The Effect of Central Sensitization on Assessment Capacity of Patients

Istanbul Medipol University Hospital30 enrolled

Overview

the aim of this study is to evaluate the effect of dental hyperalgesia and mechanical allodynia on the assessment capacity of individuals in a local Turkish population. The hypothesis of this study is that excessive amounts of pain and a major functional shift in the somatosensory system due to central sensitization might cause unwitting intent.

It included patients between the ages of 18 and 70 who had a symptomatic tooth in need of non-surgical root canal treatment. All enrolled subjects volunteered and signed a written informed consent. Patients diagnosed with systemic diseases and those who had used an analgesic within 12 hours prior to the appointment were excluded from the study. A total of 30 patients were included in the study. A data sheet including patients' demographic data, diagnostic data, and data of explicit declaration of intent was completed. All pain scores were recorded according to the Visual Analog Scale (VAS). After the demographic data, diagnostic data. Patients were explicitly informed that the answers they were going to provide to the questions related to their explicit declaration of intent would not affect their diagnosis or the treatment they would undergo.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Symptomatic Irreversible Pulpitis Acute Apical Periodontitis of Pulpal Origin

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * patients between the ages of 18 and 70 who had a symptomatic tooth in need of non-surgical root canal treatment. All enrolled subjects volunteered and signed a written informed consent Exclusion Criteria: * Patients diagnosed with systemic diseases and those who had used an analgesic within 12 hours prior to the appointment were excluded from the study.

Locations (1)

İstanbul Medipol University

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

pain explicit declaration of intent

presence or absence of dental hyperalgesia and mechanical allodynia was recorded as well as the intensity of pain according to visual analog scale (VAS) with patients request of treatment to further evaluate any relevance between the variables. VAS scale is between 1 to 10 and 1 means no pain and 10 means worst pain ever. The scale was drawn as a 10 cm line on a paper, with a number at the beginning of each cm from 1 to 10 and patients were asked to show the respected place regarding their intensity of pain they were experiencing on the line.

Time frame: 30 minutes

Secondary Outcomes

aesthetics

patient who chose extraction were asked their choice of treatment if the relevant tooth were to be an anterior tooth and recorded as yes or no

Time frame: 30 minutes

previous RCT

patients were asked if they had any root canal treatment previously and recorded as yes or no

Time frame: 30 minutes

excessive pain

patient who chose extraction were asked their choice of treatment if the painh were not to be excessive and recorded as yes or no

Time frame: 30 minutes

Data from ClinicalTrials.gov

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