Pain Index after endodontic treatment

Authors

  • Lilian Toledo Reyes Facultad de Estomatología. Universidad de Ciencias Médicas. Santa Clara, Villa Clara.
  • Katherin Cabrera García Clínica Estomatológica de Santo Domingo, Villa Clara.
  • Vielka González Ferrer Cardiocentro Ernesto Che Guevara. Santa Clara, Villa Clara.
  • Miriam Machado Martínez Facultad de Estomatología. Universidad de Ciencias Médicas. Santa Clara, Villa Clara

Keywords:

pain, endodontics, root canal treatment.

Abstract

Introduction: Predicting the onset of pain after endodontic treatment favors the professionals' clinical judgment regarding this procedure.
Objective: To construct an index that combines the factors associated to pain after endodontic treatment in the study population.
Methods: A study was carried out in two stages, in Santo Domingo City, Villa Clara Province. The first stage was a cross-sectional analytic study over a random sample of 94 endodontic treatments, collected in the period of March to December of 2015, for the construction of the index. The second stage was also a cross-sectional study over a sample of 62 treatments, carried out between January and May, 2016, with the purpose of assess the discriminatory ability of the obtained index. The information was collected through interrogation, clinical and radiographic examination; the presence of pain after therapy was recorded. The data were analyzed using descriptive and inferential statistics. For the construction of the index, we obtained the Cramer's V statistic values of each variable.
Results: Among the factors associated with pain after endodontic treatment pain, the most were described such as preoperative pain or inflammation, pain during treatment, the number of appointments, and a reduced root canal, with Cramer's V values of 0.848, 0.605, 0.595 and 0.592, respectively. The sensitivity of the proposed index was 83.3 %.
Conclusions: In the studied population, a multi-causal relationship was observed in the factors associated with the presence of pain after endodontic treatment. The preoperative pain or inflammation was the most influential factor. This factors were synthesized by means of an index. The proposed index presents an adequate sensitivity, which contributes to establish more accurate judgments regarding the subsequent onset of pain. 

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Author Biographies

Lilian Toledo Reyes, Facultad de Estomatología. Universidad de Ciencias Médicas. Santa Clara, Villa Clara.

Especialista de Segundo Grado en Estomatología General Integral. Máster en Salud Bucal Comunitaria. Profesora Auxiliar. Facultad de Estomatología. Universidad de Ciencias Médicas. Santa Clara, Villa Clara.

Katherin Cabrera García, Clínica Estomatológica de Santo Domingo, Villa Clara.

Especialista de Primer Grado en Estomatología General Integral. Clínica Estomatológica de Santo Domingo, Villa Clara.

Vielka González Ferrer, Cardiocentro Ernesto Che Guevara. Santa Clara, Villa Clara.

Especialista de Primer Grado en Bioestadística. Aspirante a Doctor en Ciencias de
la Salud. Profesora Asistente Cardiocentro Ernesto Che Guevara. Santa Clara, Villa Clara.

Miriam Machado Martínez, Facultad de Estomatología. Universidad de Ciencias Médicas. Santa Clara, Villa Clara

Especialista de Segundo Grado en Ortodoncia. Doctora en Ciencias Estomatológicas. Profesora Titular. Facultad de Estomatología. Universidad de Ciencias Médicas. Santa Clara, Villa Clara.

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Published

2018-12-24

How to Cite

1.
Toledo Reyes L, Cabrera García K, González Ferrer V, Machado Martínez M. Pain Index after endodontic treatment. Rev Cubana Estomatol [Internet]. 2018 Dec. 24 [cited 2025 Mar. 12];55(4):8-14. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/1517

Issue

Vol. 55 No. 4 (2018): OCT- DEC

Section

Research Article

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