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1.
J. oral res. (Impresa) ; 11(4): 1-13, jul. 21, 2022. ilus, tab
Article in English | LILACS | ID: biblio-1400929

ABSTRACT

Background: Probing of periodontal pockets is an essential part in the diagnosis of periodontal disease. Fifteen to seventy seven percent of untreated periodontal patients experience pain during probing. Hence the aim of this study is to evaluate the pain perceived by patients with gingivitis and periodontitis during periodontal probing. The goals of this study were to compare the patients' pain perception when using a conventional UNC15 probe and a manual pressure sensitive periodontal probe, and to relate the clinical features of gingivitis and periodontitis to the discomfort associated with periodontal probing. Material and Methods: A total of 475 subjects were recruited into the study. The subjects were initially divided into two groups ­ Group ­ A (Gingivitis group - 275 patients) and Group ­ B (Chronic Periodontitis group -200 patients) according to the AAP 1999 Classification. These two groups were further subdivided into two groups each (Gingivitis ­ Conventional Probe ­ GCP, Gingivitis ­ Manual Pressure Sensitive Probe ­ GMPS, Periodontitis - Conventional Probe ­ PCP, Periodontitis ­ Manual Pressure Sensitive Probe ­ PMPS) using a computer generated program of random numbers. Results: A significant difference was noted in pain perception when pressure sensitive probe was used compared to conventional UNC-15 probe. Reduced Bleeding on Probing and Pain scores were noted in Chronic periodontitis subjects with use of pressure sensitive probe, which was statistically significant (p<0.001). Conclusion: Dentistry has changed its focus towards painless dentistry. In this context, the present study presents data towards use of manual pressure sensitive probes, which offers an advantage of low cost when compared to more advanced computerized systems with reduced pain during periodontal examination. It could result in a positive attitude of the patients towards continuous supportive periodontal therapy thereby monitoring periodontal health.


Antecedentes: El sondaje de los sacos periodontales es una parte esencial en el diagnóstico de la enfermedad periodontal. Del quince al setenta y siete por ciento de los pacientes periodontales no tratados experimentan dolor durante el sondaje. De ahí que el objetivo de este estudio fué evaluar el dolor percibido por pacientes con gingivitis y periodontitis durante el sondaje periodontal. Los objetivos de este estudio fueron comparar la percepción del dolor de los pacientes al usar una sonda UNC15 convencional y una sonda periodontal sensible a la presión manual, y relacionar las características clínicas de la gingivitis y la periodontitis con la incomodidad asociada con el sondaje periodontal. Material y Métodos: Un total de 475 sujetos fueron reclutados en el estudio. Los sujetos se dividieron inicialmente en dos grupos - Grupo - A (grupo de Gingivitis - 275 pacientes) y Grupo - B (grupo de Periodontitis Crónica - 200 pacientes) de acuerdo con la Clasificación AAP 1999. Estos dos grupos se subdividieron en dos grupos cada uno (Gingivitis - Sonda convencional - GCP, Gingivitis - Sonda manual sensible a la presión - GMPS, Periodontitis - Sonda convencional - PCP, Periodontitis - Sonda manual sensible a la presión - PMPS) usando un programa generado por computadora de datos aleatorios. números. Resultados: Se notó una diferencia significativa en la percepción del dolor cuando se usó una sonda sensible a la presión en comparación con la sonda UNC-15 convencional (p<0,001). Conclusion: La odontología ha cambiado su enfoque hacia una odontología sin dolor. En este contexto, el presente estudio presenta datos hacia el uso de sondas manuales sensibles a la presión, que ofrece una ventaja de bajo costo en comparación con sistemas computarizados más avanzados con reducción del dolor durante el examen periodontal. Podría resultar en una actitud positiva de los pacientes hacia la terapia periodontal de apoyo continuo, monitoreando así la salud periodontal.


Subject(s)
Humans , Male , Female , Periodontitis/therapy , Pain Perception , Gingivitis/therapy , Pain , Periodontal Diseases/therapy , Periodontal Pocket , Cross-Sectional Studies
3.
Article in English | LILACS, INDEXPSI | ID: biblio-1365217

ABSTRACT

Abstract Vaccination is a procedure considered painful for children; therefore, the healthcare team should provide conditions for adequate pain assessment and control. This study sought to evaluate whether behavioral distraction procedures contribute to reduce pain perception and anxiety indicators in children during vaccination. One hundred and four children between three and 12 years attending a Health Center in the Federal District participated in the study. Children were divided into four groups: baseline, groups with balloons, cards and tablets. Data were obtained by means of sociodemographic questionnaires, the Monica and Friends Pain Scale and the Observational Scale of Distress Behavior. The collected data were measured using the SPSS Statistics program. Results show that the intervention groups had lower averages, concerning pain levels, incidence of competing behaviors and duration of vaccine procedures, compared to baseline.


Resumo A vacina é um procedimento considerado doloroso para crianças, portanto, a equipe de saúde deve fornecer condições para avaliação e controle adequados da dor. O objetivo deste estudo foi avaliar se procedimentos de distração comportamental contribuem para a redução da percepção de dor e de indicadores de ansiedade de crianças durante a vacinação. Participaram 104 crianças entre três e 12 anos em um Centro de Saúde do Distrito Federal. As crianças foram divididas em quatro grupos: linha de base, grupos com balões, cartões e tablet. Os dados foram obtidos através de: questionários sociodemográficos, Escala de Dor da Turma da Mônica e Observational Scale of Distress Behavior. Os dados coletados foram medidos por meio do programa SPSS Statistics. Os resultados revelaram que os grupos de intervenção apresentaram médias menores, em termos de níveis de dor, incidência de comportamentos concorrentes e duração dos procedimentos de vacina, em relação à linha de base.


Resumen La vacunación es un procedimiento considerado doloroso para los niños, por lo que el equipo de salud debe brindar las condiciones adecuadas para evaluación y control del dolor. El objetivo de este estudio fue evaluar si los procedimientos de distracción conductual contribuyen a disminuir la percepción del dolor y los indicadores de ansiedad en los niños durante la vacunación. En este estudio participaron 104 niños de entre 3 y 12 años de un Centro de Salud del Distrito Federal (Brasil). Los niños se dividieron en cuatro grupos: grupo de línea de base, grupo con globos, tarjeta y tableta. Los datos se obtuvieron a través de cuestionarios sociodemográficos, la Escala de Dolor de Mónica y sus Amigos y la Observational Scale of Distress Behavior. Los datos recopilados se midieron utilizando el programa SPSS Statistics. Los resultados revelaron que los grupos de intervención tenían medias más bajas, en cuanto a los niveles de dolor, incidencia de conductas concurrentes y duración de los procedimientos de vacunación, en comparación con el de línea de base.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Play and Playthings , Recreation/psychology , Pain Measurement , Surveys and Questionnaires , Immunization , Pain Perception
4.
Article in English | LILACS, BBO | ID: biblio-1386803

