痛みの強度レベルと臨床症状が歯内療法的に関与した歯を持つ患者の治療嗜好に及ぼす影響。予備的な横断的研究

The effect of pain intensity levels and clinical symptoms on the treatment preferences of patients with endodontically involved teeth: A preliminary cross-sectional study.

• Tan Firat Eyuboglu
• Fulya Ilcin Gonenc

抄録

目的:

本研究では、トルコの地域住民を対象に、歯内療法的に歯が侵された患者の治療嗜好に及ぼす疼痛強度レベルと臨床症状の影響を評価することを目的とした。

Purpose: This study aimed to evaluate the effect of pain intensity levels and clinical symptoms on the treatment preferences of patients with endodontically involved teeth in a local Turkish population.

被験者と方法:

非外科的根管治療を必要とする症状のある歯を持つ患者30名を対象とした。患者の人口統計学的データ（年齢、性別、教育レベル）と診断データ（歯の種類、痛みの強さ、打診や触診に対する反応、参照された痛みの有無、診断）を分析した。また、患者の明示的な希望（治療希望、抜歯を受け入れるかどうか、前歯がある場合は治療の選択、痛みが強くない場合は治療の選択）と過去の根管治療経験に関するデータも分析した。痛みの強さのレベルはVisual Analog Scaleを用いて評価した。

Subjects and methods: A total of 30 patients with symptomatic teeth requiring non-surgical root canal treatment were included in the study. The patients' demographic (age, gender, and education level) and diagnostic data (tooth type, pain intensity, response to percussion and palpation, presence of referred pain, and diagnosis) were analyzed. Data on the patients' explicit preferences (requested treatment, whether they are willing to accept a proposed extraction, choice of treatment if an anterior tooth was involved, and choice of treatment if the pain was not severe) as well as previous root canal treatment experiences were also analyzed. Pain intensity levels were evaluated using the Visual Analog Scale.

結果:

痛みの強さのレベルは，患者の希望する治療に有意な影響を与えた（p=0.001）．紹介時に抜歯を希望した患者のうち，前歯に痛みがある場合には抜歯を拒否すると回答した患者の割合は，拒否すると回答した患者の割合よりも有意に低かった（p=0.039）．また，紹介された痛みの有無も治療希望に有意な影響を与えていた（p=0.001）．

Results: Pain intensity levels had a significant effect on the treatment requested by the patient (p=0.001). Among the patients who requested extraction upon referral to the clinic, the rate of those who reported that they would not accept extraction if the pain was located in an anterior tooth was significantly lower than that of patients stating that they would refuse (p=0.039). The presence of referred pain also had a significant effect on the requested treatment (p=0.001).

結論:

痛みの強さや紹介された痛みの存在は、患者さんの治療の好みに影響します。

Conclusion: The intensity of pain and the presence of referred pain influence patients' treatment preferences.

Copyright © 2020 European Oral Research.