Comparison of Gingival Inflammatory Parameters and Pain Perception on Periodontal Probing - A cross sectional study, Part II

Background: Probing of the periodontal pocket is an essential part of the diagnosis of periodontal disease and 15-77% of untreated periodontal patients experience pain during probing. Therefore, the objective of this study is to evaluate the pain perceived by patients with dental plaque-induced ging...

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Main Authors: Balachandran Ashwath, Muthukali Shanmugam, Elumalai Agila, Vijayarangan Anitha, Durai Aishwarya, Aanisha Zafrin
Format: Article
Language:English
Published: Universidad de Concepción. 2022-10-01
Series:Journal of Oral Research
Subjects:
Online Access:https://joralres.com/index.php/JOralRes/article/view/joralres.2022.053/1074
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author Balachandran Ashwath
Muthukali Shanmugam
Elumalai Agila
Vijayarangan Anitha
Durai Aishwarya
Aanisha Zafrin
author_facet Balachandran Ashwath
Muthukali Shanmugam
Elumalai Agila
Vijayarangan Anitha
Durai Aishwarya
Aanisha Zafrin
author_sort Balachandran Ashwath
collection DOAJ
description Background: Probing of the periodontal pocket is an essential part of the diagnosis of periodontal disease and 15-77% of untreated periodontal patients experience pain during probing. Therefore, the objective of this study is to evaluate the pain perceived by patients with dental plaque-induced gingivitis and chronic periodontitis during periodontal probing and the main objective includes the evaluation of the relationship between pain perceived during periodontal probing and gingival inflammatory parameters. Material and Methods: A total of 475 participants were recruited into the study. The patients were divided into two groups: Group-A (Gingivitis Group - 275 patients) and Group-B (Chronic Periodontitis Group - 200 patients). Clinical parameters included analysis of bleeding on probing, simplified gingival index, pocket depth on probing, and clinical attachment level. Pain score was recorded using the HP VAS scale and all patients participated in the study after a detailed explanation of the study protocol. Results: A significant difference in pain perception was noted between groups, highlighting the role of the degree of inflammation in the examination of periodontal parameters. Conclusion: Within the limitations of the present study, we can conclude that pain perception is directly correlated with the degree of inflammation in periodontitis rather than plaque-induced gingivitis during periodontal probing. Therefore, some form of adjuvant topical anesthesia may be considered in order to reduce pain levels in severely inflamed patients, to encourage continued acceptance of supportive periodontal therapy.
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spelling doaj.art-c7ae5b1a7bdb4336babf0e07d8aba90e2023-03-24T21:52:03ZengUniversidad de Concepción.Journal of Oral Research0719-24600719-24792022-10-01115111https://doi.org/10.17126/joralres.2022.053Comparison of Gingival Inflammatory Parameters and Pain Perception on Periodontal Probing - A cross sectional study, Part IIBalachandran Ashwath0https://orcid.org/0000-0003-3065-5879Muthukali Shanmugam1https://orcid.org/0000-0002-7235-4591Elumalai Agila2https://orcid.org/0000-0003-3670-8863Vijayarangan Anitha3https://orcid.org/0000-0002-3613-5156Durai Aishwarya4Aanisha Zafrin5Department of Periodontology, Chettinad Dental College and Research Institute, Rajiv Gandhi Salai, Kelambakkam, Chengalpattu, Tamilnadu, IndiaDepartment of Periodontology, Chettinad Dental College and Research Institute, Rajiv Gandhi Salai, Kelambakkam, Chengalpattu, Tamilnadu, IndiaDepartment of Periodontology, Chettinad Dental College and Research Institute, Rajiv Gandhi Salai, Kelambakkam, Chengalpattu, Tamilnadu, IndiaDepartment of Periodontology, Chettinad Dental College and Research Institute, Rajiv Gandhi Salai, Kelambakkam, Chengalpattu, Tamilnadu, IndiaDepartment of Periodontology, Chettinad Dental College and Research Institute, Rajiv Gandhi Salai, Kelambakkam, Chengalpattu, Tamilnadu, IndiaDepartment of Periodontology, Chettinad Dental College and Research Institute, Rajiv Gandhi Salai, Kelambakkam, Chengalpattu, Tamilnadu, IndiaBackground: Probing of the periodontal pocket is an essential part of the diagnosis of periodontal disease and 15-77% of untreated periodontal patients experience pain during probing. Therefore, the objective of this study is to evaluate the pain perceived by patients with dental plaque-induced gingivitis and chronic periodontitis during periodontal probing and the main objective includes the evaluation of the relationship between pain perceived during periodontal probing and gingival inflammatory parameters. Material and Methods: A total of 475 participants were recruited into the study. The patients were divided into two groups: Group-A (Gingivitis Group - 275 patients) and Group-B (Chronic Periodontitis Group - 200 patients). Clinical parameters included analysis of bleeding on probing, simplified gingival index, pocket depth on probing, and clinical attachment level. Pain score was recorded using the HP VAS scale and all patients participated in the study after a detailed explanation of the study protocol. Results: A significant difference in pain perception was noted between groups, highlighting the role of the degree of inflammation in the examination of periodontal parameters. Conclusion: Within the limitations of the present study, we can conclude that pain perception is directly correlated with the degree of inflammation in periodontitis rather than plaque-induced gingivitis during periodontal probing. Therefore, some form of adjuvant topical anesthesia may be considered in order to reduce pain levels in severely inflamed patients, to encourage continued acceptance of supportive periodontal therapy.https://joralres.com/index.php/JOralRes/article/view/joralres.2022.053/1074chronic periodontitisgingivitispain perceptionperiodontal indexinflammationgingiva
spellingShingle Balachandran Ashwath
Muthukali Shanmugam
Elumalai Agila
Vijayarangan Anitha
Durai Aishwarya
Aanisha Zafrin
Comparison of Gingival Inflammatory Parameters and Pain Perception on Periodontal Probing - A cross sectional study, Part II
Journal of Oral Research
chronic periodontitis
gingivitis
pain perception
periodontal index
inflammation
gingiva
title Comparison of Gingival Inflammatory Parameters and Pain Perception on Periodontal Probing - A cross sectional study, Part II
title_full Comparison of Gingival Inflammatory Parameters and Pain Perception on Periodontal Probing - A cross sectional study, Part II
title_fullStr Comparison of Gingival Inflammatory Parameters and Pain Perception on Periodontal Probing - A cross sectional study, Part II
title_full_unstemmed Comparison of Gingival Inflammatory Parameters and Pain Perception on Periodontal Probing - A cross sectional study, Part II
title_short Comparison of Gingival Inflammatory Parameters and Pain Perception on Periodontal Probing - A cross sectional study, Part II
title_sort comparison of gingival inflammatory parameters and pain perception on periodontal probing a cross sectional study part ii
topic chronic periodontitis
gingivitis
pain perception
periodontal index
inflammation
gingiva
url https://joralres.com/index.php/JOralRes/article/view/joralres.2022.053/1074
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