Complication After Root Planing

Authors

  • Surawadee Wadeerat D.D.S., Huayploo Hospital

Keywords:

root planning, periodontitis, complication, pain

Abstract

Objective: This was to study complication after root planing at dental clinic, Huayploo Hospital.

Methods: This study applied prospective descriptive data collection to analyze 86 Thai periodontic patients. They were treated by scaling and root planing at dental clinic, Huayploo Hospital according to current treatment routine. Collected data consisted of clinical context, periodontal status, and patient's symptom such as pain. To measure pain, a visual rating scale was used. Complication and the pain intensity recorded by phone after root planing 1 day, 3 days, and 7 days. Data were analyzed by descriptive statistics. Comparative study of pain before root planing and after root planing 1 day, 3 days, and 7 days was analyzed using repeated measure one-way ANOVA and Pearson's chi-square test was used to measure association of patients' characteristics and pain scores.

Results: The main complication in this study was pain that consisted of mild to moderate intensity. There were most pain in the patients after root planing 1 day (29.1%) and decreased until asymptomatic pain within 3–7 days. Pain scores before root planing and after root planing 1 day, 3 days, and 7 days had a statistically significant difference between the means of pain scores at least 1 day at significant level .05. The other complications were gingival swelling, bleeding, tooth sensitivity to temperature, tooth sensitivity while brushing included a low-grade fever.

Conclusion: Mainly complication in this study was pain that consisted of mild to middle intensity. There was most pain in the patients after root planing 1 day and decreased until asymptomatic pain within 3–7 days.

 

References

Kwon T, Lamster IB, Levin L. Current Concepts in the Management of Periodontitis. Int Dent J. 2021;71(6):462–76. doi: 10.1111/idj.12630

Leon LE, Vogel RI. A comparison of the effectiveness of hand scaling and ultrasonic debridement in furcation as evaluated by differential dark-field microscopy. J Periodontol 1987;58(2):86–94. doi: 10.1902/jop.1987.58.2.86.

Latheef P, Sirajuddin S, Gundapaneni V, et al. Iatrogenic Damage to the Periodontium Caused by Periodontal Treatment Procedures. Open Dent J. 2015;9:203–7. doi: 10.2174/1874210601509010203

Schirmer C, Dos Santos GO, Rost JF, et al. Factors associated with pain and analgesic consumption following non-surgical periodontal therapy under local anaesthesia and carried out by dental students. J Clin Periodontol. 2018;45(1):68–77. doi: 10.1111/jcpe.12833

Palheiros BR, Cunha FA, Abreu LG, et al. Pain assessment and analgesic consumption after nonsurgical periodontal therapy. J Indian Soc Periodontol. 2021;25(3):237–41. doi: 10.4103/jisp.jisp_309_20.

Kumar PS, Leblebicioglu B. Pain control during nonsurgical periodontal therapy. Compend Contin Educ Dent. 2007;28(12):666–9.

Van Steenberghe D, Garmyn P, Geers L, et al. Patients' experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Periodontol. 2004;75(11):1465–70. doi: 10.1902/jop.2004.75.11.1465.

Naik VK, Balasundaram A, Appukuttan D, et al. Preprocedural Anxiety and Pain Perception Following Root Surface Debridement in Chronic Periodontitis Patients. J Nat Sci Biol Med. 2018;9(1):82–9. doi: 10.4103/jnsbm.JNSBM_70_17.

Santuchi CC, Cortelli SC, Cortelli JR, et al. Pre- and post-treatment experiences of fear, anxiety, and pain among chronic periodontitis patients treated by scaling and root planing per quadrant versus one-stage full-mouth disinfection: a 6-month randomized controlled clinical trial. J Clin Periodontol. 2015;42(11):1024–31. doi: 10.1111/jcpe.12472.

Pihlstrom BL, Hargreaves KM, Bouwsma OJ, et al. Pain after periodontal scaling and root planing. J Am Dent Assoc. 1999;130(6):801–7. doi: 10.14219/jada.archive.1999.0303.

Pergolizzi JV, Magnusson P, LeQuang JA, et al. The pharmacological management of dental pain. Expert Opin Pharmacother. 2020;21(5):591–601. doi: 10.1080/14656566.2020.1718651.

Sälzer S, Graetz C, Dörfer CE, et al. Contemporary practices for mechanical oral hygiene to prevent periodontal disease. Periodontol 2000. 2020;84(1):35–44. doi: 10.1111/prd.12332.

Slot DE, Valkenburg C, Van der Weijden GAF. Mechanical plaque removal of periodontal maintenance patients: A systematic review and network meta-analysis. J Clin Periodontol. 2020;47Suppl22:107–24. doi: 10.1111/jcpe.13275.

Giassin NP, Apatzidou DA, Solomou K, et al. Control of dentin/root sensitivity during non-surgical and surgical periodontal treatment. J Clin Periodontol. 2016;43(2):138–46.

Published

2023-03-30

How to Cite

1.
Wadeerat S. Complication After Root Planing. Reg 4-5 Med J [internet]. 2023 Mar. 30 [cited 2025 Dec. 31];42(1):91-103. available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/262137