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

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Sjögren, Jakob JonssonDental Research Department, Public Dental Health Service, Örebro, Sweden; Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden (author)

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

Article/chapterEnglish2024

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Quintessence Publishing,2024
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LIBRIS-ID:oai:DiVA.org:oru-113531
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-113531URI
https://doi.org/10.22514/jofph.2024.007DOI

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Language:English
Summary in:English

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The Dental Research Department of the Pu blic Dental Health service, Region Örebro County and the European Society ofEndodontology supported this study.
To compare pain characteristics, impact of pain and characteristics of patients with painful root-filled teeth with and without signs of inflammatory dental disease. This cross-sectional study was performed in the Public Dental Health services, Region orebro County, Sweden. Adult patients with >= 1 root-filled tooth identified at their regular check -up were included and assigned to one of two groups; those with >= 1 sign 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, impact on life) and patient characteristics as background factors (general health, other bodily and orofacial pain). Statistics included descriptive data (frequency tables) and group comparisons (Chi-square, Fisher's Exact and Mann-Whitney U-tests). The DD+ group included 27 participants (30 teeth) and the DD- group 22 participants (23 teeth). On average, pain intensity was mild, the frequency most often recurrent, and the impact 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 (0-10 Numerical 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 similarities in clinical presentation between the two groups underscore the difficulties in correctly distinguishing between pain of odontogenic and non-odontogenic origin in root-filled teeth with a standard clinical investigation. Additional diagnostic methods need to be investigated for their ability to differentiate between tooth pain or discomfort of different origins.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Odontologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Dentistry hsv//eng
Dentistry/diagnosis
Dentistry/epidemiology
Endodontics
Facial pain
Pain
Root canal therapy

Added entries (persons, corporate bodies, meetings, titles ...)

Kvist, ThomasDepartment of Endodontology, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden (author)
List, ThomasDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden (author)
Eliasson, Alf,1957-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Dental Research Department, Public Dental Health Service, Örebro, Sweden(Swepub:oru)afen (author)
Pigg, MariaDepartment of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden (author)
Dental Research Department, Public Dental Health Service, Örebro, Sweden; Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, SwedenDepartment of Endodontology, Institute of Odontology at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden (creator_code:org_t)

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In:Journal of Oral and Facial Pain and Headache: Quintessence Publishing38:1, s. 64-762333-03842333-0376

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