State anxiety and depression as factors modulating and influencing postoperative pain in dental implant surgery. A prospective clinical survey

Abstract

Objetives: To determine whether preoperative state anxiety and depression modulate or influence objective and subjective postoperative pain following dental implant insertion. Study Design: Prospective, clinical study with 7-day follow-up of a sample of 105 subjects who preoperatively completed the state anxiety questionnaire (STAI-E) and Beck Depression Inventory (BDI) and postoperatively, at 2 and 7 days, recorded objective pain with the Semmes-Weinstein mechanical esthesiometer (SW test) and subjective pain with the Visual Analog Scale (VAS). Results: 85.6% and 81.5% of patients, respectively, recorded no signs of state anxiety or depression. The correlation between anxiety and depression for both maxillary bones was the lower (P=0.02). The correlation between subjective and objective pain at 2 and 7 days, and the anatomic regions intervened, was statistically significant in the mandible at day 7 (P<0.01), and highly significant (P<0.001) for the other variables. The correlation between state anxiety and objective pain at day 7 was nearly statistically significant (P=0.07). Conclusions: The correlation between state anxiety and depression, and objective and subjective pain at day 7 was not statistically significant. A strong correlation was found between objective and subjective pain in the immediate postoperative period. Key words:Anxiety, depression, postoperative pain, dental implants.

Predictors for Moderate to Severe Acute Postoperative Pain after Cesarean Section

“…Yet, the relationship between anxiety and pain is not always positive and unidirectional [33], as found by Gómez-de Diego et al [34] in a study with 97 patients submitted to dental implant and by Kain et al [35] in a double blinded clinical trial, placebo-controlled, with women submitted to hysterectomy, where a group received anxiolytic and the other not. In both studies, an association between these constructs was not seen.…”

Can Preoperative Psychological Assessment Predict Outcomes After Temporomandibular Joint Arthroscopy?

“…The MBMD survey has not been validated for TMD and the TMD population could represent a unique group in whom chronic anxiety predominates compared with the other psychological factors. Preoperative chronic anxiety has been shown to predict the magnitude of postoperative pain after oral and maxillofacial surgery, 25,26 orthopedic surgery, 27-32 neurosurgery, 33 oncology, 34,35 and general surgery. [36][37][38] The actual nature of the surgical procedure does not appear to influence the effect of chronic anxiety on the magnitude of postoperative pain decrease.…”

Chitosán más clorhexidina (Bexident®Post) en el control del dolor y la inflamación posoperatoria en implantología oral: estudio piloto

“…En la literatura se refleja que el dolor asociado a la técnica, todo y que se lesionan los tejidos orales para su inserción es discreto (19), dependiendo entre otros aspectos de la predisposición del paciente frente al mismo (20). Por otro lado, es frecuente que en implantología, al igual que en otras técnicas quirúrgicas orales, se utilice un antiséptico de manera rutinaria (21).…”