ABSTRACT
OBJECTIVE: To assess how patients actually perceive implant placement, to evaluate whether patients' perceived burdens are related to specific stages during implant placement, and to compare patients' perceptions during implant placement with other surgical procedures. METHODS: A sample of 287 patients was consecutively recruited. Only patients with implantations (n=45), surgical tooth removal (n=147), or apicectomies (n=95) were included. Patients' perceptions during oral surgery and implantation were assessed using the Burdens in Oral Surgery Questionnaire (BiOS-Q). Effects of treatment on BiOS-Q total and domain scores were assessed using multivariate linear regression analyses, and effect sizes (Cohen's d) were computed. RESULTS: Overall, patients' perceived burdens during oral surgery were low indicated by a mean BiOS-Q total score of 28.5 points, with lowest scores for Side effects (19.4) and highest scores for Anesthesia (34.1). Among treatment groups, implantation was perceived least unpleasant. This was related to lower burdens during Bone and soft tissue manipulation during implantation than during surgical tooth removal (difference: 14.8 points; d=0.8) or apicectomy (difference: 13.1 points; d=0.7). CONCLUSIONS: Implantation has a low overall perceived burden and is significantly less burdensome during bone and soft tissue manipulation than surgical tooth removal or apicectomy. CLINICAL SIGNIFICANCE: Patients can be informed that implant placement is less unpleasing than other commonly performed oral surgery procedures.
Subject(s)
Apicoectomy/methods , Apicoectomy/psychology , Dental Implantation, Endosseous/methods , Dental Implantation, Endosseous/psychology , Patient Satisfaction , Tooth Extraction/methods , Tooth Extraction/psychology , Adolescent , Adult , Aged , Anesthesia/adverse effects , Anesthesia/methods , Apicoectomy/adverse effects , Dental Implantation, Endosseous/adverse effects , Female , Humans , Male , Middle Aged , Periapical Periodontitis/surgery , Root Canal Therapy/adverse effects , Root Canal Therapy/methods , Root Canal Therapy/psychology , Surveys and Questionnaires , Tooth Extraction/adverse effects , Tooth Socket/surgery , Young AdultABSTRACT
OBJECTIVE: The purpose of this study was to evaluate dental anxiety in patients undergoing apicectomy procedures performed with conventional instruments or an erbium-doped yttrium aluminum garnet (Er:YAG) laser. METHODS: Twenty-eight patients undergoing apicectomy were divided into two groups; roots were removed with an Er:YAG laser in group A (n=14) and with conventional instruments in group B (n=14). All patients completed preoperative State-Trait Anxiety Inventories (STAI) and postoperative questionnaires. RESULTS: Although state anxiety, trait anxiety, and postoperative questionnaire scores were lower in patients undergoing Er:YAG laser treatment than in those treated with conventional instruments, the differences were not statistically significant. CONCLUSIONS: Surgical instruments affect the anxiety levels of dental patients. Even with the STAI scores being lower for patients treated with Er:YAG, use of the Er:YAG laser alone cannot contribute to the resolution of dental anxiety. A patient's individual condition is the major factor influencing that patient's anxiety level.
Subject(s)
Apicoectomy/instrumentation , Dental Anxiety , Laser Therapy , Lasers, Solid-State , Adult , Apicoectomy/psychology , Dental Instruments , Female , Humans , Male , Prospective Studies , Surveys and QuestionnairesABSTRACT
PURPOSE: The aim of the present study was to evaluate the levels of dental fear and anxiety in women with eating disorders (EDs) scheduled for oral surgery. PATIENTS AND METHODS: A total of 61 patients with EDs, an identical number of age-, gender-, and education-matched healthy controls, and 2 consecutive, randomly selected, clinical and nonclinical samples each consisting of 220 female subjects were included in the present study. The participants completed the demographic and clinical forms, as well as the modified dental anxiety scale (MDAS) and dental fear survey (DFS) before the surgical procedure. RESULTS: The mean scores of the MDAS and DFS for the study population correlated negatively with age and positively with a previous unpleasant experience related to dentistry (P < .01 for both). Patients with EDs had significantly greater mean scores on the MDAS than the clinical and nonclinical groups (P < .05 for both). Their mean scores on the DFS were significantly greater than those for the nonclinical participants (P < .05). A significant difference was found in the DFS subscale "fear of specific situations and stimuli" compared with the healthy matched controls and clinical and nonclinical subjects (P < .05 for all). CONCLUSION: The results of our study have shown that patients with EDs can be more sensitive to the auditory, visual, and contact stimuli of the oral surgery procedures under local anesthesia. They also had greater levels of dental fear and anxiety than routine clinical patients and randomly selected subjects from a nonclinical environment.
Subject(s)
Dental Anxiety/psychology , Feeding and Eating Disorders/psychology , Oral Surgical Procedures/psychology , Adolescent , Adult , Ambulatory Surgical Procedures/psychology , Anesthesia, Dental , Anesthesia, Local , Anorexia Nervosa/psychology , Apicoectomy/psychology , Attitude to Health , Bulimia Nervosa/psychology , Case-Control Studies , Dental Anxiety/classification , Dental Care/psychology , Dental Implantation, Endosseous/psychology , Educational Status , Female , Humans , Income , Marital Status , Minor Surgical Procedures/psychology , Surveys and Questionnaires , Tooth Extraction/psychology , Young AdultABSTRACT
OBJECTIVE: The purpose of this prospective study was to compare patient experience of quality of life following surgical endodontic treatment using 2 different techniques: a technique that included the use of a dental operating microscope, root resection with minimal bevel and retrograde preparation with ultrasonic tips, and a traditional technique that included root resection with a 45 degrees bevel and retrograde preparation by bur performed without magnification. STUDY DESIGN: The study consisted of 66 patients referred for surgical endodontic treatment. One operator (I.T.) carried out all treatment. An equal number of patients were assigned to each group. Group 1 was treated by the traditional technique without an operating microscope and Group 2 by a technique using an operating microscope and minimal osteotomy. All patients were given a questionnaire with 15 questions to evaluate their quality of life for 7 days postsurgery. RESULTS: On day 5, patients in Group 1 reported significantly more pain and took significantly more analgesics (P < .05). On days 1 and 2, patients in Group 2 reported significantly more difficulty in mouth opening, mastication, and the ability to speak (P < .05). CONCLUSION: Patients in both groups reported a high incidence of symptoms. The technique using the operating microscope provided significantly less postoperative pain, but more difficulties in mouth opening, mastication, and the ability to speak immediately postoperatively.
Subject(s)
Apicoectomy/methods , Apicoectomy/psychology , Quality of Life , Retrograde Obturation/methods , Retrograde Obturation/psychology , Adult , Analysis of Variance , Apicoectomy/instrumentation , Chi-Square Distribution , Female , Humans , Male , Mastication , Microscopy/instrumentation , Middle Aged , Pain, Postoperative/psychology , Prospective Studies , Retrograde Obturation/instrumentation , Speech , Surveys and Questionnaires , Ultrasonic Therapy/instrumentationABSTRACT
A recent audit of patients who underwent minor oral surgery within their own general dental practice confirms that treatment performed in this environment can have a high level of patient satisfaction. This article reports the results of the audit and explores the reasons why the patients chose to receive treatment in this way.
