Comparison of Different Pain Rating Scales in Patients With Symptomatic Teeth

Study Overview
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Brief Summary
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Patients with symptomatic teeth who applied endodontic clinic between April 2019 and December 2019 for root canal treatment were enrolled in this study. All patients were asked to fill four different rating scales: numerical rating scale, visual analogue scale, color analogue scale and faces rating scale for their relevant tooth which is symptomatic and need of root canal treatment. The four scales were then compared statistically.

Detailed Description
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50 patients who applied endodontic clinic between April 2019 and December 2019 and had symptomatic teeth which were in need of root canal treatment were enrolled for this study. Study detail were explained to all patients and they were then kindly asked to signed a consent form. All patients diagnose, age, gender, tooth number were recorded. Patients were then asked to fill four different pain rating scale in an electronic pain rating scale program. Numerical rating scale (NRS) was a scale between 0 and 10, with 0 indicating no pain while 10 indicating worst pain possible. Visual analogue scale (VAS) was a straight line of 10 cm with one end of the line indicated no pain whilst the other end indicated worst pain possible. Color analogue scale (CAS) was the same length of straight line as in VAS with a color change towards to worst pain possible end. Faces rating scale (FRS) consisted of six different faces indicating the level of pain with the first face indicated no pain while the last face indicated worst pain possible. After the patients marked their pain intensity levels in all four scales the results were statistically analyzed to compared the accuracy of four scales with VAS being the golden standard.

Official Title
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Comparison of Different Pain Rating Scales in Patients With Symptomatif Teeth

Conditions
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Pain, Dental Pain

Intervention / Treatment
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* Diagnostic Test: numerical rating scale
* Other: visual analogue scale
* Other: color analogue scale
* Other: faces rating scale


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: symptomatic teeth which is in need of root canal treatment Exclusion Criteria: systemic diseases age <18 and >80 being able to understand and accept the study protocol with a written consent form.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Intervention Model: Single Group Assignment
Interventional Model Description: all 50 patients marked their pain intensity levels of their relevant tooth in four different rating scales.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: pain rating scales<br>patients were asked to marked their pain intensity level on numerical rating scale between 0 and 10, on visual analogue scale, a straight line with one end indicating no pain and the other end indicating worst pain possible. on color analogue scale, a straight line with one end indicating no pain and the other end indicating worst pain possibleand color change towards to worst pain possible end and on a faces rating scale which consisted of six different faces representing different levels of pain intensity with the first face indicating no pain whilst last face indicating worst pain possible. The result was recorded as pain intensity level. | Diagnostic Test: numerical rating scale<br>* patients were asked to marked their pain intensity level on numerical rating scale between 0 and 10 and the result was recorded as pain intensity level.<br>* Other names: NRS;Other: visual analogue scale<br>* Patients were asked to marked their pain intensity level on visual analogue scale, a straight line with one end indicating no pain and the other end indicating worst pain possible. Then the distance between no pain end and patients' mark was measured and recorded as pain intensity level.<br>* Other names: VAS;Other: color analogue scale<br>* Patients were asked to marked their pain intensity level on color analogue scale, a straight line with one end indicating no pain and the other end indicating worst pain possibleand color change towards to worst pain possible end. Then the distance between no pain end and patients' mark was measured and recorded as pain intensity level.<br>* Other names: CAS;Other: faces rating scale<br>* Patients were asked marked their pain on a faces rating scale which consisted of six different faces representing different levels of pain intensity with the first face indicating no pain whilst last face indicating worst pain possible. The result was recorded as pain intensity level.<br>* Other names: FRS;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| numerical rating scale | pain intesity level of patients were recorded on a scale from 0 (no pain) to 10 (worst pain posbile) | through study completion, an average of 1 year | 
| visual analogue scale | Patients were asked to mark their pain intesity level on a 10 cm line with one end indicating no pain and the other end worst pain possible. The distance between no pain and the mark indicates the pain intesity level. | through study completion, an average of 1 year | 
| color analogue scale | Patients were asked to mark their pain intesity level on a 10 cm color changing line with one end indicating no pain and the other end worst pain possible. The distance between no pain and the mark indicates the pain intesity level. | through study completion, an average of 1 year | 
| faces rating scale | faces rating scale consists of 6 faces with the first face indicating no pain and the last face indicating worst pain possbile | through study completion, an average of 1 year | 
| comparison of four rating scales | all four pain rating scales (numerical rating scale, visual analogue scale, color analogue scale, faces rating scale) were compared to analyze correlation. | through study completion, an average of 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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numerical rating scale, visual analogue scale, color analogue scale, faces rating scale, pain intensity