Korelasi antara Intensitas Nyeri dan Kualitas Hidup Terkait Kesehatan Gigi dan Mulut pada Pasien Endodontik
DOI:
https://doi.org/10.35790/eg.v13i1.56571Abstract
Abstract: Endodontic pain can inhibit activity and negatively impact patient's quality of life. This study aimed to find out the correlation between the Visual Analogue Scale (VAS) scores and oral health-related quality of life using the General Oral Health Assessment Index (GOHAI) in endodontic patients. A total of 199 patients were referred to UNHAS RSGMP for endodontic treatment. The entire patient determined the intensity of the pain they were experiencing using VAS on a scale between 0 and 10. The patient was then instructed to fill out a 12-question GOHAI questionnaire. The statistical analysis used was the Spearman correlation test. The results showed that the average age of the patients in this study was 35.3 years, with the female patient dominating the samples (66.3%). The Spearman's correlation test showed that there was a positive and significant correlation between GOHAI scores and VAS scores, with an r-value of 0.177 and a p-value of 0,012. In conclusion, high intensity of pain correlates with low quality of life in endodontic patients, highlighting the need for dentists and endodontists to accurately execute endodontic pain, therefore, promptly improvement of endodontic patients' quality of life can be achieved.
Keywords: endodontic; orofacial pain; quality of life; Visual Analogue Scale; General Oral Health Assessment Index
Abstrak: Nyeri endodontik dapat menghambat aktifitas hingga berdampak buruk pada kualitas hidup penderita. Penelitian ini bertujuan untuk mengetahui korelasi antara skor Visual Analogue Scale (VAS) dan kualitas hidup terkait kesehatan gigi dan mulut dengan menggunakan General Oral Health Assessment Index (GOHAI) pada pasien endodontik. Sebanyak 199 pasien dirujuk ke RSGMP UNHAS untuk dilakukan perawatan endodontik. Seluruh pasien menentukan intensitas nyeri yang sedang dialami menggunakan VAS dengan skala antara 0 dan 10. Selanjutnya pasien diinstruksikan untuk mengisi kuesioner GOHAI sebanyak 12 butir pertanyaan. Jenis analisis statistik yang digunakan ialah uji korelasi Spearman. Hasil penelitian mendapatkan rerata usia pasien ialah 35,3 tahun, dengan pasien perempuan yang mendominasi sampel (66,3%). Hasil uji korelasi Spearman menunjukkan adanya korelasi positif dan bermakna antara skor GOHAI dan skor VAS dengan nilai r sebesar 0,177 serta nilai p sebesar 0,012. Simpulan penelitian ini ialah terdapat korelasi antara GOHAI dan VAS dimana tingginya intensitas nyeri dapat menyebabkan rendahnya kualitas hidup pada pasien endodontik. Dokter gigi dan endodontis diharapkan mampu melakukan penatalaksanaan nyeri endodontik dengan tepat agar dapat segera memperbaiki kualitas hidup pasien endodontik.
