scholarly journals Combination of Acetaminophen/Codeine Analgesics Does Not Avoid Bleaching-Induced Tooth Sensitivity: A Randomized, Triple-Blind Two-Center Clinical Trial

2018 ◽  
Vol 43 (2) ◽  
pp. E53-E63 ◽  
Author(s):  
FM Coppla ◽  
M Rezende ◽  
E de Paula ◽  
PV Farago ◽  
AD Loguercio ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Visual Analog Scale ◽  
Repeated Measures ◽  
Rating Scale ◽  
Absolute Risk ◽  
Numeric Rating Scale ◽  
Fisher Exact Test ◽  
Analog Scale ◽  
Tooth Sensitivity ◽  
Numeric Rating

SUMMARY Bleaching-induced tooth sensitivity (TS) is highly prevalent. Objective: This study aimed to determine if the combination of opioids and nonopioids analgesics (Tylex) may provide a better analgesic effect. Method: A triple-blind, parallel, randomized two-center clinical trial was conducted with 105 healthy patients who received either a placebo or a combination of acetaminophen/codeine. The first dose of Tylex 30 mg (acetaminophen 500 mg/codeine 30 mg) or placebo was administered one hour before the in-office bleaching (35% hydrogen peroxide), and extra doses were administered every six hours for 48 hours. The TS was recorded using a visual analog scale of 0 to 10 and a numeric rating scale of 0 to 4 in different periods: during bleaching, one hour up to 24 hours, and 24 hours up to 48 hours postbleaching. The color was measured before and one month after dental bleaching with a visual shade guide (Vita Classical), Vita Bleachedguide 3D-MASTER, and the spectrophotometer Vita Easyshade. The absolute risk of TS was evaluated using the Fisher exact test. Data of TS intensity with numeric rating scale of the two groups were compared with the Mann-Whitney U-test and the Friedman test, while data from the visual analog scale were evaluated by two-way repeated measures analysis of variance and the Tukey test for pairwise comparison. The color changes between groups were compared using the Student t-test (α=0.05). Results: No significant differences between the groups were observed in the risk and intensity of TS. The overall absolute risk of TS was approximately 96%. No significant differences between groups were observed in terms of color change (p>0.05) for any scale. Conclusion: The use of an acetaminophen/codeine combination prior to in-office bleaching does not reduce the risk and intensity of bleaching-induced TS.

scholarly journals A comparison of pain registration by Visual Analog Scale and Numeric Rating Scale – a cross-sectional study of primary triage registration

2020 ◽  
Author(s):  
Jofrid Kollltveit ◽  
Malin Osaland ◽  
Marianne Reimers ◽  
Magnus Berle
Keyword(s):  
Emergency Department ◽  
Visual Analog Scale ◽  
Rating Scale ◽  
Emergency Admission ◽  
Numeric Rating Scale ◽  
University Hospital ◽  
Analog Scale ◽  
Cross Sectional ◽  
Significant Difference ◽  
Numeric Rating

BackgroundPain is a subjective sensation; self-reporting is important for quantifying pain intensity. There are several different validated tools for this, such as Visual Analog Scale and Numeric Rating Scale. In the clinic, these terms are often used as equivalent. The objective of this study was to examine correlation and agreement between the pain registration tools in triage in an emergency department.Materials and MethodsThe study was performed in the Department of Emergency Medicine at Haukeland University Hospital in the period June-August 2019. We registered the pain score with two tools in 200 unselected patients in emergency admission with pain. In addition, we registrered gender, age, triage and general department affiliation.ResultsWe found a strong correlation between the pain registration tools by Spearmans correlation test (rho=0,930, p<0,001). There were no significant difference between the pain registration tools within the subgroups. Bland-Altman analysis show agreement between the two pain registration tools.ConclusionsIn an Emergency Department triage is it acceptable to use Visual Analog Scale and Numeric Rating Scale as equivalent, as long as the correct terminology is used.

scholarly journals Coadministration of ibuprofen/caffeine on bleaching-induced tooth sensitivity: A randomized clinical trial

2021 ◽  
Vol 32 (3) ◽  
pp. 105-115
Author(s):  
Karine Letícia da Silva ◽  
Elisama Sutil ◽  
Diego Hortkoff ◽  
Renata Maria Oleniki Terra ◽  
Márcia Rezende ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Repeated Measures ◽  
Rating Scale ◽  
Absolute Risk ◽  
Tooth Sensitivity ◽  
Dental Bleaching ◽  
Significance Level ◽  
Significant Difference ◽  
The Absolute

