The dimension and severity of orofacial pain in patients with current and chronic odontogenic pain

Article Sidebar

PDF
Published: Nov 16, 2021
Keywords:
chronic pain, current pain, dimension, orofacial pain, odontogenic pain, severity

Main Article Content

Abu Saeed Ibn harun Harun
Department of Conservative Dentistry and Endodontic, Chattagram International Dental College & Hospital, Chattogram, Bangladesh
Ali Hossain
Department of Oral and Maxillofacial Surgery, Chattagram International Dental College & Hospital, Chattogram, Bangladesh
Shahiqu Jabber
Department of Orthodontics, Chattagram International Dental College & Hospital, Chattogram, Bangladesh
Hasibul Hasan
Department of Conservative Dentistry and Endodontic, Udayan Dental College and Hospital, Rajshahi, Bangladesh

Abstract

Objective: The aim of this study was to evaluate the dimension and severity of orofacial pain in patients with current and chronic odontogenic pain.
 
Materials and Methods: 211 Outpatient Department (OPD) patients with a complaint of pain in the orofacial region were included in this study. The patients underwent clinical and radiographic examination to evaluate and diagnose the cause of their pain. The pain dimension and severity was evaluated using a questionnaire and posted to a data sheet for statistical analysis. The data was analyzed by GraphPad Prism 8. Statisticalm significance was determined by the Holm-Sidak method, with alpha = 0.05.
 
Results: A significant difference was found in the severity, affective dimension, and pain rating index total (PRI-T) between the current and chronic odontogenic pain groups (p = 0.0001, 0.005, 0.010 ; 95% CI level 0.810 - 2.449, 0.266 - 1.493, and 0.717 - 5.302 respectively).
 
Conclusion: Orofacial pain in patients with current and chronic odontogenic pain is a complex experience of a multidimensional nature that is always associated with emotional, cognitive, and psychological components.

Article Details

How to Cite
1.
Harun ASI harun, Hossain A, Jabber S, Hasan H. The dimension and severity of orofacial pain in patients with current and chronic odontogenic pain. M Dent J [Internet]. 2021 Nov. 16 [cited 2024 Dec. 21];41(3):235-44. Available from: https://he02.tci-thaijo.org/index.php/mdentjournal/article/view/251124
Issue
Vol. 41 No. 3 (2021): September-December 2021
Section
Original articles

References

Merskey H, Bogduk N. Classification of chronic pain, description of chronic pain syndromes and definition of pain terms. Seatle: IASP 1994:53-6.

Benoliel R, Svensson P, Evers S, Wang SJ, Barke A, Korwisi B, et al. The IASP classification of chronic pain for ICD-11: Chronic secondary headache or orofacial pain. Pain 2019; 160: 60-68.

Aggarwal VR, McBeth J, Zakrzewska JM, Macfarlane GJ. Unexplained orofacial pain-is an early diagnosis possible? Br Dent J 2008; 205: E6.

Dirya Kohli, Davis CT. Orofacial Pain time to see beyond the teeth. J Am Dent Assoc 2020; S0002-8177(20): 30418-9.

Sharav Y, Leviner E, Tzukert A, McGrath PA. The spatial distribution, intensity, and unpleasantness of acute dental pain. Pain 1984; 20: 363-370.

Kakoei S, Parirokh M, Nakhaee N, Jamshidshirazi F, Rad M, Kakooei S. Prevalence of toothache and associated factors: a population-based study in southeast Iran. Iran Endod J 2013; 8: 123–28.

Fernandez E, Milburn TW. Sensory and affective predictors of overall pain and emotions associated with affective pain. Clin J Pain 1994; 13: 3-9.

Meyer RA, Ringkamp M, James N, Campbell and Srinivasa NR. Peripheral mechanisms of cutaneous nociception. Textbook of Pain. 5th edi. Well& Melzacks: Elsevier. 2006; p. 21-22.

Melzack R, Casey KL. Sensory, motivational and central control determinants of pain: a new conceptual model. In Kenshalo D(ed), The Skin Sense. Thomas, Springfield,1968; 423-43.

Melzack R, Katz J. Pain assessment in adult patients. In: Stephen BM, Martin K, editors. Textbook of Pain. 5th ed. Elsevier 2006; p.291-315.

Warden V, Hurley AC, Volicer L. Development and Psychometric Evaluation of the Pain Assessment in Advanced Dementia (PAINAD) Scale. J Am Med Dir Assoc 2003; 4: 9-15.