Kata kunci: endodontik; kualitas hidup; nyeri orofasial; Visual Analogue Scale; General Oral Health Assessment Index
References
Hossain MZ, Bakri MM, Yahya F, Ando H, Unno S, Kitagawa J. The role of transient receptor potential (TRP) channels in the transduction of dental pain. Int J Mol Sci. 2019;20(3):526. Doi: 10.3390/ijms20030526
Badel T, Zadravec D, Bašić Kes V, Smoljan M, Kocijan Lovko S, Zavoreo I, et al. Orofacial pain - diagnostic and therapeutic challenges. Acta Clin Croat. 2019;58(Suppl 1):82-9. Doi: 10.20471/acc.2019.58.s1.12
Lopes RV, Baggio DF, Ferraz CR, Bertozzi MM, Saraiva-Santos T, Verri Junior WA, et al. Maresin-2 inhibits inflammatory and neuropathic trigeminal pain and reduces neuronal activation in the trigeminal ganglion. Curr Res Neurobiol. 2023;4:100093. Doi: 10.1016/j.crneur.2023.100093
Francisco S, Suzuki C, Lima A, Maciel M, Murrer R. Clinical strategies for managing emergency endodontic pain. RSBO. 2017;13(3):209. Doi: 10.21726/rsbo.v13i3.316
Gomes B, Herrera DR. Etiologic role of root canal infection in apical periodontitis and its relationship with clinical symptomatology. Braz Oral Res. 2018;32(suppl 1):e69. Doi: 10.1590/1807-3107bor-2018.vol32.0069
Modaresi J, Davoudi A, Badrian H, Sabzian R. Irreversible pulpitis and achieving profound anesthesia: Complexities and managements. Anesth Essays Res. 2016;10(1):3-6. Doi: 10.4103/0259-1162.164675
Petrini M, Ferrante M, Ciavarelli L, Brunetti L, Vacca M, Spoto G. Prostaglandin E2 to diagnose between reversible and irreversible pulpitis. Int J Immunopathol Pharmacol. 2012;25(1):157-63. Doi: 10.1177/039463201202500118
Cimilli H, Karacayli U, Şişman N, Kartal N, Mumcu G. Comparison of the oral health-related quality of life and dental pain in symptomatic irreversible pulpitis and pericoronitis. J Dent Sci. 2012;7(3):250-60. Doi: 10.1016/j.jds.2012.05.014
López-Marcos JF. Aetiology, classification and pathogenesis of pulp and periapical disease. Med Oral Patol Oral Cir Bucal. 2004;9(Suppl):58-62; 52-7. Available from: https://pubmed.ncbi.nlm.nih.gov/ 15580137/#:~:text= The%20course%20of%20illness%20and%20classification%20of%20these%20pathological%20entities
Mejàre IA, Axelsson S, Davidson T, Frisk F, Hakeberg M, Kvist T, et al. Diagnosis of the condition of the dental pulp: a systematic review. Int Endod J. 2012;45(7):597-613. Doi: 10.1111/j.1365-2591.2012.02016.x
Nogueira NG, de Deus Moura LM, Moura JSS, Lima CCB, de Moura MS, Castro M, et al. Impact of pulp necrosis on oral health-related quality of life of children with early childhood caries. J Dent Child (Chic). 2022;89(1):11-7. Available from: https://pubmed.ncbi.nlm.nih.gov/35337394/#:~:text= Purpose: %20To% 20assess%20the%20impact%20of%20pulp%20necrosis%20on%20the
Berniyanti T, Palupi R, Alkadasi BA, Sari KP, R IP, Salma N, et al. Oral health-related quality of life (OHRQOL) analysis in partially edentulous patients with and without denture therapy. Clinical, Cosmetic and Investigational Dentistry. 2023;15:89-98. Doi: 10.2147/CCIDE.S407136
Fuentes-García A, Lera L, Sánchez H, Albala C. Oral health-related quality of life of older people from three South American cities. Gerodontology. 2013;30(1):67-75. Doi: 10.1111/j.1741-2358.2012.00649.x
Appukuttan DP, Tadepalli A, Victor DJ, Dharuman S. Oral health related quality of life among tamil speaking adults attending a dental institution in chennai, southern india. J Clin Diagn Res. 2016;10(10):Zc114-zc20. Doi: 10.7860/JCDR/2016/20099.8693
John MT, Reissmann DR, Čelebić A, Baba K, Kende D, Larsson P, et al. Integration of oral health-related quality of life instruments. J Dent. 2016;53:38-43. Doi: 10.1016/j.jdent.2016.06.006
Bandela V, Munisekhar MS, Patil SR, Nagarajappa AK, Faruqi S, Metta KK, et al. Oral health-related quality of life (ohrqol) in patients’ with dental prosthesis. Pesquisa Brasileira em Odontopediatria e Clínica Integrada. 2020;20:e0006. Doi: 10.1590/pboci.2020.095