ABSTRACT

Abstract Objective: To analyze patients' pain perception requiring endodontic treatment referred to a Dental Specialties Center. Material and Methods: Data was collected through a self-administered questionnaire for patients about their experience of pain and another for endodontists about the treatment performed. The results were analyzed descriptively using Pearson's Chi-square test and Fisher's Exact test, with Bonferroni correction (p≤0.05). Results: The median age of the patients was 39 years, and 71.1% were female. The median waiting time for treatment was five months. Pain was reported by 75.2% of patients, occurred more than one month earlier (63.6%), with moderate/severe intensity (66.9%), and most patients sought emergency treatment more than once (79.1%). In addition, pain was associated with sex (female; p=0.008); moderate/severe intensity (p<0.001); the number of times that patient had to go to the dentist because of the tooth treatment (twice or more; p=0.002); and type of tooth treated (posterior tooth; p=0.002). Conclusion: Severe pain episodes resulted in a repeated search for emergency services, which may overload the primary care service, especially if the waiting time for endodontic treatment is long.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Primary Health Care/methods , Toothache , Secondary Care , Pain Perception , Endodontists , Specialties, Dental , Chi-Square Distribution , Surveys and Questionnaires , Statistics, Nonparametric , Regenerative Endodontics/instrumentation
5.
Rev. latinoam. enferm. (Online) ; 29: e3454, 2021. tab
Article in English | LILACS, BDENF | ID: biblio-1280473

ABSTRACT

Objective: to describe the perception of musculoskeletal pain in the population and how the state of confinement (adopted as a measure to control contagion by COVID-19) has interfered with it, as well as identifying the sociodemographic, occupational, physical, and psychosocial factors involved. Method: an observational, cross-sectional and analytical study, with simple random probabilistic sampling, aimed at residents in Spain over 18 years old during the confinement period. An ad hoc survey was conducted, consisting in 59 items. Results: a total of 3,247 surveys were answered. Persistent musculoskeletal pain or significant episodes thereof increased 22.2% during confinement. The main location was the spine (49.5%). The related factors were decreased physical activity, increased seated position, and use of electronic devices. The psychological impact of confinement was also related to the perception of musculoskeletal pain. Conclusion: the state of confinement causes an increase in the perception of musculoskeletal pain. The identification of a particularly sensitive population profile, as well as that of the related factors, allows establishing multidisciplinary approaches in health promotion.


Objetivo: descrever a percepção da dor musculoesquelética na população e como o estado de confinamento (adotado como medida de controle do contágio pela COVID-19) tem interferido na mesma, bem como identificar os fatores sociodemográficos, ocupacionais, físicos e psicossociais envolvidos. Método: estudo observacional, transversal e analítico, com amostragem probabilística aleatória simples, realizado com residentes na Espanha, maiores de 18 anos, durante o período de confinamento, para tanto, foi realizada uma enquete ad-hoc com 59 itens. Resultados: foram recebidas 3.247 respostas. Dor musculoesquelética persistente ou episódios significativos da mesma aumentaram em 22,2% durante o confinamento. A localização principal foi a coluna vertebral (49,5%). Os fatores relacionados foram a diminuição da atividade física, o aumento da posição sentada e o uso de dispositivos eletrônicos. O impacto psicológico do confinamento também esteve relacionado à percepção de dor musculoesquelética. Conclusão: o estado de confinamento acarreta aumento na percepção da dor musculoesquelética. A identificação de um perfil populacional particularmente sensível, bem como dos fatores relacionados, permite estabelecer abordagens multidisciplinares na promoção da saúde.


Objetivo: describir la percepción de dolor musculoesquelético en la población y cómo el estado de confinamiento (adoptado como medida de control de contagio por COVID-19) ha interferido en la misma, así como identificar los factores sociodemográficos, laborales, físicos y psicosociales implicados. Método: estudio observacional, transversal y analítico, con muestreo probabilístico aleatorio simple, dirigido a residentes en España, mayores de 18 años durante el periodo de confinamiento. Se realizó una encuesta ad-hoc compuesta por 59 ítems. Resultados: se cumplimentaron 3247 encuestas. El dolor musculoesquelético persistente o los episodios significativos del mismo se incrementaron un 22,2% durante el confinamiento. La principal localización fue el raquis (49,5%). Los factores relacionados fueron la disminución de la actividad física, el aumento de la posición sentada y del uso de dispositivos electrónicos. El impacto psicológico del confinamiento también se relacionó con la percepción de dolor musculoesquelético. Conclusión: el estado de confinamiento provoca un incremento en la percepción de dolor musculoesquelético. La identificación de un perfil poblacional especialmente sensible, así como la identificación de los factores relacionados, permite establecer abordajes multidisciplinares en la promoción de la salud.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Perception , Spain , Quarantine , Surveys and Questionnaires , Risk Factors , Coronavirus Infections , Vulnerable Populations , Pain Perception , Musculoskeletal Pain , COVID-19
6.
Rev. Assoc. Med. Bras. (1992) ; 66(12): 1633-1637, Dec. 2020. tab
Article in English | LILACS, SES-SP | ID: biblio-1143665

ABSTRACT

SUMMARY BACKGROUND: Anxiety is almost always present before medical interventions and may play a role in pain perception. We aim to evaluate factors associated with pain intensity reported by patients submitted to Office Hysteroscopy (OH). METHODS: Cross-sectional observational study, with data from April to November 2015. It included patients attended at the Assis Chateaubriand Maternity School (MEAC/UFC) with an indication of office hysteroscopy. Before the examination, the patients answered a validated questionnaire about anxiety (STAI). After the examination, women answered the Visual Analogue Scale (VAS). The data were analyzed using the Statistical Package for the Social Sciences (SPSS) 15.0, with Spearman correlation, Mann-Whitney U-test, and analyses of variance. RESULTS: 252 patients were included, with a mean age of 45.7 years, of whom 29% were postmenopausal (mean pain 5.5) and 71% were in menacme (mean pain 5.1) (p = 0.258). The anxiety trait and state showed a significant influence on the pain scale (p <0.001 and p=0.001), but age or endometrial sample did not. 27% of the patients were nulliparous. Less pain was associated with the number (p=0.01) and vaginal (p=0.005) of deliveries. The main indication for the procedure was abnormal uterine bleeding (54.4%). CONCLUSION: OH may be associated with moderate but tolerable discomfort. There was a significant correlation between higher scores on the pain scale and anxiety. There was evidence of reduced pain with parity and type of delivery, but not with reproductive age or endometrial biopsy.


