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Pain-pressure threshold in human gingivae

A S McMillan1

  • 1Department of Restorative Dentistry, University of Newcastle, United Kingdom.

Journal of Orofacial Pain
|January 1, 1995
PubMed
Summary

The pain-pressure threshold in healthy oral tissues is higher in the maxilla. Pain sensitivity increases with faster pressure application rates, suggesting consistent measurement in attached gingiva.

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Area of Science:

  • Oral medicine
  • Neuroscience
  • Biomedical engineering

Background:

  • Pain perception in human tissues is influenced by anatomical location and pressure application rate.
  • The effect of these variables on pain-pressure thresholds in healthy oral tissues remains unclear.

Purpose of the Study:

  • To investigate the influence of recording site location and pressure application rate on pain-pressure thresholds in healthy human gingivae.
  • To assess the consistency of pain-pressure threshold measurements in attached gingiva.

Main Methods:

  • A custom-made algometer applied pressure at three different rates to 12 sites on the attached gingiva of 10 subjects over 4 weeks.
  • Pain-pressure thresholds were recorded weekly at sites apical to maxillary (teeth 11-16) and mandibular (teeth 41-46) teeth.

Main Results:

  • Pain-pressure thresholds were significantly higher at maxillary recording sites compared to mandibular sites.
  • No significant differences were found along the tooth rows within the maxilla or mandible.
  • Measurements demonstrated consistency across recording sessions.
  • Pain-pressure thresholds increased linearly with increasing rates of pressure application.

Conclusions:

  • Pain-pressure threshold measurement in attached human gingiva is consistent.
  • Maxillary sites exhibit higher pain-pressure thresholds than mandibular sites.
  • Both anatomical location (maxilla vs. mandible) and rate of pressure application significantly affect pain-pressure thresholds in oral tissues.

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