Chairside intraoral qualitative somatosensory testing: reliability and comparison between patients with atypical odontalgia and healthy controls

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Chairside intraoral qualitative somatosensory testing: reliability and comparison between patients with atypical odontalgia and healthy controls

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Publication Article, peer reviewed scientific
Title Chairside intraoral qualitative somatosensory testing: reliability and comparison between patients with atypical odontalgia and healthy controls
Author(s) Baad-Hansen, Lene ; Pigg, Maria ; Elmasry Ivanovic, Susanne ; Faris, Hanan ; List, Thomas ; Drangsholt, Mark ; Svensson, Peter
Date 2013
English abstract
AIMS: To assess intraoral inter- and intraexaminer reliability of three qualitative measures of intraoral somatosensory function and to compare these measures between patients with atypical odontalgia (AO) and healthy controls. METHODS: Thirty-one AO patients and 47 healthy controls participated. Inter- and intraexaminer reliability was tested on a subgroup of 46 subjects (25 AO; 21 healthy). Sensitivity to touch, cold, and pinprick stimuli was evaluated on the painful gingival site and the corresponding contralateral site in AO patients, and bilaterally on the gingiva of the first maxillary premolars in controls. Patients were asked to report hypersensitivity, hyposensitivity, or normal sensitivity to stimuli on the painful site compared with the nonpainful site. Kappa values were calculated, and chi-square and Fisher's exact tests were used to compare frequencies between groups. RESULTS: Kappa values ranged between 0.63 and 0.75. The frequency of hypersensitivity to either modality was significantly higher in patients (29% to 61%) than in controls (9% to 17%) (P < .015), whereas reports of hyposensitivity were similar between groups (2% to 16%) (P > .057). Only 3.2% of the AO patients had no reports of abnormal sensitivity on any of the tests, compared with 59.6% of the healthy subjects (P < .001). CONCLUSION: Intraoral qualitative somatosensory testing can detect intraoral sensory disturbances in AO patients, and the reliability is sufficient for initial screening of orofacial somatosensory function.
DOI http://dx.doi.org/10.11607/jop.1062 (link to publisher's fulltext)
Publisher Quintessence
Host/Issue Journal of Orofacial Pain;2
Volume 27
ISSN 1064-6655
Pages 165-170
Language eng (iso)
Subject(s) atypical odontalgia
intraoral
neuropathic pain
reliability
somatosensory testing
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/15854 Permalink to this page

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