RESUMO INTRODUÇÃO: A ansiedade está quase sempre presente antes de intervenções médicas e pode desempenhar um papel importante na percepção da dor. Buscou-se avaliar os fatores associados à intensidade da dor relatados pelos pacientes submetidos a histeroscopia ambulatorial (HA). MÉTODOS: Estudo observacional transversal, com dados de abril a novembro de 2015. Foram incluídas pacientes atendidas na Maternidade Escola Assis Chateaubriand (Meac/UFC) com indicação de HA. Antes do exame, as pacientes responderam a um questionário validado sobre ansiedade (IAM). Após o exame, as mulheres responderam à Escala Visual Analógica (EVA). Os dados foram analisados no Statistical Package for the Social Sciences (SPSS) 15.0, com correlação de Spearman, teste U de Mann-Whitney e Anova. RESULTADOS: Foram incluídas 252 pacientes, com idade média de 45,7 anos, das quais 29% estavam na pós-menopausa (dor média 5,5) e 71% eram menacme (dor média 5,1) (p = 0,258). O traço e o estado de ansiedade mostraram influência significativa na escala de dor (p<0,001 e p=0,001). Vinte e sete por cento das pacientes eram nulíparas. Menor dor foi associada ao número (p=0,01) e tipo vaginal (p=0,005) de partos. A principal indicação para o procedimento foi sangramento uterino anormal (54,4%); 66,1% necessitaram de amostra endometrial. CONCLUSÕES: A HA pode estar associada a um desconforto moderado, mas tolerável. Houve correlação significativa entre escores mais altos na escala de dor e ansiedade, menor paridade, mas não com idade reprodutiva ou procedimento de biópsia endometrial.


Subject(s)
Humans , Female , Pregnancy , Pain/etiology , Hysteroscopy , Anxiety , Cross-Sectional Studies , Pain Perception , Middle Aged
7.
Rev. cuba. invest. bioméd ; 39(4): e781, oct.-dic. 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1156449

ABSTRACT

Introducción: El dolor inducido por los aparatos de ortodoncia es una de las principales razones que desalientan a los pacientes a buscar tratamiento ortodóntico y puede afectar negativamente su cooperación. Objetivo: Determinar la relación de la percepción del dolor, rasgos de personalidad y la actitud del paciente hacia el tratamiento ortodóntico. Métodos: Estudio transversal y observacional. La muestra estuvo conformada por dos grupos: I) 200 sujetos no tratados (78 varones y 122 mujeres; edad promedio 20,02 ± 2,67 años) y II) 200 sujetos tratados (64 varones y 136 mujeres; edad promedio 20,29 ± 3,88 años). El instrumento para la recolección de datos fue un cuestionario que incluía la evaluación de la expectativa del dolor para sujetos no tratados, experiencia de dolor para sujetos tratados, los perfiles de personalidad de los pacientes y actitudes hacia el tratamiento de ortodoncia. Resultados: No se encontró relación entre la percepción del dolor, los rasgos de personalidad y actitud del paciente hacia el tratamiento ortodóntico (p > 0,05). El estado de tratamiento (presentar ortodoncia) afectó la percepción del dolor hacia el tratamiento ortodóntico (p < 0,05), el género no afectó la percepción del dolor. El estado de tratamiento y el género masculino afectaron la actitud del paciente hacia el tratamiento ortodóntico (p < 0,05). Conclusiones: Los pacientes con mejor actitud mostraron menos dolor y los pacientes con mayor percepción del dolor mostraron una actitud negativa. Los niveles bajos de amabilidad tienen efecto sobre la percepción del dolor del paciente hacia el tratamiento ortodóntico(AU)


Introduction: The pain induced by orthodontic appliances is one of the main reasonswhy patients are reluctant to seek orthodontic treatment, and may negatively affect their cooperation. Objective: Determine the relationship between pain perception, personality traits and patient attitude toward orthodontic treatment. Methods: A cross-sectional observational study was conducted of a study sample composed of two groups: I) 200 untreated subjects (78 male and 122 female; mean age 20.02 ± 2.67 years) and II) 200 treated subjects (64 male and 136 female; mean age 20.29 ± 3.88 years). The data collection tool was a questionnaire including an evaluation of pain expectation for untreated subjects, pain experience for treated subjects, patients' personality profiles and attitudes toward orthodontic treatment. Results: No relationship was found between pain perception, personality traits and patient attitude toward orthodontic treatment (p > 0.05). Treatment status (untreated or treated) affected pain perception and the attitude toward orthodontic treatment (p < 0.05); gender did not affect pain perception. Treatment status and male gender affected patient attitude toward orthodontic treatment (p < 0.05). Conclusions: Patients with a better attitude experienced less pain, whereas patients with a greater pain perception showed a negative attitude. Low levels of kindness have an effect on pain perception and patient attitude toward orthodontic treatment(AU)


Subject(s)
Humans , Orthodontics/methods , Orthodontic Appliances/adverse effects , Personality , Cross-Sectional Studies , Pain Perception/physiology
8.
Int. j. morphol ; 38(6): 1803-1809, Dec. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1134514

ABSTRACT

RESUMEN: La percepción del dolor resulta de múltiples y dinámicos mecanismos en el sistema nervioso central (SNC) y periférico que inhiben o facilitan el estímulo y respuesta nociceptiva. Sin embargo, la principal capacidad de modulación esta a cargo del SNC. Los estímulos nociceptivos son detectados por terminaciones nerviosas libres de neuronas periféricas que sinaptan con neuronas aferentes secundarias de la médula espinal. Luego estas fibras decusan para formar las vías nociceptivas ascendentes. Una vez alcanzadas las estructuras subcorticales, se activan las neuronas del tálamo, quienes envían el estímulo hacia la corteza somatosensorial, desencadenando la percepción consciente del dolor y activando el sistema inhibitorio descendente. Para que la modulación nociceptiva se realice, es necesaria la participación de diversas sustancias o neurotransmisores que conectan áreas del SNC especializadas. Por lo tanto, el objetivo de este estudio fue realizar una revisión de la literatura respecto de los mecanismos que participan en los procesos de modulación central del dolor.


SUMMARY: Pain perception results from multiple and dynamic mechanisms in the central nervous system (CNS) and peripheral nervous system that inhibit or facilitate stimulation and nociceptive response. However, neuromodulation is mainly a function of the CNS. Nociceptive stimulus is detected by peripheral neurons receptors that synapse with the secondary afferent neurons of the spinal cord. These fibers cross to conform the ascending nociceptive pathways. Once the subcortical structures are reached, the thalamus`s neurons are activated; the thalamus send the stimulus to the somatosensory cortex, triggering the conscious perception of pain and activating the descending inhibitory system. For the nociceptive modulation to be carried out, the participation of various substances or neurotransmitters that connect specialized CNS areas is necessary. Therefore, the aim of this study was to review the literature regarding the mechanisms involved in central pain modulation processes.


