Evidence map›Paper›PMID 41566291›Full record

ArticleBMC oral health2026

A comparative analysis of four pain rating scales in the assessment of acute oral and maxillofacial pain.

Zeynep Afra Akbiyik Az, Adem Az, Buse Basak Feyizoglu, Gulsum Ak

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Zeynep Afra Akbiyik AzFaculty of Dentistry, Department of Oral and Maxillofacial Surgery, Istanbul University, Istanbul, Türkiye. zaakbiyikaz@istanbul.edu.tr.ORCID 0000-0003-3606-0710
Adem AzDepartment of Emergency Medicine, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, Türkiye.ORCID 0000-0002-7204-6185
Buse Basak FeyizogluFaculty of Dentistry, Department of Periodontology, Istanbul University, Istanbul, Türkiye.ORCID 0000-0001-5276-2486
Gulsum AkFaculty of Dentistry, Department of Oral and Maxillofacial Surgery, Istanbul University, Istanbul, Türkiye.ORCID 0000-0002-3339-1568

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious pain assessment scales, including the Visual Analog Scale (VAS), Numerical Rating Scale (NRS), Verbal Rating Scale (VRS), and Wong-Baker Faces Scale (WBS), are commonly used, yet their comparative effectiveness in maxillofacial pain remains unclear.

aimThis study aims to compare four commonly used pain scales—VAS, NRS, VRS, and WBS—and evaluate their correlation and agreement in adult patients presenting with acute maxillofacial pain.

methodsThis prospective cross-sectional study included 197 adult patients who presented to the emergency department with acute maxillofacial pain and were subsequently referred to the maxillofacial surgery clinic. Pain intensity was assessed using all four scales in randomized sequence. Spearman correlation analysis was performed to evaluate relationships between scales, while Bland-Altman analysis was used to assess agreement. Patient preferences were analyzed based on age, sex, and educational level.

resultsAll four pain scales demonstrated strong correlations, with the highest correlation between NRS and VRS and the lowest between VAS and WBS. Bland-Altman analysis revealed the strongest agreement between VAS and NRS, while the weakest agreement was observed between VAS and WBS. NRS emerged as the most reliable and preferred scale, especially among younger and highly educated patients. WBS was preferred by older adults and those with lower education levels.

conclusionWhile NRS appears to be the most reliable and broadly applicable assessment scale, VAS and VRS can serve as alternatives for patients with strong numerical or verbal comprehension skills. WBS remains valuable for elderly or less-educated populations due to its intuitive visual representation.

Indexed as

Acute PainFacial PainPain MeasurementAdolescentAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesYoung AdultMaxillofacial painNumerical rating scalePain assessmentVerbal rating scaleVisual analog scaleWong-Baker faces scale

Identifiers

PMID41566291
PMCPMC12908279

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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.