Comparative Evaluation of Pain Scores during Periodontal Probing with or without Anesthetic Gels.

Ashank Mishra,Mandapathi Priyanka,Krishnajaneya Reddy Pathakota,Koppolu Pradeep

doi:10.1155/2016/5768482

Ashank Mishra, Mandapathi Priyanka + Show 2 more

Open Access

https://doi.org/10.1155/2016/5768482

Copy DOI

Abstract

Context. The initial periodontal examination which includes full-mouth periodontal probing is one of the discomforting procedures for a patient. Aim. To evaluate the efficacy of two local anesthetic gels in the reduction of pain during periodontal probing using Florida probe in CGP patients in comparison with manual probing. Materials and Methods. Ninety systemically healthy patients with moderate to severe CGP patients were recruited. In each patient, the quadrants were randomly assigned to manual probing with UNC-15 probe, probing with Florida probe, and Florida probing with lidocaine 10% gel and with benzocaine 20% gel. In the quadrants undergoing probing with anesthetic gels, the sites were isolated and the gel was injected using syringe and a blunt-end cannula. Pain was measured using 10 mm horizontal VAS. Statistical Analysis. The analysis was carried out using SPSS version 18. The comparison of mean VAS scores was done using repeated measures ANOVA with post hoc Bonferroni test. Results. Mean VAS for manual probing was significantly more than Florida probing. Further, the mean VAS score for Florida probing was higher than the two gels. Conclusion. It is suggested that the gels might be useful in reducing pain experienced during full-mouth periodontal probing in patients with CGP.

Highlights

Periodontal probing is one of the basic baseline clinical examination procedures which is carried out to assess the disease severity in a periodontitis patient
Measurement of clinical parameters like probing depth, clinical attachment level (CAL) gives us a basic idea regarding the evaluation of response to periodontal therapy
The purpose of full-mouth periodontal examination involves periodontal probing at six sites per tooth on all teeth

Summary

Introduction

Periodontal probing is one of the basic baseline clinical examination procedures which is carried out to assess the disease severity in a periodontitis patient. Measurement of clinical parameters like probing depth, clinical attachment level (CAL) gives us a basic idea regarding the evaluation of response to periodontal therapy. The purpose of full-mouth periodontal examination involves periodontal probing at six sites (mid-buccal, distobuccal, mesiobuccal, mesiolingual, midlingual, and distolingual) per tooth on all teeth. Full-mouth periodontal probing has always been an extremely painful experience which is mainly due to the persisting inflammation of the periodontal tissues [1]. The pain experienced during this baseline examination procedure has always been a matter of concern but is not taken care of. In an untreated periodontal site, probing leads to penetration of the periodontal probe into the surrounding connective tissue, which is heavily infiltrated with chronic inflammatory cells, whereas in a treated, noninflamed site, the periodontal probe does not penetrate through the epithelium at the base of the pocket which was proved histologically in earlier studies [2]

Objectives

Methods

Discussion

Conclusion