Abstract This clinical trial evaluated the effect of the coadministration of ibuprofen/caffeine on bleaching-induced tooth sensitivity (TS). A triple-blind, parallel-design, randomized clinical trial was conducted on 84 patients who received ibuprofen/caffeine or placebo capsules. The drugs were administered for 48 hours, starting 1 hour before the in-office bleaching. Two bleaching sessions were performed with 35% hydrogen peroxide gel with 1-week interval. TS was recorded up to 48 hours after dental bleaching with a 0-10 visual analogic scale (VAS) and a 5-point numeric rating scale (NRS). The color was evaluated with VITA Classical and VITA Bleachedguide scales (ΔSGU) and VITA Easyshade spectrophotometer (ΔE*ab and ΔE00). The absolute risk of TS in both groups was evaluated using Fischer's exact test. Comparisons of the TS intensity (NRS and VAS data) were performed by using the Mann-Whitney test and a two-way repeated measures ANOVA, respectively. The color alteration between the groups was compared with the Student's t test. The significance level was 5%. There was no statistically significant difference between the groups for the absolute risk of TS (p = 1.00) or for the intensity of TS (p > 0.05). A bleaching of approximately 7 shade guide units was observed on the Vita Classical and Vita Bleachedguide scales, with no statistical difference between the groups. It was concluded that coadministration of ibuprofen and caffeine did not reduce the absolute risk or intensity of TS and did not interfere with the efficacy of dental bleaching.

Reliability of Visual Analog Scale and Numeric Rating Scale for the Assessment of Disease Activity in Systemic Lupus Erythematosus

2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Claudia Elera-Fitzcarrald ◽  
Karen Vega ◽  
Rocío V. Gamboa-Cárdenas ◽  
Katiuska Zúñiga ◽  
Francisco Zevallos ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Disease Activity ◽  
Visual Analog Scale ◽  
Lupus Erythematosus ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Systemic Lupus ◽  
Analog Scale ◽  
Numeric Rating ◽  
Assessment Of Disease Activity

scholarly journals Efektifitas Hypnotherapi Terhadap Penurunan Nyeri Dismenorea Pada Siswi SMA PGRI I Lubuklinggau

2018 ◽  
Vol 2 (1) ◽  
pp. 10 ◽  
Author(s):  
Nadi Aprilyadi ◽  
H. Jhon Feri ◽  
Indah Dewi Ridawati
Keyword(s):  
High School ◽  
Visual Analog Scale ◽  
Rating Scale ◽  
Univariate Analysis ◽  
Numeric Rating Scale ◽  
T Test ◽  
P Value ◽  
Analog Scale ◽  
Post Test ◽  
Numeric Rating