Subject(s)
Humans , Pain/physiopathology , Central Nervous System/physiology , Pain Perception/physiology , Chronic Pain/physiopathology , Nociceptive Pain/physiopathology , Neural Inhibition , Neuroanatomy , Neurophysiology
9.
Dental press j. orthod. (Impr.) ; 25(5): 30-37, Sept.-Oct. 2020. tab, graf
Article in English | LILACS, BBO | ID: biblio-1133685

ABSTRACT

ABSTRACT Objective: This prospective study aimed at assessing the effects of anxiety and a follow-up text message on pain perception after the installation of fixed orthodontic appliances and its impact on the patients' routine. Methods: The sample of this study consisted of 103 orthodontic patients, 40 males and 63 females (mean age 20.5 years), distributed in two groups: G1 (n=51), including control patients that did not receive any post-procedure communication; and G2 (n=52), including patients that received a structured text message. In baseline phase, the patients completed a questionnaire to assess their level of anxiety prior to treatment. Pain was assessed by using 100-mm visual analog scale (VAS) in baseline and ten times prospectively in predetermined time points. VAS was also applied to assess the patient's routine alterations caused by the pain. All data were analyzed using ANOVA, Tukey, Mann-Whitney, t-test, chi-square and Spearman's correlation tests. All statistical tests were performed with significance level of 5%. Results: Low-level and high-level anxiety was observed in 42.7% and 7.8% of the patients, respectively. Statistically significant correlation was observed between anxiety and pain (p< 0.05). Maximum mean pain intensity was detected in the second treatment day (G1=36.9mm and G2=26.2mm) and was significantly higher in G1. Nearly 53% of the patients in G1 reported alterations in the routine (18.8mm), while in G2 the percentage rate reached 28.8% (9.9mm) (p=0.013). Conclusions: Anxious patients report more pain after the installation of orthodontic appliances. Text messages were effective to reduce pain levels and to decrease the negative effects on patients' daily routine.


RESUMO Objetivo: O presente estudo prospectivo teve como objetivo avaliar os efeitos da ansiedade e de mensagens de texto de acompanhamento na percepção da dor após a instalação de aparelhos ortodônticos fixos e seu impacto na rotina dos pacientes. Métodos: A amostra deste estudo foi composta por 103 pacientes ortodônticos, 40 homens e 63 mulheres (idade média de 20,5 anos), distribuídos em dois grupos: G1 (n = 51), que incluiu pacientes controle, que não receberam comunicação pós-procedimento; e G2 (n = 52), incluindo os pacientes que receberam mensagem de texto estruturada. Na fase inicial, os pacientes responderam a um questionário para avaliar seu nível de ansiedade antes do tratamento. A dor foi avaliada por meio de escala visual analógica (EVA) de 100 mm antes da instalação dos aparelhos e em 10 períodos consecutivos predeterminados. A EVA também foi aplicada para avaliar as alterações de rotina do paciente causadas pela dor. Os resultados foram analisados usando ANOVA, Tukey, Mann-Whitney, teste t, Qui-quadrado e testes de correlação de Spearman. Todos os testes estatísticos foram realizados com nível de significância de 5%. Resultados: Níveis baixos e altos de ansiedade foram observados em 42,7% e 7,8% dos pacientes, respectivamente. Foi observada correlação estatisticamente significativa entre ansiedade e dor (p< 0,05). A intensidade média máxima da dor foi detectada no segundo dia de tratamento (G1 = 36,9mm e G2 = 26,2mm) e foi significativamente maior no G1. Quase 53% dos pacientes do G1 relataram alterações na rotina (18,8mm), enquanto no G2 o percentual atingiu 28,8% (9,9mm) (p= 0,013). Conclusões: Pacientes ansiosos relatam mais dor após a instalação de aparelhos ortodônticos. As mensagens de texto foram eficazes para reduzir os níveis de dor e diminuir os efeitos negativos na rotina diária dos pacientes.


Subject(s)
Humans , Male , Female , Adult , Anxiety/etiology , Text Messaging , Pain Measurement , Prospective Studies , Pain Perception
10.
J. oral res. (Impresa) ; 9(4): 309-318, ago. 31, 2020. ilus, graf, tab
Article in English | LILACS | ID: biblio-1179144

ABSTRACT

Objetive: The objective of this clinical trial was to investigate the perception of pain during initial maxillary alignment with an adjunctive procedure of micro-osteoperforations (MOPs) compared to conventional orthodontics. Material and methods: This study design was a single-centre, two-arm parallel prospective randomised clinical trial. Thirty consecutive adult subjects (25 females and 5 males; mean age ± SD, 22.66 ± 3.27 years) with 5-8mm moderate upper labial segment crowding were randomly allocated using block randomisation into intervention and control group. All subjects had first premolar extractions, bonded conventional fixed appliances and 0.014-inch nickel-titanium archwire was placed for initial alignment. The intervention group received a 3-mm deep MOPs procedure under local anaesthesia using a Propel device (PROPEL Ortho Singapore) on the labiogingival aspect between the maxillary incisors. Both groups received a set of 100 mm visual analogue scale to complete over the first week, recording pain at 24 hours, 3 days and 1 week. Data were analysed using repeated-measures analysis of variance (ANOVA). Results: There was a statistically significant difference observed in perceived pain levels between MOPs and the control group on day 1, day 3 and day 7 postoperatively. Pain perception was significantly lower in the intervention group at all time points. Conclusion: Accelerating orthodontic tooth movement with MOPs did not accentuate pain perceived during initial maxillary alignment with fixed appliances.


Objetivo: El objetivo de este ensayo clínico fue investigar la percepción del dolor durante la alineación maxilar inicial con un procedimiento adyuvante de micro-osteoperforaciones (MOP) en comparación con la ortodoncia convencional. Material y Métodos: El diseño de este estudio fue un ensayo clínico aleatorizado prospectivo paralelo de dos brazos y un solo centro. Treinta sujetos adultos consecutivos (25 mujeres y 5 hombres; edad media ± DE, 22,66 ± 3,27 años) con apiñamiento moderado del segmento labial superior de 5-8 mm se asignaron al azar mediante la asignación al azar en bloques en el grupo de intervención y de control. A todos los sujetos se les realizaron extracciones de los primeros premolares, se colocaron aparatos fijos convencionales adheridos y se colocó un arco de níquel-titanio de 0,014 pulgadas para la alineación inicial. El grupo de intervención recibió un procedimiento de MOP de 3 mm de profundidad bajo anestesia local utilizando un dispositivo Propel (PROPEL Ortho Singapore) en la cara labial de los incisivos superiores. Ambos grupos recibieron un conjunto de escala analógica visual de 100 mm para completar durante la primera semana, registrando el dolor a las 24 horas, 3 días y 1 semana. Los datos se analizaron mediante análisis de varianza de medidas repetidas (ANOVA). Resultados: Se observó una diferencia estadísticamente significativa en los niveles de dolor percibido entre los MOP y el grupo de control el día 1, el día 3 y el día 7 del postoperatorio. La percepción del dolor fue significativamente menor en el grupo de intervención en todos los momentos. Conclusión: La aceleración del movimiento dental de ortodoncia con MOP no acentuó el dolor percibido durante la alineación maxilar inicial con aparatos fijos.


