Research Article

A Comparison of Three Pain Assessment Scales in the Assessment of Pain Among Dental Patients in Port Harcourt

Uwaila Otakhoigbogie
University of Nigeria, Nigeria
Babatope Bamidele Osagbemiro
University of Port Harcourt Teaching Hospital, Nigeria
* Corresponding author
Ifeanyi Chibuikem Egwim
University of Port Harcourt Teaching Hospital, Nigeria
DOI icon 10.24018/ejmed.2020.2.4.441

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Submitted 2020-08-15
Published 2020-08-29

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Table of Contents

Article Main Content

Proper assessment of pain is essential in evaluating the appropriate treatment need of patients presenting with dental conditions. This study aimed to determine the correlation between Short Form McGill pain questionnaire 2 (SF-MPQ-2), Visual analogue Scale (VAS) and Numerical Rating Scale (NRS) for pain assessment among dental patients.

A total of 83 patients that presented at the Oral Diagnosis clinic of the University of Port Harcourt Teaching Hospital with various dental conditions over 2 months were recruited for the study. The severity of the different presenting conditions was determined using SF-MPQ-2, VAS and NRS. The mean pain assessment scores for the different dental conditions was compared and Pearson correlation coefficient was evaluated for the three pain assessment scales. P < 0.05 was considered statistically significant.

The mean age of the study participants was 38.2 ± 14.0 years with age range of 16 to 83 years. The mean VAS and NRS scores were significantly higher in those diagnosed with acute apical periodontitis with mean scores of 6.68±2.36 and 6.61±2.06 respectively. The participants with cancer had the lowest SF-MPQ-2 mean scores while those with chronic periodontitis have the lowest score using VAS and NRS. There was a significant strong, positive correlation between VAS and NRS pain assessment tools. The correlation between SF-MPQ-2 and either VAS/NRS was however, weak but positive and statistically significant.

Severity of pain was highest among those with acute apical periodontitis using the three pain assessment tools. There was a significant positive correlation between SF-MPQ-2, VAS and NRS for dental pain assessment.

Keywords: dental pain, pain assessment, SF-MPQ-2, VAS, NRS.

References

  1. Omitola OG, Arigbede AO. Prevalence and pattern of pain presentation among patients attending a tertiary dental center in a southern region of Nigeria. J Dent Res Dent Clin Dent Prospects. 2010;4(2):42-46.
     Google Scholar
  2. Odai ED, Ehizele AO, Enabulele JE. Assessment of pain among a group of Nigerian dental patients. BMC Res Notes. 2015;19(8):251.
    DOI  |   Google Scholar
  3. Turk DC, Okifuji A. Psychological factors in chronic pain: Evolution and revolution. J Consult Clin Psychol. 2002;70(3):678.
    DOI  |   Google Scholar
  4. Welchek CM, Mastrangelo L, Sinatra RS, Martinez R. Qualitative and quantitative assessment of pain. Acute Pain Manag. 2009;27(147):171.
    DOI  |   Google Scholar
  5. Kachooei AR, Ebrahimzadeh MH, Erfani-Sayyar R, Salehi M, Salimi E, Razi S. Short Form-McGill Pain Questionnaire-2 (SF-MPQ-2): a cross-cultural adaptation and validation study of the Persian version in patients with knee osteoarthritis. ABJS. 2015;3(1):45.
     Google Scholar
  6. Melzack R. The short-form McGill Pain Questionnaire. Pain. 1987;30:191-7.
    DOI  |   Google Scholar
  7. Dworkin RH, Turk DC, Revicki DA, Harding G, Coyne KS, Peirce-Sandner S, et al. Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2). Pain. 2009;144:35-42.
    DOI  |   Google Scholar
  8. Gauthier LR, Young A, Dworkin RH, Rodin G, Zimmermann C, Warr D, et al. Validation of the Short-Form McGill Pain Questionnaire-2 in Younger and Older People with Cancer Pain. J Pain. 2014; 15(7):756-70.
    DOI  |   Google Scholar
  9. Ibikunle AA, Adeyemo WL, James O. Comparison of two pain assessment tools in patients undergoing routine dental extraction. Nig Oral Maxillofac Surg. 2014;1:32-36.
     Google Scholar
  10. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short‐form mcgill pain questionnaire (sf‐mpq), chronic pain grade scale (cpgs), short form‐36 bodily pain scale (sf‐36 bps), and measure of intermittent and constant osteoarthritis pain (icoap). Arthrit Care Res. 2011;63(11):240-52.
    DOI  |   Google Scholar
  11. Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Loge JH, et al. Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manag. 2011; 41(6):1073-1093.
    DOI  |   Google Scholar
  12. Welsh EM, Gettinby G, Nolan AM. Comparison of a visual analogue scale and a numerical rating scale for assessment of lameness, using sheep as a model. Am J Vet Res. 1993;54(6):976.
     Google Scholar
  13. Khatri A, Kalra N. A comparison of two pain scales in the assessment of dental pain in East delhi children. ISRN dentistry. 2012;2012.
    DOI  |   Google Scholar
  14. dos Santos Calderon P, Fernandes Peixoto R, Maron Gomes V, da Mota Corrêa AS, de Alencar EN, Nunes Rossetti LM, Rodrigues Conti PC. Concordance among different pain scales in patients with dental pain. J Orofac Pain. 2012;26(2):126.
     Google Scholar
  15. Clark P, Lavielle P, Martínez H. Learning from pain scales: Patient perspective. J Rheumatol. 2003; 30:1584–88.
     Google Scholar
  16. Lovejoy TI, Turk DC, Morasco BJ. Evaluation of the psychometric properties of the revised short-form McGill Pain Questionnaire. J. Pain Res. 2012;13(12):1250-7.
    DOI  |   Google Scholar
  17. Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br. J. Anaesth. 2013;111(1):52-8.
    DOI  |   Google Scholar
  18. Rokyta R, Yamamotová A. Sex differences in pain perception and interpretation. Activitas Nervosa Superior Rediviva. 2013;55(3):125-34.
     Google Scholar
  19. Zheng J, McMillan AS, Wong MC, Luo Y, Lam CL. Investigation of factors associated with treatment-seeking in southern Chinese with orofacial pain. J Orofac Pain 2010; 24:181–188.
     Google Scholar