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Incidence and Characteristics of Acute Referred Orofacial Pain Caused by a Posterior Single Tooth Pulpitis in an Iranian Population
Author(s) -
Hashemipour Maryam Alsadat,
Borna Roya
Publication year - 2014
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/papr.12034
Subject(s) - medicine , orofacial pain , visual analogue scale , referral , population , neck pain , physical therapy , incidence (geometry) , toothache , head and neck , referred pain , pulpitis , mcgill pain questionnaire , mann–whitney u test , dentistry , surgery , pulp (tooth) , pathology , alternative medicine , physics , environmental health , family medicine , optics
This study was designed to evaluate incidence and characteristics of acute referred orofacial pain caused by a posterior single tooth pulpitis in an Iranian population. Methods In this cross‐sectional study, 3,150 patients (1,400 males and 1,750 females) with pain in the orofacial region were evaluated via clinical and radiographic examination to determine their pain source. Patients completed a standardized clinical questionnaire consisting of a numerical rating scale for pain intensity and chose verbal descriptors from short form McGill questionnaire to describe the quality of their pain. Visual analog scale ( VAS ) was used to score pain intensity. In addition, patients indicated sites to which pain referred by drawing on an illustration of the head and neck. Data were analyzed using chi‐square, fisher exact, and Mann–Whitney tests. Results Two thousand and hundred twenty patients (67/3%) reported pain in sites that diagnostically differed from the pain source. According to statistical analysis, sex ( P = 0.02), intensity of pain (0.04), and quality ( P = 0.001) of pain influenced its referral nature, while age of patients and kind of stimulus had no considerable effect on pain referral ( P > 0.05). Conclusion The results of the present study show the prevalence of referred pain in the head, face, and neck region is moderately high. Therefore, in patients with orofacial pain, it is essential to carefully examination before carrying out treatment that could be inappropriate.