TY - JOUR
T1 - The Development of a Diagnostic Instrument for the Measurement of Mechanical Allodynia
AU - Khan, Asma A.
AU - McCreary, Bryce
AU - Owatz, Christopher B.
AU - Schindler, William G.
AU - Schwartz, Scott A.
AU - Keiser, Karl
AU - Hargreaves, Kenneth M.
PY - 2007/6/1
Y1 - 2007/6/1
N2 - Mechanical allodynia, defined as a reduction in mechanical pain threshold, is an essential diagnostic feature of inflammation of the periodontal ligament. Traditional methods for measuring mechanical allodynia in a tooth are not quantitative. This study evaluated the reliability of a new bite force transducer to measure mechanical pain thresholds, which might have application as a quantitative diagnostic aid for measuring mechanical allodynia in patients with apical periodontitis. To determine inter-observer reliability, subjects (n = 40) were given standardized instructions before generating maximal bite force on maxillary first molars; readings were then recorded by three examiners for a total of ten readings per examiner. To determine the test-retest reliability, the initial examiner then retested at two different sessions. The intraclass correlation coefficient was fair to substantial for inter-observer reliability (0.3-0.64) and substantial for intra-observer reliability (0.63-0.68). Thus, the force transducer used in our study is a reliable method to measure mechanical pain thresholds in endodontic patients.
AB - Mechanical allodynia, defined as a reduction in mechanical pain threshold, is an essential diagnostic feature of inflammation of the periodontal ligament. Traditional methods for measuring mechanical allodynia in a tooth are not quantitative. This study evaluated the reliability of a new bite force transducer to measure mechanical pain thresholds, which might have application as a quantitative diagnostic aid for measuring mechanical allodynia in patients with apical periodontitis. To determine inter-observer reliability, subjects (n = 40) were given standardized instructions before generating maximal bite force on maxillary first molars; readings were then recorded by three examiners for a total of ten readings per examiner. To determine the test-retest reliability, the initial examiner then retested at two different sessions. The intraclass correlation coefficient was fair to substantial for inter-observer reliability (0.3-0.64) and substantial for intra-observer reliability (0.63-0.68). Thus, the force transducer used in our study is a reliable method to measure mechanical pain thresholds in endodontic patients.
KW - Bite force transducer
KW - inflammation
KW - mechanical allodynia
KW - pain threshold
KW - periodontal ligament
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U2 - 10.1016/j.joen.2006.06.003
DO - 10.1016/j.joen.2006.06.003
M3 - Article
C2 - 17509402
AN - SCOPUS:34248159350
VL - 33
SP - 663
EP - 666
JO - Journal of Endodontics
JF - Journal of Endodontics
SN - 0099-2399
IS - 6
ER -