Hemodynamic changes and pain perception-related anxiety after experiencing an impacted-tooth removal: clinical practice outcome
Journal of Dental Anesthesia and Pain Medicine
;
: 105-111, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-68818
ABSTRACT
BACKGROUND:
Dental fear is usually associated with hemodynamic changes. Fear of pain during the surgical removal of a lower impacted third molar might cause patients anxiety, thereby leading to avoidance of any future dental therapy. This study aimed to determine the effect of experiencing a surgical impacted-tooth removal on the pain perception-related anxiety and hemodynamic status.METHODS:
Twenty-seven healthy patients aged 15–30 years (mean age, 24 years), for whom surgical removal of bilateral lower third molars was advised, were included. This prospective, randomized, controlled, split-mouth study involved operations on both sides of the mandibular arch, with a 1-month washout period in between. Blood pressure and heart rate were measured before the surgical procedure, during and after the injection, preoperatively, and postoperatively. Pain perception was evaluated using a 100-mm visual analog scale during the injection, preoperatively, and postoperatively after the numbness disappeared. Differences in the blood pressure, heart rate, and pain perception between the two appointments were analyzed using the paired t-test. For all statistical analyses, SPSS version 11.5 was used.RESULTS:
The mean pain perception values during the injection and preoperatively showed no significant differences between the two appointments (P > 0.05); however, significant differences in the blood pressure and heart rate were noted before the surgical procedure; preoperatively, the blood pressure alone showed a significant difference (P < 0.05).CONCLUSIONS:
There was a significant decrease in the blood pressure and heart rate preoperatively; hence, experiencing a surgical impacted-tooth removal can reduce the subsequent preoperative anxiety in healthy patients.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Ansiedad
/
Citas y Horarios
/
Presión Sanguínea
/
Estudios Prospectivos
/
Ansiedad al Tratamiento Odontológico
/
Percepción del Dolor
/
Escala Visual Analógica
/
Frecuencia Cardíaca
/
Hemodinámica
/
Hipoestesia
Tipo de estudio:
Ensayo Clínico Controlado
/
Estudio observacional
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of Dental Anesthesia and Pain Medicine
Año:
2017
Tipo del documento:
Artículo
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