AbstrakDismenorea sering terjadi pada remaja. Di Indonesia prevalensi dismenore pada usia remaja sebesar 64,25% yang terdiri dari 54,89% dismenore primer dan 9,36% dismenore sekunder (Santoso, 2008). Secara farmakologi, penatalaksanaan adalah dengan pemberian obat-obat analgetik seperti golongan obat Nonsteroidal Antiinflammatory Drugs (NSAID) dapat meredakan nyeri. Salah satu pengobatan non farmakologi adalah dengan hipnoterapi yang merupakan aplikasi hipnosis dalam menyembuhkan masalah mental dan fisik (psikosomatis) seperti halnya nyeri, kecemasan, dll. Tujuan penelitian ini adalah untuk mengetahui pengaruh hipnoterapi terhadap nyeri dismenore pada siswi SMA PGRI I Lubuk Linggau. Penelitian ini merupakan penelitian pra eksperimen, dengan rancangan kuasi eksperimen one group pre and post test without control. Teknik sampel yang digunakan pada penelitian ini adalah Total Sampling sebanyak 17 responden. Instrumen yang digunakan dalam penelitian ini menggunakan quesioner penilaian nyeri Visual Analog Scale (VAS) dengan skala Numeric Rating Scale (NRS). Analisa univariat mayoritas siswi yang mengalami penurunan intensitas nyeri dismenore berusia 16- 17 tahun dan 100% responden mengalami penurunan intensitas nyeri dismenore setelah mendapatkan hipnoterapi, analisis bivariat dengan uji t-test didapatkan pengaruh yang signifikan Hipnoterapi terhadap penurunan intensitas nyeri dismenore (ƥ value 0,000). Hipnoterapi disarankan untuk digunakan dalam penerapan asuhan keperawatan nyeri khususnya guna mengurangi intensitas nyeri dismenore. Kata Kunci : Hipnoterapi, Dismenore Abstract The Effectiveness Of Hypnotherapy On Disease Of Diseases Of Dismenore In Female StudentSenior High School PGRI I Lubuklinggau.Dysmenorrhoea often occurs in adolescents. In Indonesia the prevalence of dysmenorrhea in adolescence is 64,25% consisting of 54,89% primary dysmenorrhea and 9,36% secondary dysmenorrhea (Santoso, 2008). Pharmacologically management is by administering analgesic drugs such as the Nonsteroidal Anti Inflammatory Drugs (NSAID) group to relieve pain. One of the non-pharmacological treatments is hypnotherapy which is the application of hypnosis in curing mental and physical problems (psychosomatic) as well as pain, anxiety, etc.The purpose of this study was to determine the effect of hypnotherapy on dysmenorrhea pain in high school students PGRI I LubukLinggau. This is a pre experimental study, with a quasi-experimental one group pre and post test without control design. The sample technique used in this study is Total Sampling of 17 respondents. The instrument used in this study used Visual Analog Scale (VAS) visual pain assessment quesioner with Numeric Rating Scale scale (NRS). Univariate analysis of the majority of students who experienced decreased intensity of dysmenorrhea pain aged 16-17 years and 100% of respondents experienced decreased intensity of dysmenorrhea pain after obtaining hypothotherapy, bivariate analysis with t-test test showed significant effect Hypnotherapy to decrease intensity of dysmenorrhea pain (ƥ value 0,000) .Hypnotherapy is recommended for use in the application of pain nursing care especially to reduce the intensity of dysmenorrhea pain. Keywords: Hypnotherapy, Dysmenorrhea

Efektifitas Spiritual Hipnoterapi terhadap Penurunan Nyeri Dismenore pada Mahasiswi Kebidanan

2020 ◽  
Vol 7 (2) ◽  
pp. 264-269
Author(s):  
Iva Gamar Dian Pratiwi ◽  
Laylatul Hasanah
Keyword(s):  
Visual Analog Scale ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Rank Test ◽  
Analog Scale ◽  
Cross Sectional ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Numeric Rating

Dismenore atau nyeri haid yaitu ketidaknyamanan yang sering dialami remaja khususnya perempuan. Dismenore pada remaja terjadi 60% - 90% dan mengganggu aktivitas sehari hari. (Lestari H. Metusala, J.&Suryanto, 2010). Dari hasil penelitian, di Indonesia angka kejadian dismenore sebesar 64,25%, diantaranya 54,89% dismenore primer, 9,36% dismenore sekunder (Ningsih 2011). Wanita membutuhkan obat untuk mengurangi rasa nyeri baik dengan farmakologi maupun non farmakologi. Pengobatan yang di butuhkan wanita yaitu pengobatan yang tidak bersifat invasive dan yang cocok dengan pasien nyeri yang memerlukan penanganan holistik untuk mengintervensi psikis serta mencegah terjadinya konsumsi obat-obatan analgetik yang tidak rasional, pengobatan tersebut yaitu hipnoterapi.( Lucas N.N&Sugianto,2017). Penelitian ini bertujuan untuk menganalisa efektifitas spiritual hipnoterapi terhadap penurunan disminore. Jenis Penelitian  ini adalah penelitian kuantitatif pra experimental dengan pendekatan cross sectional. Rancangan penelitian yang digunakan adalah one group pretest posttest, jumlah sampel 30 responden. Tekhnik sampling yang digunakan purposive sampling yang sesuai kriteria inklusi. Penelitian ini dilakukan bulan April sampai Oktober 2019. Intrumen yang digunakan adalah kuesioner penilaian nyeri Visual Analog Scale (VAS) dengan skala Numeric Rating Scale (NRS). Hasil analisa data dengan Wilcoxon signed rank test didapatkan hasil p = 0,000<0,005 maka dapat disimpulkan bahwa spiritual hipnoterapi efektif dalam menurunkan nyeri dismenore pada mahasiswi Kebidanan. Dysmenorrhea or menstrual pain is discomfort that is often experienced by adolescents, especially women. Dysmenorrhea in adolescents occurs 60% - 90% and interferes with daily activities. (Lestari H. Metusala, J. & Suryanto, 2010). From the results of the study, in Indonesia the incidence of dysmenorrhea was 64.25%, including 54.89% of primary dysmenorrhea and 9.36% of secondary dysmenorrhea (Ningsih 2011). Women need drugs to reduce the pain, both with pharmacology and non-pharmacology, one of which is hypnotherapy. This study aims to analyze the spiritual effectiveness of hypnotherapy against decreasing dysminorrhea. This type of research is a pre-quantitative quantitative research with cross sectional approach. The research design used was one group pretest posttest, with a sample of 30 respondents. The sampling technique used is purposive sampling that matches the inclusion criteria. This research was conducted from April to October 2019. The instrument used was the Visual Analog Scale (VAS) pain assessment questionnaire with the Numeric Rating Scale (NRS). The results of data analysis with the Wilcoxon signed rank test showed p = 0,000 <0.005, so it can be concluded that there is a meaningful effectiveness of spiritual hypnotherapy for the reduction of dysmenorrhea pain in Midwifery students.

