Acute Pain Management

Moussa, Nabil; Ogle, Orrett E.

doi:10.1016/j.coms.2021.08.014

Cited by 10 publications

(12 citation statements)

References 33 publications

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“…It is important for dentists and oral surgeons to provide accurate diagnosis and administer safe and appropriate treatment. [4,5,7,8] Most dental and oral surgical procedures are performed under local anesthesia; therefore, failure to properly assess and control pain can lead to problems such as elevated blood pressure, vasovagal reflexes, and treatment interruptions. [14,15] For example, Gürler et al previously reported that acute dental pain can induce elevated stress hormone levels.…”

Section: Discussionmentioning

confidence: 99%

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A preliminary study on the assessment of pain using figures among patients administered with dental local anesthesia for mandibular third molar extraction

2023

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The aim of this study was to clarify or determine any possible association between pain reports with a visual analogue scale (VAS) and a figures based scale. This research was a preliminary study aimed at developing a new pain scale without any verbal description. Healthy Japanese patients aged 20 to 39 years who received anesthetic injections for mandibular third molar extraction at our department were enrolled. Regarding pain from dental local anesthetic injections, we recorded figures selected by participants (among options of a circle, triangle, square, bar, and cross), and VAS scores. Overall, 29 men and 31 women participated in the study. Pain caused by local dental anesthesia tended to remind both men and women of the triangle among the suggested figures. Furthermore, patients who chose a cross also reported higher VAS scores than those who chose other figures. Acute pain caused by local dental anesthesia was associated with triangles, and patients who selected a cross were associated with higher VAS scores. The results of this study provide clinicians with important information for dental practice, and could prove useful in developing new pain scales.

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Section: Discussionmentioning

confidence: 99%

“…In addition, there has not been sufficient discussion on how to evaluate and manage dental acute pain clinically. [4,7,8] Furthermore, there have been no reports investigating the association between acute dental pain and thinking processes.…”

Section: Introductionmentioning

confidence: 99%

A preliminary study on the assessment of pain using figures among patients administered with dental local anesthesia for mandibular third molar extraction

2023

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“…The biological characteristics of acute pain have been reported to depend upon its stimulation, which can be divided into 2 main mechanisms: peripheral and central stimulatory responses. [17] In dentistry, appropriate treatment, including endodontics and surgical intervention, is the first priority for acute dental pain. For these reasons, the authors considered the possibility that clinical research on the assessment of acute dental pain might be inadequate compared to chronic pain.…”

Section: Discussionmentioning

confidence: 99%

“…Acute hard tissue pain in the dental field can occur due to infectious and inflammatory dental diseases such as dental caries, pulpitis, gingivitis, periodontitis, jaw inflammation, and odontogenic maxillary sinusitis. [17,18] In trauma-related cases, pulpitis, fractured teeth, fractures of the jaw alveolar bone, and temporomandibular joint damage-related pain must also be considered. [2,[19][20][21] The most common type of acute soft tissue pain in dentistry is stomatitis.…”

Section: Before Dental Proceduresmentioning

confidence: 99%

How should clinicians assess acute dental pain?: A review

et al. 2022

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Pain is the most common complaint in the dental field and may have a significant impact on the patients' quality of life. However, objective pain assessment is sometimes difficult, and medical and dental clinicians may encounter cases of pain in the head and neck region, making it difficult to establish differential diagnoses. This study aimed to review acute pain in clinical dentistry at each phase of dental procedures and discuss the current status and issues in the development of acute dental pain assessment methods in the future. Acute pain in clinical dentistry may differ in nature and modifying conditions of pain at each stage: before dental procedures, while visiting dentists, and during and after dental procedures. They are related to actual or potential tissue damage, and may be modified and aided by personal experiences, including psychological and social factors. With respect to the aging and multinational population and pandemic of infectious diseases, significant breakthroughs in the development of new pain scales without verbal descriptions are desirable. Furthermore, it is expected that a new pain scale that can be applied to acute pain in the head and neck regions, including the oral cavity, will be developed.

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“…Inflammation plays an important role in acute pain ( 21 ), but it has been less studied in chronic pain. Ongoing inflammation plays an important role in mediating the transition from acute postoperative pain to chronic pain ( 22 ).…”

Section: Introductionmentioning

confidence: 99%

Change in perioperative neutrophil-lymphocyte ratio as a potential predictive biomarker for chronic postsurgical pain and quality of life: an ambispective observational cohort study

et al. 2023

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IntroductionAccurate and accessible predictors of chronic postsurgical pain (CPSP) to identify high-risk postsurgical patients are prerequisite for preventive and interventional strategies. We investigated the incidence and risk factors of CPSP after abdominal surgery, with a focus on plasma immunological markers.Materials and methodsThis was a retrospective analysis of patients who underwent abdominal surgery under general anesthesia at a tertiary center between January 2021 and January 2022. The preoperative demographics, laboratory test data, and surgical factors of the participants were collected from the electronic medical record system. Postoperative pain intensity and living conditions at 1 year after discharge from the hospital were assessed via a phone survey. Univariate and multivariate analyses were used to explore independent risk factors associated with CPSP.ResultsA total of 968 patients were included, and 13.53% (n = 131 of 968) of patients reported CPSP 1 year after surgery. Patients with older age, open surgery, higher American Association of Anesthesiologists classification, patient-controlled intravenous analgesia application, longer surgery duration, higher postoperative absolute neutrophil count, and neutrophil-lymphocyte ratio (NLR), lower postoperative absolute lymphocyte count, and higher white blood cell count, were more likely to suffer from CPSP. A changed ratio of NLR (postoperative to preoperative) ≥ 5 significantly correlated with CPSP, moderate to severe pain, maximum numeric rating score since discharge from the hospital, and affected quality of life.DiscussionThe changed ratio of NLR could be used for the early identification of patients at risk for CPSP and affect the quality of life to alert the clinician to undertake further assessment.

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Acute Pain Management

Cited by 10 publications

References 33 publications

A preliminary study on the assessment of pain using figures among patients administered with dental local anesthesia for mandibular third molar extraction

A preliminary study on the assessment of pain using figures among patients administered with dental local anesthesia for mandibular third molar extraction

How should clinicians assess acute dental pain?: A review

Change in perioperative neutrophil-lymphocyte ratio as a potential predictive biomarker for chronic postsurgical pain and quality of life: an ambispective observational cohort study

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