Correlation between preoperative pressure pain assessments and anxiety and postoperative pain in impacted lower third molar surgery

Hoşgör, Hatice; Coşkunses, Fatih Mehmet; Tokuç, Berkay

doi:10.5125/jkaoms.2021.47.1.15

Cited by 7 publications

(10 citation statements)

References 19 publications

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“…Therefore, NSAID-associated adverse drug reactions could be minimized using single-dose dexamethasone. Subjective and objective anaesthesia assessments in different regions 38 (first molar, canine, lip, and tongue) represented loss and regain of normal sensation. (Table 3) Onset time is the latency period between LA administration to the beginning of numbness/loss of sensation.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of dexamethasone or adrenaline with lignocaine 2% for prolonging inferior alveolar nerve block: a randomized controlled trial

Deo

Ahmad

Singh³

2022

JKAOMS

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Objectives: Inferior alveolar nerve block (IANB) is commonly used for mandibular dentoalveolar surgery. The objective of this study was to evaluate and compare the effectiveness of coadministration of dexamethasone (4 mg/mL) or adrenaline (0.01 mg/mL) as an adjuvant with lignocaine 2% in IANB during third molar surgery (TMS). Patients and Methods: This double-blind, randomized controlled trial was conducted between March and August 2020. The investigators screened patients needing elective TMS under local anesthesia. Based on strict inclusion and exclusion criteria, patients were enrolled in this study. These patients were assigned randomly into two study groups: dexamethasone group (DXN) or adrenaline group (ADN). Outcome variables were postoperative edema, trismus, visual analogue scale (VAS), perioperative analgesia, onset time, and duration of IANB. Results: Eighty-three patients were enrolled in this study, of whom 23 (27.7%) were eliminated or excluded during follow-up. This study thus included data from 60 samples. Mean age was 32.28±11.74 years, including 28 females (46.7%) in the ADN (16 patients, 57.1%) and DXN (12 patients, 42.9%) groups. The duration of action for DXN (mean±standard deviation [SD], 4:02:07±0:34:01 hours; standard error [SE], 0:06:00 hours; log-rank P=0.001) and for ADN (mean±SD, 1:58:34±0:24:52 hours; SE, 0:04:42 hours; log-rank P=0.001) were found. Similarly, time at which 1st analgesic consume and total number of nonsteroidal antiinflammatory drugs need to rescue postoperative analgesia was found statistically significant between study groups (t (58)=-11.95; confidence interval, -2:25:41 to -1:43:53; P=0.001). Early-hours VAS was also significantly different between the study groups. Conclusion: A single injection of dexamethasone prolongs the duration of action of lignocaine 2% IANB. Additionally, it can be used in cases where adrenaline is contraindicated.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of dexamethasone or adrenaline with lignocaine 2% for prolonging inferior alveolar nerve block: a randomized controlled trial

Deo

Ahmad

Singh³

2022

JKAOMS

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“…tarafından yapılan çalışmada ise önceki tecrübeler ile anksiyete arasında anlamlı ilişki kurulamamıştır. 22 Üçüncü molar cerrahisinde, dişin gömülü olup olmaması ve zorluk derecesi anksiyeteyi değiştirmemiştir. 22 Anksiyete ile ağrı eşiği ve ağrı toleransı arasındaki ilişkinin incelendiği Hosgor ve ark.…”

Section: Ağiz Diş Ve çEne Cerrahisi Uygulamalarinda Anksiyeteunclassified

“…22 Üçüncü molar cerrahisinde, dişin gömülü olup olmaması ve zorluk derecesi anksiyeteyi değiştirmemiştir. 22 Anksiyete ile ağrı eşiği ve ağrı toleransı arasındaki ilişkinin incelendiği Hosgor ve ark. tarafından yapılan çalışmada, ağrı toleransı yüksek olan hastaların anksiyete değerleri yüksek bulunmuştur, ancak ağrı eşiği ile anksiyete arasında anlamlı korelasyon bulunmamıştır.…”

Section: Ağiz Diş Ve çEne Cerrahisi Uygulamalarinda Anksiyeteunclassified

“…tarafından yapılan çalışmada, ağrı toleransı yüksek olan hastaların anksiyete değerleri yüksek bulunmuştur, ancak ağrı eşiği ile anksiyete arasında anlamlı korelasyon bulunmamıştır. 22 Mevcut çalışma, anksiyete artışının ağrı toleransını azalttığını göstermiştir.…”