Piticar E, Orellana L-M. Dental health status and oral health-related quality of life in older people of puerto Montt, Chile. Journal of Oral Research. 2020;9:372-82. Doi: 10.17126/joralres.2020.078
Arnaiz A, Zumárraga M, Díez-Altuna I, Uriarte JJ, Moro J, Pérez-Ansorena MA. Oral health and the symptoms of schizophrenia. Psychiatry Res. 2011;188(1):24-8. Doi: 10.1016/j.psychres.2010.09.012
Vettore MV, Rebelo MAB, Rebelo Vieira JM, Cardoso EM, Birman D, Leão ATT. Psychometric properties of the brazilian version of gohai among community-dwelling elderly people. Int J Environ Res Public Health. 2022;19(22):14725. Doi: 10.3390/ijerph192214725
Begum MR, Hossain M. Validity and reliability of visual analogue scale (vas) for pain measurement. JMCRR. 2019;2(11):394-402. Available from: https:// www.researchgate.net/publication/370776477_ VALIDITY _AND_RELIABILITY_OF_VISUAL_ANALOGUE_SCALE_VAS_FOR_PAIN_MEASUREMENT
Stourač P, Kuchařová E, Křikava I, Malý R, Kosinová M, Harazim H, et al. Establishment and evaluation of a post caesarean acute pain service in a perinatological center:retrospective observational study. Ceska Gynekol. 2014;79(5):363-70. Available from: https:// pubmed.ncbi.nlm.nih.gov/25472454/#:~:text =Objective:%20The%20aim%20of%20this%20study%20was%20to%20determine%20the
Jain P, Sanjyot M, Bhosale S. Assessment of postoperative pain after single-visit root canal treatment using wave one® and one shape® single file system: a clinical study. J Pharm Bioallied Sci. 2021;13(Suppl 2):S1506-s12. Doi: 10.4103/jpbs.jpbs_267_21
Pawar AM, Bhardwaj A, Zanza A, Wahjuningrum DA, Arora S, Luke AM, et al. Severity of post-operative pain after instrumentation of root canals by xp-endo and saf full sequences compared to manual instrumentation: a randomized clinical trial. J Clin Med. 2022;11(23). Doi: 10.3390/jcm11237251
Govindiah Chandra Mohan BG, Shivakumar D, Laxmi Penumaka S, Althaf S, Garg G, Kamatchi Subramani S. To evaluate different endodontic instrumentation systems regarding post-operative pain after endodontic therapy: a clinical study. Cureus. 2024;16(3):e56466. Doi: 10.7759/cureus.56466
Eyüboğlu T. Comparison of four different electronic pain rating scales in patients with symptomatic tooth. Journal of Ege University School of Dentistry. 2020;41(3):195-200. Doi: 10.5505/eudfd.2020.17136
Ikebe K, Hazeyama T, Enoki K, Murai S, Okada T, Kagawa R, et al. Comparison of GOHAI and OHIP-14 measures in relation to objective values of oral function in elderly Japanese. Community Dentistry and Oral Epidemiology. 2012;40(5):406-14. Doi: 10.1111/j.1600-0528.2012.00683.x
Svensson L, Hakeberg M, Wide U. Dental pain and oral health-related quality of life in individuals with severe dental anxiety. Acta Odontologica Scandinavica. 2018;76(6):401-6. Doi: 10.1080/00016357.2018.1473892
Hariyani N, Maulina T, Nair R. The association between dental pain and psychological symptoms: evidence from a population-based study in indonesia. Eur J Dent. 2024;18(2):563-70. Doi: 10.1055/s-0043-1774320
Falatah AM, Almalki RS, Al-Qahtani AS, Aljumaah BO, Almihdar WK, Almutairi AS. Comprehensive strategies in endodontic pain management: an integrative narrative review. Cureus. 2023;15(12):e50371. Doi: 10.7759/cureus.50371
Sethi P, Agarwal M, Chourasia HR, Singh MP. Effect of single dose pretreatment analgesia with three different analgesics on postoperative endodontic pain: a randomized clinical trial. J Conserv Dent. 2014;17(6): 517-21. Doi: 10.4103/0972-0707.144574
Alsomadi L, Al Habahbeh R. Role of prophylactic antibiotics in the management of postoperative endodontic pain. J Contemp Dent Pract. 2015;16(12):939-43. Doi: 10.5005/jp-journals-10024-1785
Arifin FA, Matsuda Y, Kanno T. Development and validation of oral health-related quality of life scale for patients undergoing endodontic treatment (OHQE) for irreversible pulpitis. Healthcare (Basel). 2023;11(21):2859. Doi: 10.3390/healthcare11212859
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