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

  • Hosgor, Hatice (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kocaeli University) ;
  • Coskunses, Fatih Mehmet (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kocaeli University) ;
  • Tokuc, Berkay (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kocaeli University)
  • 투고 : 2020.06.23
  • 심사 : 2020.09.29
  • 발행 : 2021.02.28

초록

Objectives: The aim of this study was to evaluate correlations between anxiety and preoperative pressure pain assessments and postoperative pain and analgesic requirements in impacted lower third molar tooth surgery. Materials and Methods: This prospective study enrolled 60 patients who underwent impacted lower third molar surgery. The preoperative State-Trait Anxiety Inventory-I (STAI-I), pressure pain threshold, and pressure pain tolerance scores were measured. At 2, 4, 6, 12, and 24 hours, and at 6 days following surgery, the patients scored their pain on the visual analogue scale and recorded their analgesic drug usage. The data were evaluated, and the results were statistically analyzed. Results: Of the 60 patients, 38 were female. Mean age was 24.62±7.42 years. The study found no relationship between preoperative pressure pain assessments and postoperative pain (P>0.05). There was also no relationship observed between preoperative STAI-I scores and postoperative pain (P>0.05). However, there was a positive correlation between operation time and total medication taken (P<0.05). Conclusion: Preoperative pressure pain threshold, pressure pain tolerance, and anxiety level had no significant effects on postoperative pain and analgesic requirements in impacted lower third molar surgery.

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참고문헌

  1. Park W, Kim JH, Kang SH, Kim MK, Kim BC, Choi JW, et al. Reconsideration of decision making for third molar extraction. J Korean Assoc Oral Maxillofac Surg 2011;37:343-8. https://doi.org/10.5125/jkaoms.2011.37.5.343
  2. Susarla SM, Dodson TB. Risk factors for third molar extraction difficulty. J Oral Maxillofac Surg 2004;62:1363-71. https://doi.org/10.1016/j.joms.2004.05.214
  3. Cillo JE. Peri-operative pain management in maxillofacial surgery. In: Ferneini E, Bennett J, eds. Perioperative assessment of the maxillofacial surgery patient: problem-based patient management. Cham: Springer; 2018:145-60.
  4. Comfort MB, Tse AS, Tsang AC, McGrath C. A study of the comparative efficacy of three common analgesics in the control of pain after third molar surgery under local anaesthesia. Aust Dent J 2002;47:327-30. https://doi.org/10.1111/j.1834-7819.2002.tb00546.x
  5. Koo TK, Guo JY, Brown CM. Test-retest reliability, repeatability, and sensitivity of an automated deformation-controlled indentation on pressure pain threshold measurement. J Manipulative Physiol Ther 2013;36:84-90. https://doi.org/10.1016/j.jmpt.2013.01.001
  6. Martinez-Calderon J, Meeus M, Struyf F, Diaz-Cerrillo JL, Clavero-Cano S, Morales-Asencio JM, et al. Psychological factors are associated with local and generalized pressure pain hypersensitivity, pain intensity, and function in people with chronic shoulder pain: a cross-sectional study. Musculoskelet Sci Pract 2019;44:102064. https://doi.org/10.1016/j.msksp.2019.102064
  7. Ciccozzi A, Marinangeli F, Colangeli A, Antonacci S, Pilerci G, Di Stefano L, et al. Anxiolysis and postoperative pain in patients undergoing spinal anesthesia for abdominal hysterectomy. Minerva Anestesiol 2007;73:387-93.
  8. Kain ZN, Sevarino F, Pincus S, Alexander GM, Wang SM, Ayoub C, et al. Attenuation of the preoperative stress response with midazolam: effects on postoperative outcomes. Anesthesiology 2000;93:141-7. https://doi.org/10.1097/00000542-200007000-00024
  9. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs G. Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists Press; 1983.
  10. Ip HY, Abrishami A, Peng PW, Wong J, Chung F. Predictors of postoperative pain and analgesic consumption: a qualitative systematic review. Anesthesiology 2009;111:657-77. https://doi.org/10.1097/ALN.0b013e3181aae87a
  11. Astramskaite I, Juodzbalys G. Scales used to rate adult patients' psycho-emotional status in tooth extraction procedures: a systematic review. Int J Oral Maxillofac Surg 2017;46:886-98. https://doi.org/10.1016/j.ijom.2017.03.015
  12. Hsu YW, Somma J, Hung YC, Tsai PS, Yang CH, Chen CC. Predicting postoperative pain by preoperative pressure pain assessment. Anesthesiology 2005;103:613-8. https://doi.org/10.1097/00000542-200509000-00026
  13. Kirdemir P, Ozorak O. Can postoperative pain and analgesic need be predicted in preoperative period? Turkiye Klinikleri J Med Sci 2011;31:951-9. https://doi.org/10.5336/medsci.2010-19299
  14. Duan G, Guo S, Zhang Y, Ying Y, Huang P, Zhang L, et al. Effects of epidemiological factors and pressure pain measurements in predicting postoperative pain: a prospective survey of 1,002 Chinese patients. Pain Physician 2017;20:E903-14.
  15. Werner MU, Duun P, Kehlet H. Prediction of postoperative pain by preoperative nociceptive responses to heat stimulation. Anesthesiology 2004;100:115-9; discussion 5A. https://doi.org/10.1097/00000542-200401000-00020
  16. Chapman CR, Casey KL, Dubner R, Foley KM, Gracely RH, Reading AE. Pain measurement: an overview. Pain 1985;22:1-31. https://doi.org/10.1016/0304-3959(85)90145-9
  17. Auerbach SM, Spielberger CD. The assessment of state and trait anxiety with the Rorschach test. J Pers Assess 1972;36:314-35. https://doi.org/10.1080/00223891.1972.10119767
  18. Rawal N. Postoperatif agri tedavisi [Postoperative pain treatment]. In: Erdine S, ed. Agri [Pain]. 1st ed. Istanbul: Nobel Tip; 2000:124-41. Turkish.
  19. Kaakko T, Murtomaa H. Factors predictive of anxiety before oral surgery: efficacy of various subject screening measures. Anesth Prog 1999;46:3-9.
  20. Matthias AT, Samarasekera DN. Preoperative anxiety in surgical patients - experience of a single unit. Acta Anaesthesiol Taiwan 2012;50:3-6. https://doi.org/10.1016/j.aat.2012.02.004
  21. Gerbershagen HJ, Pogatzki-Zahn E, Aduckathil S, Peelen LM, Kappen TH, van Wijck AJ, et al. Procedure-specific risk factor analysis for the development of severe postoperative pain. Anesthesiology 2014;120:1237-45. https://doi.org/10.1097/ALN.0000000000000108
  22. Lago-Mendez L, Diniz-Freitas M, Senra-Rivera C, Gude-Sampedro F, Gandara Rey JM, Garcia-Garcia A. Relationships between surgical difficulty and postoperative pain in lower third molar extractions. J Oral Maxillofac Surg 2007;65:979-83. https://doi.org/10.1016/j.joms.2006.06.281
  23. Negreiros RM, Biazevic MG, Jorge WA, Michel-Crosato E. Relationship between oral health-related quality of life and the position of the lower third molar: postoperative follow-up. J Oral Maxillofac Surg 2012;70:779-86. https://doi.org/10.1016/j.joms.2011.09.034