International Association for the Study of Pain. Faces Pain Scale- Revised 2001. https://www.iasp-pain/FPSR.

Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised international association for the study of pain definition of pain: concepts, challenges, and compromises. Pain 2020; 161: 1976-82.

Noshir R, Steven MJ, Scrivani. Head, Face and Neck Pain, Science, evaluation, and Management- an interdisciplinary approach. Willy-Blackwell 2009.

Wade JB, Price D, Hamer RM, Schwartz SM, Hart RP. An emotional component analysis of chronic pain. Pain 1990; 40: 303-10.

Hamasha AA, Alshehri A, Alshubaiki A, Alssafi F, Alamam H, Alshunaiber R. Gender-specific oral health beliefs and behaviours among adult patients attending king Abdulaziz medical city in Riyadh. Saudi Dent J 2018; 30: 226-31.

Yeatman S, Chamberlin S, Dovel K. Women’s (health) work: A population-based, cross-sectional study of gender differences in time spent seeking health care in Malawi. PLoS One 2018; 13: e0209586.

Ana Catuneanu, John W. Paylor, Ian Winship, Fred Colbourne, Bradley J. Kerra. Sex differences in central nervous system plasticity and pain in experimental autoimmune encephalomyelitis. PAIN 2019; 160: 1037-1049.

Ide K, Seto K, Usui T, Tanaka S, Kawakami K. Correlation between dental conditions and comorbidities in an elderly Japanese population, A cross-sectional study. Medicine (Baltimore) 2018; 97: e11075.

Fong LX, Veerabhadrappa SK, Yadav S, Zamzuri ATB, Talib RB. Evaluation of orofacial pain and psychological comorbidities in health sciences university students. J Oral Med Oral Surg 2021; 27:14.

Dahan H, Shir Y, Velly A, Allison P. Specific and number of comorbidities are associated with increased levels of temporomandibular pain intensity and duration. J Headache Pain 2015; 16: 528.

Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet 2006; 367:1618-25.

Jensen KB, Regenbogen C, Ohse MC, Frasnelli J, Freiherr J, Lundström JN. Brain activation during pain: a neuroimaging meta-analysis of patients with pain and healthy controls. Pain 2016; 157:1279-86.

Nixdorf DR, Moana-Filho EJ, Law AS, McGuire LA, Hodges JS, John MT. Frequency of persistent tooth pain after root canal therapy: a systemic review and meta-analysis. J Endod 2010; 36: 224-30.

Vena DA, Collie D, Wu H, Gibbs JL, Broder HL, Curro FA, et al. Prevalence of persistent pain 3 to 5 years post primary root canal therapy and its impact on oral health-related quality of life. J Endod 2014; 40: 1917-21.

Lavand'homme P. Transition from acute to chronic pain after surgery. Pain 2017; 158 Suppl 1: S50-S54.

Kato K, Sullivan PF, Evengård B, Pedersen NL. Premorbid predictors of chronic fatigue. Arch Gen Psychiatry 2006; 63: 1267-72.

Melzack R, Casey KL. Sensory, motivational, and central control determinants of pain: a new conceptual model. In Kenshalo D(ed). The Skin Sense. Thomas. Springfield, 1968; 423-443.

Burri A, Ogata S, Vehof J, Williams F. Chronic widespread pain: clinical comorbidities and psychological correlates. Pain 2015; 156: 1458-64.

Price DD. Psychological and neural mechanisms of affective dimension of pain. Science 2000; 288: 1769-72.

Jerjes W, Hopper C, Kumar M, Upile T, Madland G, Newman S, et al. Psychological intervention in acute dental pain: review. Br Dent J 2007; 202: 337-43.

Rainville P. Brain mechanisms of pain affect and pain modulation. Curr Opin Neurobiol 2002; 12: 195-204.

Wade JB, Price DD, Hamer RM, Schwartz SM, Hart RP. An emotional component analysis of chronic pain. Pain 1990; 40: 303-10.

Kunz M, Lautenbacher S, LeBlanc N, Rainville P. Are both the sensory and the affective dimensions of pain encoded in the face? Pain 2012;153: 350-58.

Prkachin KM. Assessing pain by facial expression: facial expression as nexus. Pain Res Manage 2009; 14: 53-58.

Rainville P, Duncan GH, Price DD, Carrier B, Bushnell MC. Pain affect encoded in human anterior cingulate but not somatosensory cortex. Science 1997; 277: 968-71.