Subject(s)
Humans , Male , Female , Orthodontics, Corrective/methods , Pain Perception , Tooth Movement Techniques , Bicuspid , Prospective Studies , Minimally Invasive Surgical Procedures
11.
Rev. cuba. hematol. inmunol. hemoter ; 36(2): e1042, abr.-jun. 2020.
Article in Spanish | LILACS, CUMED | ID: biblio-1149893

ABSTRACT

Introducción: El dolor como experiencia subjetiva desagradable es un síntoma frecuente en los pacientes atendidos en el servicio de Hematología. Este afecta al individuo a nivel psicológico y provoca la aparición de dificultades en las áreas laboral, educacional, familiar y en las relaciones interpersonales. La percepción del dolor puede verse distorsionada como resultado de esta alteración provocada en el paciente. Objetivo: Analizar los factores psicológicos que median la percepción del dolor de los pacientes. Métodos: Se realizó una revisión de la literatura, a través del sitio web PubMed y el motor de búsqueda Google Académico. Se emplearon las palabras clave: dolor, manejo del dolor, evaluación del dolor, psicología del dolor, dolor en hematología, dolor en drepanocitosis, dolor en hemofilia, dolor en leucemia. Análisis y síntesis de la información: Se evidencia el carácter multifacético de esta experiencia subjetiva. Los determinantes y mecanismos del dolor son diversos, lo cual implica que su enfrentamiento requiera un enfoque integral que ayude a los pacientes a desarrollar conciencia acerca de los efectos de la enfermedad que padece y los síntomas del dolor. También es necesario guiarlos en la comprensión de los factores que contribuyen a su magnificación, crear estrategias que les ayuden a minimizar la exposición a estos, y orientarlos para que desarrollen métodos personales que les permitan lidiar con el dolor con un mínimo estrés psicológico. Conclusiones: El dolor es un fenómeno complejo que involucra diversas variables y factores en su funcionamiento. Su manejo requiere un enfoque integral para la atención de los pacientes en su enfrentamiento al dolor(AU)


Introduction: Pain as an unpleasant subjective experience is a frequent symptom in patients treated by the Hematology service. This affects the individual on a psychological level and causes the onset of difficulties in the work, educational, family and interpersonal relationships. The perception of pain can be distorted as a result of this alteration caused in the patient. Objective: To analyze the psychological factors that mediate patients' perception of pain. Methods: A literature review was carried out through the PubMed website and the search engine of Google Scholar. The following keywords were used: dolor [pain], manejo del dolor [pain management], evaluación del dolor [pain assessment], psicología del dolor [pain psychology], dolor en hematología [pain in hematology], dolor en drepanocitosis [pain in sickle cell disease], dolor en hemofilia [pain in hemophilia], dolor en leucemia [pain in leukemia]. Information analysis and synthesis: The multifaceted nature of this subjective experience is evidenced. Pain determinants and mechanisms are diverse, which implies that their coping requires a comprehensive approach that helps patients develop awareness about the disease effects and the pain symptoms. It is also necessary to guide them in understanding the factors that contribute to pain magnification, create strategies that help them minimize pain exposure, and guide them to develop personal methods that allow them to deal with pain with minimal psychological stress. Conclusions: Pain is a complex phenomenon involving several variables and factors in its operation. Its management requires a comprehensive approach to patient care regarding coping with pain(AU)


Subject(s)
Humans , Pain Measurement/methods , Pain Measurement/psychology , Pain Perception/physiology , Pain Management/psychology , Hematologic Diseases/psychology , Hematology
13.
Einstein (Säo Paulo) ; 18: eAO4916, 2020. tab, graf
Article in English | LILACS | ID: biblio-1056055

ABSTRACT

ABSTRACT Objective To investigate the prevalence and intensity of pain perception during diagnostic hysteroscopy in women and potential related factors. Methods A total of 489 women were investigated at an infertility clinic. Fluid diagnostic hysteroscopy was performed without analgesia or anesthesia by gynecologists with different levels of experience in operative hysteroscopy, using a 2.9mm rigid scope. The Visual Analog Scale was used to score pain intensity after vaginal speculum insertion and after hysteroscopy. Data collected included age, ethnicity, body mass index, history of infertility and endometrial surgery (curettage and/or hysteroscopy), smoking habits, and hysteroscopy diagnosis. Only the state of anxiety was assessed by the State-Trait Anxiety Inventory given to each patient before the procedure. Results Hysteroscopy median (25th to 75th) Visual Analog Scale scored 3.3 (3 to 5), and 41.7% of the women referred Visual Analog Scale score ≥4. Median (25th to 75th) State-Trait Anxiety Inventory score was 42 (38 to 45), and 58.3% of the women referred State-Trait Anxiety Inventory score >40. Hysteroscopy Visual Analog Scale score was significantly correlated to surgeon experience and to vaginal speculum insertion but not to State-Trait Anxiety Inventory score, ethnicity or abnormal hysteroscopic findings. Conclusion Diagnostic hysteroscopy was mostly perceived as a mild discomfort procedure by most women. Nevertheless, in a considerable number of cases, women perceived hysteroscopy as painful. Pain perception was linked to individual pain threshold and surgeon experience, but not to pre-procedural anxiety state levels, ethnicity or abnormal hysteroscopic findings.


RESUMO Objetivo Investigar a prevalência e a intensidade da percepção da dor durante a histeroscopia diagnóstica, bem como os possíveis fatores relacionados. Métodos Foram incluídas 489 mulheres submetidas à propedêutica de infertilidade. A histeroscopia diagnóstica foi realizada sem analgesia ou anestesia, por ginecologistas com níveis de experiência diferentes em histeroscopia, usando histeroscópio rígido de 2,9mm. A Escala Visual Analógica foi utilizada para avaliar a intensidade da dor após a inserção do espéculo vaginal e após a histeroscopia. Os dados coletados incluíram idade, etnia, índice de massa corporal, história de infertilidade e cirurgia endometrial (curetagem e/ou histeroscopia), tabagismo e histeroscopia diagnóstica. Avaliou-se apenas o estado de ansiedade pelo Inventário de Ansiedade Traço-Estado de cada paciente antes do procedimento. Resultados A mediana (25ºa 75º) de histeroscopia pela Escala Visual Analógica foi 3,3 (3 a 5), e 41,7% das mulheres obtiveram pontuação ≥4. A mediana (25ºa 75º) do Inventário de Ansiedade Traço-Estado foi 42 (38 a 45), e 58,3% das mulheres referiram pontuação >40. A pontuação da Escala Visual Analógica da histeroscopia apresentou correlação estatisticamente significante com a experiência do cirurgião e a inserção do espéculo vaginal, mas não a pontuação do Inventário de Ansiedade Traço-Estado, etnia ou achados histeroscópicos anormais. Conclusão A histeroscopia diagnóstica foi percebida pela maioria das mulheres como desconforto leve, mas um número considerável de pacientes classificou o procedimento como doloroso. A percepção da dor esteve ligada ao limiar individual e à experiência do cirurgião, mas não aos níveis de ansiedade pré-procedimento, à etnia e nem aos achados histeroscópicos anormais.


