Evaluating Dental Pain in Diverse Conditions: Findings From Short-Form McGill Pain Questionnaire Study

IF 3.7 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal Pub Date : 2025-07-02 DOI:10.1016/j.identj.2025.100864

Jin Wang , Yin-Fei Pu , Hong-Tao Chen, Xiang-Song Bai, Xue Yang, Ai-Ping Ji, Jie Bai

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Abstract

Introduction and aims

Making precise diagnoses of patients with dental pain is challenging. Thus, a screening system that can help accurately stratify patients depending on the severity of their condition is required. In this study, we compared the characteristics of dental pain in patients with different conditions using a Short-Form McGill Pain Questionnaire (SF-MPQ).

Methods

A total of 1541 patients admitted to the Peking University School of Stomatology between February 2022 and July 2023 were assessed. Demographic data and pain characteristics were collected. Pain was assessed using the SF-MPQ, which includes the Visual Analogue Scale (VAS), Present Pain Intensity (PPI), and Pain Rating Index (PRI). Statistical analysis was performed using SPSS software, with variance analysis and Pearson's correlation coefficients, and a T-test was employed to assess the relationship between pain scores and various factors.

Results

A total of 11 conditions associated with dental pain were detected. Symptomatic irreversible pulpitis (SIP, 427, 27.7%) and symptomatic apical periodontitis (SAP, 429, 27.8%) were the most common conditions. Higher scores were seen in patients with SIP (5.5 ± 2.8 for PRI; 59.4 ± 24.4 for VAS; 2.9 ± 0.8 for PPI), SAP (5.6 ± 2.9 for PRI; 56.1 ± 32.0 for VAS; 2.8 ± 0.7 for PPI) and interappointment flare-up (IFU, 8.2 ± 0.5 for PRI; 56.2 ± 14.9 for VAS; 3.0 ± 0.0 for PPI). The location of pain in a tooth, spontaneous pain, sleep disturbance, duration of pain in a short time, taking painkillers was invalid, diagnosis with SIP and SAP, and IFU were significantly associated with higher pain scores (all P < .05).

Conclusions

Patients with SIP and SAP present with higher pain scores. The SF-MPQ can aid in the effectiveness of dental emergency triage by identifying true acute symptomatic patients and ensuring appropriate management based on the severity of their conditions.

Clinical Relevance

SF-MPQ may help to increase effectiveness in dental emergency triage, diagnosis, and treatment.

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评估不同情况下的牙痛：来自简短的麦吉尔疼痛问卷研究的结果

对牙痛患者进行精确诊断是一项具有挑战性的工作。因此，需要一种能够根据病情的严重程度准确地对患者进行分层的筛查系统。在这项研究中，我们使用短格式麦吉尔疼痛问卷（SF-MPQ）比较了不同情况患者的牙齿疼痛特征。方法对2022年2月至2023年7月北京大学口腔医学院收治的1541例患者进行评估。收集人口统计数据和疼痛特征。使用SF-MPQ评估疼痛，包括视觉模拟量表（VAS）、当前疼痛强度（PPI）和疼痛评分指数（PRI）。采用SPSS软件进行统计分析，采用方差分析和Pearson相关系数，采用t检验评估疼痛评分与各因素的关系。结果共检出与牙痛相关的11种情况。症状性不可逆牙髓炎（SIP, 427, 27.7%）和症状性根尖牙周炎（SAP, 429, 27.8%）是最常见的症状。SIP患者得分较高(PRI为5.5±2.8；VAS评分59.4±24.4；PPI为2.9±0.8)，SAP为5.6±2.9；VAS评分56.1±32.0；PPI为2.8±0.7)和预约间发作(IFU， PRI为8.2±0.5；VAS评分56.2±14.9；PPI为3.0±0.0)。牙齿疼痛的位置、自发性疼痛、睡眠障碍、短时间内疼痛持续时间、止痛药无效、SIP和SAP诊断以及IFU与较高的疼痛评分显著相关(P <；. 05)。结论SIP和SAP患者疼痛评分较高。SF-MPQ可以通过识别真正的急性症状患者并确保根据其病情的严重程度进行适当的管理来帮助牙科急诊分诊的有效性。临床相关性ef - mpq可能有助于提高牙科急诊分诊、诊断和治疗的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International dental journal 医学-牙科与口腔外科

CiteScore

4.80

自引率

6.10%

发文量

159

审稿时长

63 days

期刊介绍： The International Dental Journal features peer-reviewed, scientific articles relevant to international oral health issues, as well as practical, informative articles aimed at clinicians.