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Pain Perception and Anxiety Levels during Menstrual Cycle Associated with Periodontal Therapy

机译:月经周期与牙周治疗相关的疼痛知觉和焦虑水平

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Objectives. To compare the pain perception and anxiety levels of female patients undergoing scaling and root planing during menstrual (perimenstrual) period with those observed during postmenstrual period.Materials and Methods. This was a single blind study, with a split-mouth design. Forty-four women with chronic periodontitis with regular menstrual cycles were subjected to complete Corah’s Dental Anxiety Scale (DAS) during their first debridement visit. Patients were randomly selected to undergo their first debridement visit during either their menstrual or postmenstrual period. Scaling was performed under local anesthesia in bilateral quadrants of patients during the periods. Visual Analogue Scale (VAS) was used to score pain levels for each quadrant after performing scaling and root planing.Results. Increase in pain perception among females during their menstrual or perimenstrual period was significantly greater than their postmenstrual period (P< 0.05). It is observed that women whose first appointment was given in perimenstrual period had more pain (VAS) (P= 0.0000) when compared to those women whose first appointment was given in postmenstrual period.Conclusion. Females in their menstrual period demonstrated higher pain responses and high anxiety levels to supra- and subgingival debridement. This increase in the pain levels of women during their menstrual period was statistically significant. If the appointments are given in postmenstrual period, women feel less pain.
机译:目标。比较月经(围经期)期间进行结垢和根部平整的女性患者的痛觉和焦虑水平与月经后进行的观察。材料和方法。这是一项单盲研究,采用分口设计。四十四名患有周期性牙周炎的慢性牙周炎妇女在首次清创时就接受了完整的Corah牙科焦虑量表(DAS)。在月经期或月经后,随机选择患者进行首次清创检查。在该期间,在患者的双侧象限下在局部麻醉下进行缩放。视觉模拟量表(VAS)用于对每个象限的疼痛程度进行评分和根部平整后进行评分。女性在经期或月经期的疼痛感增加明显大于经期(P <0.05)。据观察,与在月经期初次任命的妇女相比,在月经期初次任命的妇女有更大的疼痛(VAS)(P = 0.0000)。女性在月经期表现出较高的疼痛反应和对龈上和龈下清创术的高度焦虑。妇女在月经期的疼痛程度的增加在统计学上是显着的。如果约会是在月经后进行的,那么女性的痛苦就会减轻。

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