Subject(s)
Humans , Female , Adult , Young Adult , Pain Measurement/statistics & numerical data , Pain Perception , Pain, Procedural/etiology , Pain, Procedural/epidemiology , Fertility Clinics , Anxiety/psychology , Polyps/surgery , Psychiatric Status Rating Scales , Reference Values , Uterine Diseases/surgery , Pain Measurement/psychology , Brazil/epidemiology , Body Mass Index , Hysteroscopy/adverse effects , Hysteroscopy/psychology , Prevalence , Statistics, Nonparametric , Visual Analog Scale , Pain, Procedural/psychology , Middle Aged
14.
Article in English | LILACS, BBO | ID: biblio-1101287

ABSTRACT

Abstract Objective: To evaluate the rate of tooth movement and the pain perception via self-ligating (SL) and conventional elastomeric ligation brackets (CB) system. Material and Methods: This study has been conducted at the Orthodontic Department of Baqai Dental College, Baqai Medical University. The sample size of this study comprised 40 patients, falling between the age of 12-30 years without any sex discrimination. Shapiro-Wilk was used to check the distribution of data. Non-parametric Mann Whitney U test was applied to evaluate the pain associated with SL and CB brackets system. To analysis the canine retraction Wilcoxon test was applied for the comparison of CB and SL brackets system. For all statistical analyses, the p-value of <0.05 was considered significant. Results: Pain level associated with retraction via CB and SL shows significant differences. However, the rate of canine retraction via CB and SL shows no significant differences at stages T0-T1 and T1-T2. However, stage T2-T3 shows a significant difference. Conclusion: As pain during orthodontic treatment is mostly associated with the level of compression of the periodontal ligament, it may be hypothesized that lower frictional forces generate less compression of the periodontal ligament and blood vessels, and so alter the type of pain experienced.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Periodontal Ligament , Tooth Movement Techniques/instrumentation , Orthodontic Anchorage Procedures/instrumentation , Pain Perception , Orthodontic Friction , Statistics, Nonparametric , Malaysia
15.
Rev. odontol. UNESP (Online) ; 49: e20200070, 2020. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1144881

ABSTRACT

Resumo Introdução A Doença de Parkinson (DP) resulta em condições clínicas desfavoráveis para a saúde bucal e não existe estudo publicado sobre dor ao tratamento odontológico em pacientes com DP. Objetivo Pesquisar associação entre características clínicas da DP e a intensidade de dor em decorrência de tratamentos odontológicos. Material e método Foi utilizada uma amostra consecutiva de 70 pacientes com DP, nos quais foram realizados 217 procedimentos odontológicos invasivos. Tempo de DP foi coletado do prontuário odontológico; estágio da DP foi definido por meio da escala de Hoehn e Yahr; défice cognitivo, por meio do Mini Exame do Estado Mental; depressão, por meio do Inventário de Depressão de Beck; e comprometimento motor, por meio da escala UPDRS/AVD. Os pacientes foram questionados se no último mês sentiram alguma sensação de dormência, formigamento, queimação ou dor bem como dificuldade para sentir cheiros ou gostos. A dor relacionada ao tratamento foi coletada por meio de uma escala numérica de dor com valores de 0 a 10. Resultado O nível de dor percebida pelos pacientes durante o tratamento odontológico não apresentou associação significativa com tempo de DP, estágio da DP, comprometimento motor nem ocorrência de depressão. Maior nível de dor foi estatisticamente mais frequente entre aqueles com défice cognitivo e aqueles que relataram a presença de maior número de sintomas sensitivos, sobretudo dormência e queimação. Conclusão A dor ao tratamento odontológico em pacientes com DP está associada aos sintomas não motores desses pacientes, especificamente o défice cognitivo e a presença de sintomas sensitivos.


Abstract Introduction Parkinson's disease (PD) results in unfavorable clinical conditions for oral health and there is no published study on pain during dental treatment in PD patients. Objective To investigate association between clinical characteristics of PD and the intensity of pain due to dental treatments. Material and method A consecutive sample of 70 patients with PD was used, in which 217 invasive dental procedures were performed. PD duration was collected from dental records; PD stage was defined using the Hoehn and Yahr scale; cognitive deficit, using the Mini Mental State Examination; depression, using the Beck Depression Inventory; and motor impairment, using the UPDRS-AVD scale. Patients were asked whether in the last month they felt any numbness, tingling, burning or pain sensation; as well as difficulty in smelling or tasting. Treatment-related pain was collected using a Numerical Pain Scale with values ranging from 0 to 10. Result the level of pain perceived by patients during dental treatment was not significantly associated with PD duration, PD stage, motor impairment or occurrence of depression. The frequency of patients who reported a higher level of pain was statistically higher among those with cognitive impairment and those who reported the presence of a greater number of sensory symptoms, especially numbness and burning. Conclusion Pain related to dental treatment in PD patients is associated with non-motor symptoms of these patients, specifically the cognitive impairment and the presence of sensory symptoms.


Subject(s)
Humans , Male , Female , Aged , Parkinson Disease , Association , Dental Care , Pain, Procedural , Parkinson Disease/epidemiology , Sensation , Oral Health , Depression , Pain Perception , Cognitive Dysfunction , Mental Status and Dementia Tests
16.
Int. j. odontostomatol. (Print) ; 13(4): 385-391, dic. 2019. tab
Article in English | LILACS | ID: biblio-1056473

ABSTRACT

ABSTRACT: Orthodontic treatment (OT) is essential for the aesthetic and functional rehabilitation of the chewing apparatus, however it may lead to certain complications which can have a negative impact on patients' everyday lives. The study included patients of the Dental Teaching Clinic of Universidad de La Frontera who were undergoing OT for the first time, with the placement of their first orthodontic arch. To analyse the impact of the placement of the first arches on everyday activities (EDA), patients completed a questionnaire with questions relating to their oral condition, including: functional limitation, physical impairment, psychological malaise, physical pain and oral hygiene. The impact on EDAs was classified as high, moderate or low. The chisquared test, Student's t-test and Spearman's coefficient were applied, using a significance threshold of 5 %. Statistical analysis used the SPSS software, v. 22.0. The variables were analysed by sex and age-band. Difficulty in brushing their teeth, eating and speaking were the limitations on EDAs most frequently reported by the patients. Females presented higher scores than males (p=0.003), showing that they suffer a greater negative impact on EDAs than do males. The majority of the patients presented a low impact on EDAs after the placement of their first orthodontic arches. Physical pain after installation, and difficulty in adapting to the orthodontic apparatus were factors determining a negative impact on EDAs, affecting sleep, speech, eating and oral hygiene of patients after starting OT.