scholarly journals Clinical Scale for Neuropathic Pain

2021 ◽  
Vol 39 (2 Suppl) ◽  
pp. 24-36
Author(s):  
Eun Hee Sohn ◽  
Byoung Joon Kim
Keyword(s):  
Neuropathic Pain ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Clinical Scale ◽  
Analog Scale ◽  
Screening Questionnaires ◽  
Pain Visual Analog Scale ◽  
Somatosensory Nervous System ◽  
Numeric Rating ◽  
Pain Questionnaires

Neuropathic pain caused by a lesion or disease of the somatosensory nervous system is underdiagnosed and difficult to treat. Questionnaires based on self-reported symptoms have improved diagnosis and management of neuropathic pain. Visual analog scale and numeric rating scale are most well-known unidimensional pain questionnaires. Multidimensional questionnaire or specialized questionnaire for neuropathic pain are more useful to diagnose neuropathic pain. Screening questionnaires help to identify neuropathic pain easily, and assessment questionnaires make it possible to create phenotypic profiles of neuropathic pain and determine an efficacy of management.

Evaluation of At-home Bleaching Times on Effectiveness and Sensitivity with 10% Hydrogen Peroxide: A Randomized Controlled Double-blind Clinical Trial

2021 ◽  
Author(s):  
K Chemin ◽  
M Rezende ◽  
MC Costa ◽  
ADY Salgado ◽  
JL de Geus ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Hydrogen Peroxide ◽  
Repeated Measures ◽  
Rating Scale ◽  
Double Blind ◽  
Tooth Sensitivity ◽  
Once Daily ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
At Home

SUMMARY Objectives: The aim of this randomized double-blind controlled clinical trial was to evaluate different protocols for at-home use of 10% hydrogen peroxide in whitening effectiveness and tooth sensitivity. Methods: Seventy-two patients were selected according to the inclusion and exclusion criteria, with the upper central incisors having color A2 or darker according to the Vita Classical scale (VITA Zahnfabrik, Bad Säckingen, Germany) and randomized into two groups: 10% hydrogen peroxide applied once daily for 15 minutes (HP 15) or applied once daily for 30 minutes (HP 30). Bleaching was performed for 14 days in both groups. The color was evaluated before bleaching, during bleaching (1st and 2nd weeks), and 1 month after the bleaching treatment using the Vita Classical, Vita Bleachedguide 3D-MASTER, and Vita Easyshade spectrophotometer (VITA Zahnfabrik). Dental sensitivity was recorded by the patients using the numerical rating scale (0–4) and visual analogue scale (0-10 cm). Color data were evaluated by two-way analysis of variance (ANOVA) of repeated measures (group vs. treatment time). The Mann-Whitney test was performed to contrast the means (α=0.05). Tooth sensitivity was assessed by Fisher’s exact test (p=1.00) and intensity of tooth sensitivity was evaluated by the Mann-Whitney test (α=0.05) for both scales. Results: A significant whitening effect was observed after 2 weeks of bleaching for all color measurements (p=0.01), with no difference between HP 15 and HP 30 (p&gt;0.05). Also, the absolute risk and intensity of tooth sensitivity were similar (47%; p&gt;0.05). Conclusions: The effectiveness and tooth sensitivity of at-home bleaching carried out with 10% hydrogen peroxide applied for 15 minutes or 30 minutes are similar.

Sign in / Sign up

Export Citation Format

Share Document