Assessment of pain perception following periodontal and implant surgeries

Abstract

The majority of patients perceived mild post-surgical pain, but the pain level varied among different surgical procedures. Periodontal plastic surgery, complex surgery, surgical extension and anaesthetic volume were associated with more pain.

Investigation of factors that influence pain experienced and the use of pain medication following periodontal surgery

“…Specifically, patients who reported experiencing more pain also reported using more pain pills. This finding is in agreement with previous findings showing a correlation between analgesic consumption and the perception and duration of pain after periodontal surgery (Matthews & McCulloch, ; Mei et al., ). Moreover, a Cochrane systematic review examining the effects of oral ibuprofen for post‐operative pain management compared with placebo found that ibuprofen is an effective method for providing post‐operative analgesia (Derry, Derry, Moore, & McQuay, ).…”

“…A possible explanation for the insignificant findings could be that the anchors on the VAS are open to individual interpretation, so “worst pain imaginable” might mean something different to males and females. This is not the only study to find no sex differences in pain perception between males and females (Mei et al., ). Interestingly, nervousness towards dental treatment was not a predictor of actual pain.…”

“…This is consistent with the findings of this study, which found no difference in the pain experienced between implant surgeries and soft tissue graft surgeries. This study also showed that the experience of the surgeon was significantly different between those who experienced mild pain post‐surgery and those who experienced moderate‐to‐severe pain post‐surgery (Mei et al., ). The current study eliminated that variable by having all surgeries performed by one periodontist.…”

“…A previous study identified factors associated with higher pain perception following periodontal or implant surgery. These factors were the following: the complexity of the surgery, the experience of the surgeon, the duration of the surgery, the extension of the surgical site, the type of pain medication used following surgery, the amount of anaesthesia used, and having periosteal fenestration/dissection (Mei, Lee, & Yeh, ). However, it is important to note that not all factors that influence pain perception are intrinsic to the surgical process itself.…”

Xenogenic collagen matrix or autologous connective tissue graft as adjunct to coronally advanced flaps for coverage of multiple adjacent gingival recession: Randomized trial assessing non‐inferiority in root coverage and superiority in oral health‐related quality of life

“…In previous studies, we have used questionnaires and visual analogue scales to assess patient perceptions of the postoperative period and estimate differences between different surgical modalities (Tonetti et al., , ; Lang et al., ; Tonetti et al., ; Cortellini & Tonetti, ). Similar approaches have been used in recent studies assessing postoperative morbidity of periodontal surgery (Tan, Krishnaswamy, Ong, & Lang, ; Mei, Lee, & Yeh, ). A recent commentary raised awareness of the reliability, validity, sensitivity and clinical relevance issues with the use of current approaches to study postoperative morbidity and recovery in periodontal surgery (McGuire, Scheyer, & Gwaltney, ).…”