RESUMEN: El tratamiento ortodóntico (TO) es esencial para la rehabilitación estética y funcional del aparato masticatorio, sin embargo puede determinar algunas complicaciones que pueden impactar negativamente en la vida diaria de los pacientes. Fueron incluidos pacientes de la Clínica Odontológica Docente Asistencial de la Universidad de La Frontera que realizaban tratamiento ortodóntico por primera vez, con instalación del primer arco ortodóntico. Para análisis del impacto de la instalación de los primeros arcos en las actividades de vida diaria (AVD), los pacientes llenaron un cuestionario con preguntas relacionadas a su condición oral, incluyendo: limitación funcional, incapacidad física, incapacidad psicológica, dolor físico e higiene oral. El impacto en las AVDs fueclasificado como alto, moderado y bajo. Para análisis estadístico se utilizó el software SPSS v. 22.0. Fueron aplicadas las pruebas de chi-cuadrado, t-student y Spearman's coefficient, considerándose umbral de significación de 5 %. Para análisis estadístico se utilizó el software SPSS v. 22.0. Las variables fueron analizadas según sexos y rangos etarios. Dificultad para cepillar los dientes, para comer y hablar fueron las limitaciones en las AVDs más frecuentemente reportadas por los pacientes. Las mujeres presentaron mayores puntajes en relación a los hombres (p=0,003), lo que demostró que presentan mayor impacto negativo en las AVDs en relación a los hombres. La mayoría de los pacientes presentaron bajo impacto en las AVDs tras la instalación de los primeros arcos de ortodoncia. El dolor físico tras instalación y la dificultad en la adaptación con el aparato ortodóntico fueron factores que determinaron impacto negativo en las AVDs, afectando el sueño, el habla, la alimentación y la higiene oral de los pacientes que iniciaron el TO.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Orthodontic Wires/adverse effects , Dental Alloys , Pain Perception , Facial Pain/etiology , Activities of Daily Living , Chile , Data Interpretation, Statistical , Surveys and Questionnaires
17.
Rev. salud pública Parag ; 9(1): [P41-P46], jun. 2019.
Article in Spanish | LILACS, BDNPAR | ID: biblio-1047018

ABSTRACT

Introducción: El dolor constituye el principal motivo de consulta en Atención Primaria de Salud. El dolor crónico es uno de los mayores desafíos con los que se encuentra el médico en la consulta ambulatoria. Objetivo: Relacionar la autopercepción del nivel de intensidad en presencia de dolor crónico con la autovaloración de la propia salud general en pacientes que acudieron al Servicio de Medicina Física y Rehabilitación del Hospital Central del Instituto de Previsión Social en el año 2018. Materiales y Métodos: El diseño del estudio fue transversal. Se entregó a los participantes del estudio un cuestionario con preguntas cerradas sobre edad, sexo, procedencia y patología de base; las escalas de Walco & Howite y Verbal de Autopercepción de la salud. Resultados: Participaron 62 pacientes, con mediana de 65 años, el 85,48% fueron mujeres, el 80,65% procedió de zonas urbanas. El 87,10% eran portadores de artropatías y el 67,74% eran hipertensos. El 56,45% presentó dolor intermitente, localizado con mayor frecuencia en miembros inferiores y en miembros superiores, de intensidad severa en 35,48% de los casos. En cuanto a la autovaloración de la salud, el 46,77% la consideró regular y el 41,93% buena. Existe relación estadísticamente significativa entre la autopercepción de la intensidad del dolor crónico y la autovaloración de la salud general (p=0,007). Conclusión: La mayoría de los pacientes que percibieron dolor leve y moderado consideraron gozar de buena salud, mientras que la mayoría de los pacientes que percibieron dolor severo y máximo imaginable refirieron encontrarse en regular estado de salud. Palabras-clave: Dolor Crónico; Percepción Del Dolor; Autoimagen; Paraguay


Introduction: Pain is the main reason for consultation in Primary Health Care. Chronic pain is one of the biggest challenges that the doctor finds in the outpatient clinic. Objective: To relate the self-perception of the intensity level in the presence of chronic pain with the self-assessment of their own general health in patients who went to the Physical Medicine and Rehabilitation Service of the Central Hospital of the Institute of Social Welfare in 2018. Methodology: The design of the study was transversal. A questionnaire with closed questions was given to the study participants, where data such as age, sex, origin and basic pathology were collected. Besides this, the Walco & Howite Scale and the Verbal Scale of Self-perception of health was included. Results: 62 patients participated, with a median age of 65 years, 85.48% were women, and 80.65% came from urban areas. 87.10% were carriers of arthropathies and 67.74% were hypertensive. 56.45% of patients presented intermittent pain, located more frequently in lower limbs and upper limbs, of severe intensity in 35.48% of cases. Regarding the self-assessment of health, 46.77% considered it regular and 41.93% considered it good. There is a statistically significant relationship between the intensity of chronic pain self-perception and the self-assessment of general health (p = 0.007). Conclusion: The majority of patients who perceived mild and moderate pain considered to be in good health, while the majority of patients who perceived severe and maximum pain imaginable reported being in a regular state of health. Key words: Chronic Pain; Pain Perception; Self-Concept Paraguay


Subject(s)
Humans , Male , Female , Aged , Hospital Care , Chronic Pain , Pain Perception
18.
Ciênc. Saúde Colet. (Impr.) ; 24(5): 1657-1667, Mai. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1001807

ABSTRACT

Resumo Este artigo apresenta os resultados de um estudo centrado no significado que a dor assume no discurso de um grupo de bailarinas de dança clássica. Para tal acedemos às suas experiências e vivências através de uma entrevista semiestruturada de forma a entender a dor que faz parte suas rotinas antes, durante e após estarem a dançar. O estudo sustenta-se nos discursos que emergiram num grupo de dez bailarinas, com mais de seis anos de formação, e o método para aceder aos significados providenciados pelas suas vozes foi a "Grounded Analysis" ou Análise Sustentada nos Dados. A análise dos discursos recolhidos revelou que o evoluir no percurso da dança implica dificuldades que aumentam as exigências experienciadas pelas bailarinas, paralelamente ao desejo de querer permanecer no mundo do espetáculo. Assim são os treinos excessivos e os movimentos repetitivos que fazem surgir a dor e as lesões, que são ocultadas, negadas, de modo a poder continuar no foco de querer alcançar a perfeição. Em geral, os resultados obtidos salientam a paixão pela dança que configura a dor como aliada desta prática, e obriga as bailarinas a várias estratégias de confronto. Paralelamente, a dor liga-se ao medo da lesão, ao fim do percurso como bailarina e ao abdicar de um sonho.


Abstract This article presents the results of a study focused on the meaning that pain assumes in the discourse of a group of classical dance ballerinas. To achieve this, we accessed their experiences and perceptions through a semi-structured interview, to better understand the pain that is an integral part of their routines before, during and after a performance. This study is based on the discourses which emerged from a group of ten ballerinas with six or more years of training, and the method chosen to tap into the underlying meanings was Grounded Analysis or Sustained Data Analysis. The analysis of the discourses collected revealed that pursuing a dancing career involves obstacles that increase the demands felt by the ballerinas, in parallel with their desire to remain in the world of performance. Thus, it is the excessive practicing and repetitive movements which give rise to pain and injuries, which are concealed and denied so as not to impede the focus of attaining perfection. In general, the results obtained emphasize the passion for dance that involves pain as an ally to this career and force the ballerinas to varied confrontation strategies. In tandem, pain is linked to fear of injury, to the end of a career as a ballerina and the relinquishment of a dream.


