CORRELATION BETWEEN WONG-BAKER FACES PAIN SCALE AND SALIVARY ALPHA-AMYLASE LEVEL IN CHILDREN AGED 6–11 YEARS

Hastin Dian Anggraeni,Ike Siti Indiarti,Faraghea Yumasdhika,Margaretha Suharsini

doi:10.22159/ijap.2017.v9s2.34

Hastin Dian Anggraeni, Ike Siti Indiarti + Show 2 more

Open Access

https://doi.org/10.22159/ijap.2017.v9s2.34

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Abstract

Objective: Several studies have tried to objectively assess pain measurements. The Wong-Baker Faces Pain Scale (WBFPS) is an instrument that is commonly used to assess pain intensity in children. This study aimed to analyze the correlation between the WBFPS and salivary alpha-amylase (SAA) level during a tooth extraction procedure with a local anesthetic injection in children aged 6–11 years.Methods: Twenty-five children aged 6–11 years who were to undergo the extraction of a primary tooth at the Dental and Oral Educational Hospital, Faculty of Dentistry Universitas Indonesia, were enrolled in this study. From all children, saliva was collected using a disposable saliva strip shortly after local anesthetic injection, and the SAA activity was then determined using a portable Nipro Cocoro Meter device. The WBFPS was measured at the same time. The correlation between the WBFPS and the SAA level was analyzed using Spearman’s correlation test. The statistically significant level was set at p≤0.05.Results: There was a significant correlation between the WBFPS and SAA level (p=0.002, r=0.581).Conclusion: Our data suggest that the SAA level might be a good index for objective pain intensity assessment.

Highlights

Pain has sensory, emotional, cognitive, and behavioral components that are interrelated with environmental, developmental, sociocultural, and contextual factors
Our data suggest that the Salivary alpha-amylase (SAA) level might be a good index for objective pain intensity assessment
Given the limited number of studies performed to evaluate the relationship of alpha-amylases, especially SAA, with pain, the present study aims to evaluate the relationship between SAA and pain intensity in children due to local anesthetic injection during the tooth extraction procedure

Summary

Introduction

Emotional, cognitive, and behavioral components that are interrelated with environmental, developmental, sociocultural, and contextual factors. Faces pain scales include the Faces Pain Scale (FPS), Faces Pain Scale-Revised (FPS-R), Oucher Pain Scale, and Wong-Baker Faces Pain Scale (WBFPS) Tomlinson compared these four measurements and found that children preferred the WBFPS [3]. Shirasaki found good correlation between scales of pain intensity and SAA This is because painful stimuli activate the sympathetic-adrenal medullary (SAM) system and hypothalamic-pituitary-adrenal (HPA) axis [4]. Some children need their primary teeth to be extracted under local anesthetic injection during the exfoliation period. Given the limited number of studies performed to evaluate the relationship of alpha-amylases, especially SAA, with pain, the present study aims to evaluate the relationship between SAA and pain intensity in children due to local anesthetic injection during the tooth extraction procedure

Methods

Results

Discussion

Conclusion