Comparison of Anxiety and Perception Levels of Patients Undergoing Initial Periodontal Treatment Using Different Instruments

Abstract

Objectives The aim of this study is to compare perception and anxiety levels of patients who are received different anesthesia and instruments prior to periodontal treatment.Material and MethodsThe study performed in the Periodontology Department of Pamukkale University’s Faculty of Dentistry (October 2017 - February 2018) and was designed as a case control study. 60 periodontitis patients were divided into 6 groups: 1-Local piezo, 2-Topical piezo, 3- Piezo, 4-Local hand instrument, 5-Topical hand instrument, 6- Hand instrument. Topical groups were received xylocain spray, local groups were received jetocain ampoule. Patients were asked to fill dental anxiety scale (DAS) scale before the treatment and 10th day. The visual analogue scale (VAS) was filled out on the day of treatment, on the second day and on the 10th day following treatment. Clinical measurements were taken on the treatment day and on the 30th day.ResultsThere was a significant decrease in clinical measurements in all groups. Local anesthesia groups revealed lower VAS pain values (p<00.5) compared to other groups on the day of the procedure. Topical anesthesia groups revealed lower VAS pain values as compared to the piezo and hand instrument groups, respectively (p>00.5). The ultrasonic groups exhibited lower DAS scores than the hand instrument groups (p>00.5).ConclusionLocal anesthesia provided better patients cooperation and VAS pain scores, but did not yield good speech and chewing scores. Topical anesthesia and piezo may be more useful to patients with dental anxiety.

Keywords

• anestezi
• das
• dental anksiyete
• periodontitis
• anesthesia
• das
• dental anxiety
• periodontitis