A study on the prevalence of dental anxiety, pain perception, and their interrelationship in Chinese patients with oral implant surgery

Abstract

Background Accumulating evidence has revealed that dental anxiety (DA) is associated with pain and patient satisfaction related to dental procedures. However, relevant reports are limited and inconsistent in oral implant patients. Purpose The purpose of this study was to investigate the prevalence of dental anxiety, pain perception, and analyze their interrelationship in Chinese patients with oral implant surgery. Materials and Methods A cross‐sectional study was performed according to the strengthening the reporting of observational studies in epidemiology (STROBE) guideline. Consecutive patients who received oral implant surgeries during February‐March of 2018 in Shanghai Ninth People's Hospital were recruited. The modified dental anxiety scale and visual analog scale were used to evaluate the level of the patient's DA and pain perception. Multivariate logistic regression was applied to analyze the influence of DA on pain perception of patients during oral implant surgery. Results The prevalences of moderate and high preoperative DA were 66.6% and 11.9% in Chinese patients with oral implant surgery, respectively. Seven points eight percent of patients experienced pain perception during surgery. The result of multiple logistic regression showed that there was no significant influence of moderate preoperative DA (OR = 2.0, 95%CI: 0.5‐8.2) on pain perception. However, a significant influence of high preoperative DA (OR = 6.4, 95%CI: 1.3‐30.8) was found on pain perception of patients with oral implant surgery. Significant influences of moderate perioperative DA (OR = 5.0, 95%CI: 1.1‐22.9) and high perioperative DA (OR = 8.7, 95%CI: 1.1‐69.9) were also found on pain perception of patients during oral implant surgery. Conclusions The results of the study indicated that DA was very common in Chinese patients with oral implant surgery. DA may increase pain perception of patients during oral implant surgery.

Evaluation of Dental Anxiety Before Oral Surgery in Epileptic Patients

“…Zhang et al, who assessed the dental anxiety and pain perception in patients with oral implant surgery, reported a prevalence of 66.6% and 11.9% moderate and high preoperative dental anxiety, respectively. The results of this study indicated that dental anxiety might increase pain perceptions of the patients during oral implant surgery (15). Muglali and Komerik investigated factors that may be linked with the anxiety of patients having minor oral surgery procedures (4).…”

Patient-reported outcome measures following surgeries in implant dentistry and associated factors: a cross-sectional study

“…Inclusion criteria were as follows: (1) missing teeth; (2) in need of dental implant placement or bone augmentation procedures, or both; (3) older than 18 years; (4) with basic communication, reading and writing skills; and (5) willingness to sign an informed consent form. Exclusion criteria were: (1) patients receiving second-stage surgeries; (2) previously augmented sites; (3) sites with previous implant failure; (4) relative contraindications to dental implant therapy; (5) systematic diseases and psychological or medical disorders that might influence pain threshold; (6) use of pain medication within 1 year 8 ; (7) acute intraoral pain (periodontal or endodontic pain); and (8) acute infections in which oral sensitivity was affected.…”

“…In implant dentistry, patient-reported outcome measures (PROMs) such as patient anticipation of treatment outcomes,6 quality of life7 and discomfort due to dental implant surgery8 have received increasing research interest. With an understanding of PROMs, clinicians can ensure patients’ own perception of need, involve patient preference in clinical decision-making, and improve clinician–patient trust and subsequent patient oral hygiene maintenance 9–11.…”

Effect of different factors on patient perception of surgical discomfort in third molar surgery

“…A recent study that assessed the association between anxiety and pain perception during dental implant surgery found that dental anxiety can increase patients' pain perception during oral implant surgery. 39 The presence of chronic pain or temporomandibular joint dysfunction was also not evaluated, a variable that could affect surgical discomfort.…”