Section: Ağiz Diş Ve çEne Cerrahisi Uygulamalarinda Anksiyeteunclassified

“…28 Benzer şekilde Hosgor ve ark.nın yaptığı çalışmada, anksiyete ile total ilaç kullanımı arasında anlamlı ilişki bulunamamıştır. 22 Dudak damak yarıkları yaygın olarak görülen doğumsal anomalilerdendir. Dudak damak yarığına sahip bebeklerin ebeveynlerinin kaygı düzeyi önemli ölçüde artmıştır.…”

Section: Ağiz Diş Ve çEne Cerrahisi Uygulamalarinda Anksiyeteunclassified

See 2 more Smart Citations

Oral and Maxillofacial Surgery and Anxiety: Systematic Review

KAYMAZ¹,

ALTAN²,

AKBULUT³

2022

Turkiye Klinikleri J Dental Sci

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Anksiyete, tehdit veya tehlike durumuna otonom sinir sisteminin aktivasyonuyla kaygı, stres, gerilim ve endişe gibi duygusal tepkiler verilen bir reaksiyondur. 1 Normal derecedeki anksiyete, olması gereken ve kişiyi tehlikeli durumlardan koruyabilecek bir uyarıdır. Anksiyete ve korku, insanın varoluşundan bu yana bir savunma mekanizması olarak işlev görmektedir. Anksiyete ve korku sıklıkla aynı anlamlarda kullanılsa da anksiyete, daha çok kökeni iç çatışmalara dayanan, bilinç dışı oluşan bir durumdur. Çoğu zaman bu 2 kavramın ayrımı yapılamaz. 2 Dental anksiyete ise özel olarak diş tedavisine ve diş hekimine yönelik bir durumdur. Diş hekimliği korkusu veya fobisi yaygın olarak görülen ve çeşitli

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Instruments for anxiety analysis and the utility of its assessment in oral surgical interventions under local anesthesia in patients undergoing four operative procedures

Selimović,

Bečulić,

Begagić

et al. 2023

Sestrin. glas. (Online)

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Introduction: Fear of intervention in the oral cavity is declared as dental fear and is defined as a specific form of anxiety. The reaction to oral-surgical intervention will also depend on the feeling the patient acquires about the operator, but the positive experience also plays an important role.Aim: The aim is to evaluate differences between the sexes and the influence of experience from a previous oral surgical intervention on a similar subsequent intervention.Material and methods: In the research, anxiety was assessed using Corah's Dental Anxiety Scale (DASR) and Spielberger's State-Trait Anxiety Inventory (X1 and X2). The study included adult patients of both sexes with an indication for surgical extraction of impacted third permanent molars. Preoperative and postoperative anxiety was assessed: 1st measurement (day of examination) - DASR, and STAI (X1 and X2); 2nd measurement (immediately before the intervention) – STAI (X1 and X2); 3rd measurement (day after the intervention) – STAI (X1 and X2).Results: Preoperatively determined high levels of general, immediate, and dental anxiety decreased before the surgical procedure itself and were significantly reduced in the postoperative period. The downward trend continued in line with the positive experience. Women had higher anxiety scores than men for all monitored parameters. The use of the STAI scales to assess anxiety by dental practitioners is on par with other well-known anxiety assessment instruments, such as the DASR. Conclusion: In order to increase patient satisfaction and to prevent possible complications in such oral-surgical procedures, it would be useful to consider adequate therapy for high anxiety.

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Correlation between preoperative pressure pain assessments and anxiety and postoperative pain in impacted lower third molar surgery

Cited by 7 publications

References 19 publications

Effectiveness of dexamethasone or adrenaline with lignocaine 2% for prolonging inferior alveolar nerve block: a randomized controlled trial

Effectiveness of dexamethasone or adrenaline with lignocaine 2% for prolonging inferior alveolar nerve block: a randomized controlled trial

Oral and Maxillofacial Surgery and Anxiety: Systematic Review

Instruments for anxiety analysis and the utility of its assessment in oral surgical interventions under local anesthesia in patients undergoing four operative procedures

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