The effect of written information on pain experience during periodontal probing.
OBJECTIVE
To study the effect of providing written information prior to periodontal treatment on the pain experience during periodontal probing.


METHODS
Patients were randomly assigned to the experimental or control condition and had to read the accompanying information. Information was manipulated to enhance perceptions of control. Anticipated pain (Numerical Rating Scale, NRS), dental anxiety (short version of the Dental Anxiety Inventory, S-DAI), and the Dental Control List were filled out before treatment; the McGill Pain Questionnaire (MPQ) and experienced pain (NRS) were filled out after treatment.


RESULTS
No significant differences were found in anticipated or experienced pain. However, the experimental condition evaluated treatment as less negative (MPQ-evaluative scale, F(1,55)=11.56, p<0.001), and scored lower on most measures. Subjects experiencing a discrepancy between desire for control and felt control showed the highest anticipatory distress (S-DAI, F(3,53)=6.32, p<0.001; anticipated pain, F(3,53)=3.28, p<0.03).


CONCLUSIONS
Providing patients with written information prior to periodontal probing can alter the pain experience. Future research will be aimed at strengthening the impact of information.
van Wijk
Arjen J
AJ
Department of Social Dentistry and Dental Health Education, Academic Centre for Dentistry Amsterdam (ACTA), The Netherlands. a.vwijk@acta.nl
Duyx
Michel P M A
MP
Hoogstraten
Johan
J
D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D016009:Chi-Square Distribution; D016854:Dental Anxiety / Q000523:psychology; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D015999:Multivariate Analysis; D010146:Pain / Q000209:etiology* / Q000523:psychology; D010147:Pain Measurement; D010353:Patient Education as Topic; D010510:Periodontal Diseases / Q000628:therapy*; D012649:Self Concept; D014956:Writing