Subject(s)
Humans , Female , Adolescent , Adult , Young Adult , Pain/etiology , Dancing/psychology , Occupational Diseases/epidemiology , Pain/epidemiology , Interviews as Topic , Dancing/injuries , Qualitative Research , Fear , Pain Perception
19.
Dental press j. orthod. (Impr.) ; 24(2): 42-48, Mar.-Apr. 2019. tab, graf
Article in English | LILACS | ID: biblio-1001864

ABSTRACT

Abstract Introduction: Various types of separators have been advocated, but the ideal separator should produce optimum separation with minimal pain and discomfort. Objective: The objective of this study was to evaluate and compare the amount of separation achieved by three different types of separators (Elastomeric, Kesling and Kansal), and to assess the associated pain and discomfort. Methods: A random single-blind split-mouth study was conducted on 108 patients seeking fixed orthodontic treatment, in which two different separators were used on each side in both the arches for a single patient. After five days, the amount of separation was measured with a feeler gauge. Visual Analogue Scale (VAS) scoring was performed by the patient on each day, to evaluate pain perception. Discomfort was evaluated by questionnaire filled by the patient at the time of separator removal. Results: The greatest amount of separation was seen with the elastomeric separators, while the smallest separation was seen with Kansal separators. VAS scoring showed maximum pain at day 1 with all the three separator types. Highest pain was perceived in the Elastomeric separators group, followed by Kesling and Kansal separators, respectively. Statistically significant difference was found in VAS score of Elastomeric separators, when compared to both Kesling and Kansal, on day 1 and 2 (p= 0.001). Analysis of the questionnaires revealed that a greater number of patients experienced discomfort with elastomeric separators placement (69.4%), which was statistically significant (p< 0.01) when compared to the other two types of separators. Answers to the other questions were comparable, except for the need for medications, which was reportedly highest with elastomeric separators. Conclusion: Kesling separators produce adequate separation with minimal discomfort and pain, compared to Elastomeric and Kansal separators.


Resumo Introdução: diversos tipos de separadores de dentes já foram descritos e seu uso, justificado na literatura. Porém, o separador ideal deve produzir uma força adequada para realizar a separação com o mínimo de dor e desconforto. Objetivo: o objetivo do presente estudo foi avaliar e comparar a separação ortodôntica obtida por meio de três diferentes tipos de separadores (Elastômeros, Kesling e Kansal), bem como a dor e o desconforto a eles vinculados. Métodos: foi conduzido um estudo randomizado, cego e de boca dividida em 108 pacientes interessados em realizar tratamento ortodôntico, nos quais foram utilizados dois separadores diferentes, um em cada lado de ambas as arcadas de cada paciente. Cinco dias após a inserção dos dispositivos, a quantidade de separação foi mensurada com o auxílio de um medidor (calibrador de folga). Para avaliar a dor, os pacientes preencheram uma Escala Visual Analógica (EVA) a cada dia do estudo; e, para a avaliação do desconforto, preencheram um questionário no dia da remoção dos separadores. Resultados: os Elastômeros obtiveram a maior quantidade de separação, enquanto os separadores Kansal conseguiram a menor separação. A análise das EVAs apontou a maior intensidade de dor no primeiro dia, para os três tipos de separadores, sendo os maiores índices relatados no grupo de Elastômeros, seguido pelos grupos Kesling e Kansal, respectivamente. Diferenças estatisticamente significativas foram encontradas nas escalas EVA dos Elastômeros em comparação aos separadores Kesling e Kandal, nos dias 1 e 2 (p= 0,001). A análise dos questionários mostrou que um grande número de pacientes relatou desconforto após a inserção dos Elastômeros (69,4%), valor estatisticamente significativo em comparação aos outros dois tipos de separadores (p< 0,01). As respostas às outras questões foram semelhantes entre os grupos, com exceção da necessidade de uso de medicamentos, a qual foi maior no grupo dos Elastômeros. Conclusão: os separadores Kesling produziram uma separação adequada, com o mínimo de dor e desconforto, em comparação aos Elastômeros e separadores Kansal.


Subject(s)
Humans , Orthodontic Appliances , Pain Perception , Pain , Pain Measurement , Single-Blind Method
20.
Rev. bras. ter. intensiva ; 31(1): 57-62, jan.-mar. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1003628

ABSTRACT

RESUMO Objetivo: Avaliar a pontuação da escala Perme de mobilidade como preditor de funcionalidade e complicações no pós-operatório de pacientes submetidos a transplante hepático. Métodos: A amostra foi composta por 30 pacientes que realizaram transplante hepático. Os pacientes foram avaliados em dois momentos, a fim de verificar a percepção da dor, o grau de dispneia, a força muscular periférica e a funcionalidade do paciente de acordo com a escala Perme. Os dados coletados foram analisados por estatística descritiva e inferencial. Para comparar médias entre as avaliações, foi aplicado o teste t de Student para amostras pareadas. Em caso de assimetria, o teste de Wilcoxon foi utilizado. Na avaliação da associação entre as variáveis quantitativas, os testes de correlação de Pearson ou Spearman foram aplicados. Resultados: Foram incluídos 30 indivíduos que realizaram transplante hepático. Houve predomínio de pacientes do sexo masculino, e a média de idade foi 58,4 ± 9,9 anos. A patologia de base mais prevalente foi a cirrose por vírus C (23,3%). Foram registradas associações significativas entre o tempo de ventilação mecânica e a escala Perme na alta da unidade de terapia intensiva (r = -0,374; p = 0,042) e entre o número de atendimentos fisioterapêuticos (r = -0,578; p = 0,001). Quando comparados os resultados da avaliação inicial e na alta hospitalar, houve significativa melhora da funcionalidade (p < 0,001). Conclusão: Mobilidade funcional, força muscular periférica, percepção da dor e dispneia melhoram significativamente no momento da alta hospitalar em relação à admissão na unidade de internação.


ABSTRACT Objective: To assess the Perme mobility scale score as a predictor of functional status and complications in the postoperative period in patients undergoing liver transplantation. Methods: The sample consisted of 30 patients who underwent liver transplantation. The patients were evaluated at two time points to determine their perception of pain, degree of dyspnea, peripheral muscle strength, and functional status according to the Perme scale. The collected data were analyzed by descriptive and inferential statistics. To compare the means between the evaluations, Student's t test for paired samples was applied. In case of asymmetry, the Wilcoxon test was used. In the evaluation of the association between the quantitative variables, the Pearson or Spearman correlation tests were applied. Results: A total of 30 individuals who underwent liver transplantation were included. The patients were predominantly male, and the mean age was 58.4 ± 9.9 years. The most prevalent underlying pathology was cirrhosis C virus (23.3%). Significant associations of the time on mechanical ventilation with the Perme scale score at discharge from the intensive care unit (r = -0.374; p = 0.042) and the number of physical therapy treatments (r = -0.578; p = 0.001) were recorded. When comparing the results of the initial evaluation and the evaluation at hospital discharge, there was a significant improvement in functional status (p < 0.001). Conclusion: Functional mobility, peripheral muscle strength, pain perception, and dyspnea are significantly improved at hospital discharge compared with those at inpatient unit admission.


Subject(s)
Humans , Male , Female , Aged , Postoperative Complications/epidemiology , Liver Transplantation/methods , Physical Therapy Modalities/statistics & numerical data , Recovery of Function/physiology , Patient Discharge , Respiration, Artificial/statistics & numerical data , Time Factors , Prospective Studies , Dyspnea/epidemiology , Mobility Limitation , Muscle Strength/physiology , Pain Perception/physiology , Intensive Care Units , Middle Aged
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