Mesh : Humans Child Pain Measurement Male Female Radiography, Dental, Digital / methods instrumentation Pain Perception Radiography, Dental / instrumentation

来  源:   DOI:10.4103/ijdr.ijdr_78_23

Abstract:
BACKGROUND: Dental radiography is an integral part of intraoral evaluation. Children are often uncomfortable during the placement of film or sensor due to the impingement of the soft tissues. Thus, the perception of pain with three intraoral radiographic methods in children was evaluated using three subjective pain rating scales.
OBJECTIVE: To evaluate the discomfort with three different techniques, that is, intraoral periapical (IOPA) radiograph, charge-coupled device (CCD), and photostimulable phosphor (PSP) luminescence (PSPL), using the Wong-Baker Faces Pain Rating Scale (WBFPRS), numerical rating scale, and visual analog scale (VAS).
METHODS: A sample of 35 children aged 6-12 years were divided into two groups: group 1 (6-8 years) and group 2 (9-12 years). For each child, simulations of the three radiological methods (IOPA, CCD, and PSPL) were performed. The meaning of each facial expression on the WBFPRS, VAS, and the numbers on the numerical rating scale was explained to each child before the procedure.
METHODS: A one-way analysis of variance (ANOVA) test and paired-samples t-test are used.
RESULTS: The results revealed that the CCD sensors elicited higher pain scores than those obtained with IOPA and PSPL, whereas the IOPA film showed the least pain score. Higher score values were obtained in group 1 than in group 2, indicating that children aged 6-8 years felt higher discomfort than the 9- to 12-year age group for the same procedure. This difference was statistically significant (P < 0.001).
CONCLUSIONS: It was concluded that conventional IOPA films were tolerated better by children when compared to PSP plates and CCD sensors.
摘要:
背景:牙科X线摄影是口腔内评估的一个组成部分。由于软组织的撞击,儿童在放置胶片或传感器期间通常不舒服。因此,使用3种主观疼痛评定量表对儿童的3种口内X线检查方法进行疼痛感知评价.
目的:为了评估三种不同技术的不适感,也就是说,口内根尖周(IOPA)X光片,电荷耦合器件(CCD),和光刺激荧光粉(PSP)发光(PSPL),使用Wong-Baker面部疼痛评定量表(WBFPRS),数字评级量表,和视觉模拟量表(VAS)。
方法:将35名年龄在6-12岁的儿童样本分为两组:第1组(6-8岁)和第2组(9-12岁)。对于每个孩子,三种放射学方法的模拟(IOPA,CCD,和PSPL)进行。WBFPRS上每个面部表情的含义,VAS,在手术前向每个孩子解释了数字评定量表上的数字。
方法:使用单向方差分析(ANOVA)检验和配对样品t检验。
结果:结果显示,与IOPA和PSPL相比,CCD传感器引起的疼痛评分更高,而IOPA膜显示出最小的疼痛评分。第1组比第2组获得更高的评分值,表明6-8岁的儿童比9-12岁的儿童感到更高的不适。这种差异具有统计学意义(P<0.001)。
结论:可以得出结论,与PSP板和CCD传感器相比,儿童对常规IOPA膜的耐受性更好。
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