID iD: 0000-0002-9638-4648
Dental Research Department, Public Dental Health Service, 701 16 Örebro, Sweden; School of Health and Medical Sciences, Örebro University, 701 82 Örebro, Sweden.
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2024 (English)In: The Journal of Oral & Facial Pain and Headache, ISSN 2333-0384 , E-ISSN 2333-0376 , Vol. 38, no 1, p. 64-76Article in journal (Refereed) Published
Abstract [en]

To compare pain characteristics, impact of pain and characteristics of patients withpainful root-filled teeth with and without signs of inflammatory dental disease. Thiscross-sectional study was performed in the Public Dental Health services, RegionÖrebro County, Sweden. Adult patients with ≥1 root-filled tooth identified at theirregular check-up were included and assigned to one of two groups; those with ≥1sign of inflammatory dental disease (DD+) and those without any such sign (DD−).Patients/teeth were compared regarding pain characteristics (intensity, frequency,duration, quality and provoking factors), impact of pain (medication intake, impacton life) and patient characteristics as background factors (general health, other bodilyand orofacial pain). Statistics included descriptive data (frequency tables) and groupcomparisons (Chi-square, Fisher’s Exact and Mann-Whitney U-tests). The DD+ groupincluded 27 participants (30 teeth) and the DD− group 22 participants (23 teeth).On average, pain intensity was mild, the frequency most often recurrent, and theimpact was low. Average pain duration since onset exceeded 2 years in both groups.The only observed between-group differences were average pain intensity; 3.1 (0–10Numerical Rating Scale (NRS)) in DD− group compared to 1.6 for DD+ (p = 0.030),and tenderness to apical palpation; only reported in the DD+ group. The similaritiesin clinical presentation between the two groups underscore the difficulties in correctlydistinguishing between pain of odontogenic and non-odontogenic origin in root-filledteeth with a standard clinical investigation. Additional diagnostic methods need to beinvestigated for their ability to differentiate between tooth pain or discomfort of differentorigins

Place, publisher, year, edition, pages
MRE press , 2024. Vol. 38, no 1, p. 64-76
Keywords [en]
Dentistry/diagnosis, Dentistry/epidemiology, Endodontics, Facial pain, Pain, Root canal therapy
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-67133DOI: 10.22514/jofph.2024.007ISI: 001201730900002OAI: oai:DiVA.org:mau-67133DiVA, id: diva2:1856668
Available from: 2024-05-07 Created: 2024-05-07 Last updated: 2024-05-20Bibliographically approved

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Jonsson Sjögren, JakobList, ThomasPigg, Maria

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