Evidence map›Paper›PMID 25904140›Full record

ArticleJournal of dental research2015

Different Brain Responses to Pain and Its Expectation in the Dental Chair.

A J Racek, X Hu, T D Nascimento, M C Bender, L Khatib, D Chiego, G R Holland, P Bauer, N McDonald, R P Ellwood and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of dental research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.4field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

A J RacekUniversity of Michigan School of Dentistry, Ann Arbor, MI, USA Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
X HuHeadache and Orofacial Pain Effort Lab, University of Michigan School of Dentistry, Ann Arbor, MI, USA Center for Human Growth and Development, University of Michigan, Ann Arbor, MI, USA.
T D NascimentoUniversity of Michigan School of Dentistry, Ann Arbor, MI, USA Headache and Orofacial Pain Effort Lab, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
M C BenderHeadache and Orofacial Pain Effort Lab, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
L KhatibUniversity of Michigan School of Dentistry, Ann Arbor, MI, USA.
D ChiegoUniversity of Michigan School of Dentistry, Ann Arbor, MI, USA Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
G R HollandUniversity of Michigan School of Dentistry, Ann Arbor, MI, USA Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
P BauerUniversity of Michigan School of Dentistry, Ann Arbor, MI, USA Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
N McDonaldUniversity of Michigan School of Dentistry, Ann Arbor, MI, USA Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
R P EllwoodClinical Method Development, Colgate Palmolive, Piscataway, NJ, USA.
A F DaSilvaUniversity of Michigan School of Dentistry, Ann Arbor, MI, USA Headache and Orofacial Pain Effort Lab, University of Michigan School of Dentistry, Ann Arbor, MI, USA Center for Human Growth and Development, University of Michigan, Ann Arbor, MI, USA Biologic and Material Sciences, University of Michigan School of Dentistry, Ann Arbor, MI, USA adasilva@umich.edu.
University of Michigan–Ann Arbor · USColgate-Palmolive (United States) · US

Funding

Investigation and Modulation of the Central Mu-Opioid Mechanism in Migraine (in vivo)R01NS094413 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALEXANDRE DASILVA · 2015 to 2026
$4.3M
Brain as a Research and Therapeutic Target in Chronic TMDR56DE022637 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DASILVA, ALEXANDRE · 2013 to 2014
$773k
NIDCR NIH HHS R56 DE022637NINDS NIH HHS R01 NS094413
6 · The paper itself

Abstract

A dental appointment commonly prompts fear of a painful experience, yet we have never fully understood how our brains react to the expectation of imminent tooth pain once in a dental chair. In our study, 21 patients with hypersensitive teeth were tested using nonpainful and painful stimuli in a clinical setting. Subjects were tested in a dental chair using functional near-infrared spectroscopy to measure cortical activity during a stepwise cold stimulation of a hypersensitive tooth, as well as nonpainful control stimulation on the same tooth. Patients' sensory-discriminative and emotional-cognitive cortical regions were studied through the transition of a neutral to a painful stimulation. In the putative somatosensory cortex contralateral to the stimulus, 2 well-defined hemodynamic peaks were detected in the homuncular orofacial region: the first peak during the nonpainful phase and a second peak after the pain threshold was reached. Moreover, in the upper-left and lower-right prefrontal cortices, there was a significant active hemodynamic response in only the first phase, before the pain. Subsequently, the same prefrontal cortical areas deactivated after a painful experience had been reached. Our study indicates for the first time that pain perception and expectation elicit different hemodynamic cortical responses in a dental clinical setting.

Indexed as

Attitude to HealthBrainCognitionCold TemperatureDental AnxietyDentin SensitivityEmotionsEvoked PotentialsFemaleHemodynamicsHumansMalePain MeasurementPain PerceptionPain ThresholdPercussionclinical settingdental painfunctional near-infrared spectroscopypercussionprefrontal cortexsomatosensory cortex

Identifiers

PMID25904140
PMCPMC9096194
OpenAlexW2005719968

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.