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    Observational Study Evaluating Pain in Endodontic Patients Diagnosed with Depression – A Pilot Study

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    Author
    Mannan, Saurabh
    Advisor
    Greenspan, Joel D.
    Date
    2019
    Type
    dissertation
    
    Metadata
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    Abstract
    TITLE: Observational Study Evaluating Pain in Endodontic Patients Diagnosed with Depression – A Pilot Study Saurabh Mannan, Master of Science 2019 Thesis Directed By: Joel Greenspan, PhD AIM: To evaluate the role of depression in endodontic post-procedural pain METHODOLOGY: This prospective observational study enrolled 42 patients that explored the correlation between patient’s level of depression and pain perception following non-surgical root canal treatment (NSRCT). The Hospital Anxiety and Depression Scale (HADS) assessed the patient’s level of anxiety/depression pre-and postoperatively. The patient used a visual analog scale (VAS) to record their pain intensity and feelings of unpleasantness with their dental experience immediately following their NSRCT. Pain diaries recorded pain intensity post-operatively at the 2nd, 4th, and 7th day. A cohort of endodontic patients who were not diagnosed with depression served as controls. RESULT: A total of 41 patients were included, 30 non-depressed patients and 11 patients diagnosed with depression by their physicians. Two patients did not return the pain dairy. Therefore, data from 29 non-depressed patients and ten depressed patients were available for analysis. This study showed that the diagnosis of depression was significantly associated with both higher immediate post-operative pain and immediate sensations of unpleasantness. Furthermore, HADS ≥ 8 was found to be a significant predictor of greater post-operative pain at day two. CONCLUSIONS: Within the limitations of this study, either a diagnosis of depression or signs of anxiety or depression are a positive predictor of greater post-operative pain.
    Description
    2019
    Biomedical Sciences-Dental School
    University of Maryland, Baltimore
    M.S.
    Keyword
    Hospital Anxiety and Depression Scale (HADS)
    Anxiety
    Depression
    Endodontics
    Pain
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/11710
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    Theses and Dissertations School of Dentistry
    Theses and Dissertations All Schools

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