Anxiety and sleep; the compounding impact on endodontic therapy

Authors

  • Usman Sana Azra Naheed Dental College, The Superior University, Lahore
  • Nouman Noor School of Dentistry, SZAMBU/PIMS, Islamabad
  • Nabeel Zahid Azra Naheed Dental College, The Superior University, Lahore
  • Muhammad Ahmad Multan Medical and Dental College, Multan
  • Muhammad Hamza Shaikh Azra Naheed Dental College, The Superior University, Lahore
  • Shazia Naz de`Montmorency College of Dentistry, Lahore
  • Muhammad Athar Indus Hospital and health Network, Islamabad

Abstract

Objective: The objective was to understand association of sleep and anxiety with pain during root canal therapy.
Methods: Total of 500 patients were included, August -December 2020, who were seeking endodontic care at Islam Dental College, Sialkot. Sleep and anxiety was documented by the number sleep hours. Numeric pain scale was used to document pain.
Results: The independent variable, anxiety, reported pain on the visual analog scale as: Mild (M = 2.01, SD = .853, n = 250), Moderate (M = 2.86, SD = .870, n = 158) and Severe (M = 3.42, SD = .952, n = 92) and the second independent variable, sleep, reported pain on the visual analog scale as: Mild (M = 1.49, SD = .501, n = 250), Moderate (M = 1.47 , SD = .501, n = 158) and Severe (M = 1.43, SD = .498, n = 92). Levene’s Test for anxiety showed the variance of homogeneity, F. (2., 497) = 5.005, p = .007. Levene’s Test for sleep showed the variance of homogeneity, F. (2., 497) = 1.964, p = .141. The ANOVA was for anxiety was significant F (2, 497) = 102.575318.11, p = .000, ?2= 157.832 between groups and ?2 =382.368 within groups, where the total value of ANOVA for anxiety was 540.200. Levene’s test for sleep showed the variance of homogeneity. F (2, 497) = 1.964, p = .141. The significance of ANOVA for sleep was, F. (2, 497) = .387, p = .680, ?2=.194 between groups and ?2 = 124.414 within groups, where the total value of ANOVA for sleep was 124.608.

Conclusion: Assessment of sleep and anxiety are fundamental predictors when it comes to pain management during endodontic treatment. It is of high significance the patients should be educated and managed both in dental and life style modification perspectives. Yes, we have techniques and equipment that help achieve better pain control, but risks are associated with each. A better approach would be to focus on life style elements that will improve overall quality of endodontic care.

Keywords:

Local anaesthesia, endodontic pain, dental anxiety, sleep, pain

Published

2024-03-31

Issue

Vol. 20 No. 1 (2024): January-March

Section

Original Articles

License

Copyright (c) 2024 Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0/.) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.