The influence of psychological factors on the frequency and perception of post-endodontic pain.

Uticaj psiholoških faktora na učestalost i percepciju postendodontskog bola.

PSYCHOLOGICAL factors; PAIN perception; ROOT canal treatment; LOGISTIC regression analysis; VISUAL analog scale

Background/Aim. Post-endodontic pain (PEP) is associated with the presence of any uncomfortable feeling or sensitivity that occurs within a few hours or a few days after the endodontic t reatment. The aim of this study was to evaluate the possible association between psychological factors and the frequency and perception of PEP. Methods. The study sample consisted of 140 patients with incisors, canines, or premolars indicated for root canal treatment (RCT) without periapical pathology. A single experienced endodontist was involved in the procedure, and the same clinical protocol was used for all the patients. Participants psychometric evaluation was done using the Depression Anxiety Stress Scale 21 (DASS-21). PEP levels were assessed using a Visual Analog Scale at different intervals (24, 48, and 72-hour intervals and after a week). Results. The presence of postoperative pain was reported in 63.6% of the respondents. The vast majority rated the pain intensity as mild, and the pain significantly decreased over evaluated time intervals. Participants who exhibited higher scores for depression, anxiety, and stress reported significantly higher pain intensity. The multivariate logistic regression analysis showed that tooth type (p = 0.001) and high anxiety score (p = 0.035) were directly associated with the occurrence of pain after therapy. Conclusion. Psychological factors, such as depression, stress, and anxiety, influenced pain perception after RCT treatment, and a high anxiety score was directly associated with the frequency of post-obturation pain. [ABSTRACT FROM AUTHOR]

Uvod/Cilj. Postendodontski bol (PB) se opisuje kao neugodan osećaj ili bolna osetljivost koja se javlja u roku od nekoliko sati ili nekoliko dana posle endodontske terapije zuba. Cilj rada bio je da se proceni moguća povezanost između psiholoških faktora i učestalosti i opažanja PB. Metode. Uzorak studije činilo je 140 pacijenata čiji su sekutići, očnjaci ili premolari bili indikovani za lečenje kanala korena zuba (KKZ), bez prisustva periapikalne lezije. Terapijsku proceduru izvodio je isti terapeut, specijalista endodoncije, a identičan klinički protokol korišćen je za sve pacijente. Za psihometrijsku procenu korišćena je Skala stresa, anksioznosti i depresije (Depression Anxiety Stress Scale 21 - DASS-21). Intenzitet PB procenjivan je upotrebom Vizuelno analogne skale u različitm intervalima (24, 48 i 72 sata i nedelju dana kasnije). Rezultati. Prisustvo postoperativnog bola prijavilo je 63,6% ispitanika. Velika većina ispitanika ocenila je intenzitet bola kao blag, a bol se značajno smanjivao tokom ispitivanih vremenskih intervala. Učesnici studije sa ispoljenim višim stepenom depresije, anksioznosti i stresa prijavili su značajno veći intenzitet bola. Multivarijantnom logističkom regresionom analizom utvrđeno je dasutipz uba kojij el ečen (p = 0,001) i visoki stepen anksioznosti (p = 0,035) bili direktno povezani sa pojavom bola posle terapije. Zaključak. Psihološki faktori, kao što su depresija, stres i anksioznost, uticali su na opažanje bola posle lečenja KKZ, a visok stepen anksioznosti bio je direktno povezan sa učestalošću pojave bola nakon terapije. [ABSTRACT FROM AUTHOR]

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