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http://dx.doi.org/10.17245/jdapm.2021.21.2.155

Single-channel electroencephalography and its associations with anxiety and pain during oral surgery: a preliminary report  

Jabur, Roberto de Oliveira (Dentistry Sciences Post-Graduate Program, Sao Leopoldo Mandic University)
Goncalves, Ramon Cesar Godoy (Health Sciences Post-Graduate Program, State University of Ponta Grossa (UEPG))
Faria, Kethleen Wiechetek (Dentistry Post-Graduate Program, State University of Ponta Grossa (UEPG))
Semczik, Izabelle Millene (Science Initiation Program, School of Dentistry, State University of Ponta Grossa (UEPG))
Ramacciato, Juliana Cama (Dentistry Sciences Post-Graduate Program, Sao Leopoldo Mandic University)
Bortoluzzi, Marcelo Carlos (Health Sciences Post-Graduate Program, State University of Ponta Grossa (UEPG))
Publication Information
Journal of Dental Anesthesia and Pain Medicine / v.21, no.2, 2021 , pp. 155-165 More about this Journal
Abstract
Background: This study aimed to assess the course of anxiety and pain during lower third molar (LTMo) surgery and explore the role of mobile and single-channel electroencephalography under clinical and surgical conditions. Methods: The State-Trait Anxiety Inventory (STAI), Corah's Dental Anxiety Scale (DAS), and Interval Scale of Anxiety Response (ISAR) were used. The patient self-rated anxiety (PSA), the pain felt during and after surgery, EEG, heart rate (HR), and blood pressure (BP) were assessed. Results: The Attention (ATT) and Meditation (MED) algorithms and indicators evaluated in this study showed several associations. ATT showed interactions and an association with STAI-S, pain during surgery, PSA level, HR, and surgical duration. MED showed an interaction and association with DAS, STAI-S, and pain due to anesthesia. Preclinical anxiety parameters may influence clinical perceptions and biological parameters during LTMo surgeries. High STAI-Trait and PSA scores were associated with postoperative pain, whereas high STAI-State scores were associated with more pain during anesthesia and surgery, as well as DAS, which was also associated with patient interference during surgery due to anxiety. Conclusions: The findings suggest that single-channel EEG is promising for evaluating brain responses associated with systemic reactions related to anxiety, surgical stress, and pain during oral surgery.
Keywords
Anxiety; Electroencephalography; Oral Surgery; Pain; State-Trait Anxiety Inventory; Third Molar;
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