Impact of Anxiety on Pain Perception Associated With Periodontal and Implant Surgery in a Private Practice

Fardal, Øystein; McCulloch, Christopher A.

doi:10.1902/jop.2011.110562

Cited by 63 publications

(82 citation statements)

References 42 publications

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“…It is well known that pre-procedural anxiety is related to increased levels of perceived pain for patients undergoing restorative dental treatment, such as periodontal treatment and implant placement (Klages et al 2006;Fardal & McCulloch 2012). Within orthodontics, Bergius et al (2008) reported that following the placement of orthodontic separators, patients who scored higher on the Dental Anxiety Scale (DAS) reported higher levels of pain than those with a lower DAS score (Bergius al.…”

Section: Discussionmentioning

confidence: 99%

Chewing gum vs. ibuprofen in the management of orthodontic pain, a multi-centre randomised controlled trial – the effect of anxiety

Ireland

Ellis²,

Jordan

et al. 2017

Journal of Orthodontics

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Objectives: Pain is a common side effect of orthodontic treatment. An objective of this study, part of a large previously reported RCT on pain and analgesic use, was to determine the effect of anxiety on perceived pain and use of analgesia. Methods: 1000 patients aged 11-17 years, undergoing upper and lower fixed appliance treatment in nine hospital departments were recruited into this two-arm parallel design randomised controlled trial. One arm was given sugar-free chewing gum and the other arm ibuprofen for pain relief. Neither the clinicians nor patients were blinded to assignment. In addition to recording pain experience and analgesic use for 3 days following appliance placement and first archwire change, each patient recorded their level of anxiety immediately following the fitting of the appliance and the first archwire change. Results: 419 chewing gum group (84%) and 407 ibuprofen group (83%) questionnaires were returned following appliance placement, and 343 chewing gum group (70%) and 341 ibuprofen group (71%) questionnaires were returned following the first archwire change. The mean anxiety scores following fitting of the appliance and first archwire change were 2.7 (SD 2.1) and 1.6 (SD 1.8), respectively. There were weak but significant positive associations between anxiety scores and pain scores. Multi-level modelling produced a coefficient for anxiety of 0.23 (95% CI 0.17-0.28) for appliance placement, suggesting a small rise (0.23) on the 11-point pain scale for a onepoint increase on the corresponding anxiety scale. Following archwire change, the corresponding coefficient was 0.32 (0.24-0.39). For ibuprofen use, again simple analyses suggested a relationship with anxiety. Multi-level logistic modelling produced an odds ratio for ibuprofen use of 1.11 (95% CI 1.07-1.15) at appliance placement and 1.21 (1.10-1.33) at the first archwire change. There was a 10-20% increase in the odds of using ibuprofen for each onepoint increase on the anxiety scale. No such relationship was found between anxiety and chewing gum use. There were no adverse effects or harms reported during the trial. Approvals were granted by the Research Ethics Committee (08/H0106/139), R&D and MHRA (Eudract 2008-005522-36) and the trial was registered on the ISRCTN (79884739) and NIHR (6631) portfolios. Support was provided by the British Orthodontic Society Foundation. Conclusions: There was a weak positive correlation between anxiety reported and pain experienced following both the initial fitting of the fixed appliances and at the subsequent archwire change. Patients that were more anxious tended to take more ibuprofen for their pain relief. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 99%

Chewing gum vs. ibuprofen in the management of orthodontic pain, a multi-centre randomised controlled trial – the effect of anxiety

Ireland

Ellis²,

Jordan

et al. 2017

Journal of Orthodontics

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“…Anksiyete değerlendirilme yöntemlerinden biri de stres ölçümüdür. Stresin değerlendirildiği çalışmaların ikisinde tükürük kortizol seviyesine bakılmış başka bir çalışmada ise tükürük CgA (Kromogranin A) seviyesine bakılmış ve ortostatik tolerans testi uygulanmıştır (18,26,27). Tükürük kortizol seviyesi bir çalışmada ameliyattan bir hafta önce, ameliyat günü ve cerrahi sonrası 3. ve 6. günde, diğer çalışmada ise sadece ameliyat öncesi toplanan tükürük örnekleriyle ölçülmüştür (18,26).…”

Section: Metodunclassified

“…Tükürük CgA seviyesi ve ortostatik tolerans testi sırasında HRV (Kalp Hızı Değişiminin Spektral Analizi) seviyesi başlangıç, operasyondan 1 saat önce ve operasyondan 1 saat sonra olarak ölçülmüştür. Başlangıç verisi operasyondan önce 2. ve 4. haftalar arası yapılan ölçümlerle oluşturulmuştur (27). Anksiyetenin kalp atım hızı ve oksijen saturasyonu ölçümüyle değerlendirildiği bir çalışmada en düşük kalp atım hızı ve en yüksek oksijen saturasyonu implant cerrahisinden hemen sonra; en yüksek kalp atım hızı ve en düşük oksijen saturasyonu ise implantın yerleştirilmesi sırasında olduğu bulunmuştur (26).…”

Section: Metodunclassified

“…Anksiyete ile İlişkili Faktörler: Cinsiyetin anksiyete üzerine etkisinin incelendiği çalışmaların dördünde kadınların ve erkeklerin anksiyeteleri arasında farklılık görülmemiştir (18,25,26,28). 6 çalışmada kadınlarda anksiyete daha yüksek bulunmuştur (16,19,20,23,24,27). Bir çalışmada operasyon öncesi anksiyete kadınlarda daha yüksek iken, operasyon sonrası anksiyetenin kadınlar ve erkekler arasında farklılık göstermediği bulunmuştur (22).…”

Section: Anksiyetenin Görülme Sıklığı Tipi Ve Zamanıunclassified

“…Eğitim düzeyinin anksiyete üzerine etkisinin incelendiği bir çalışmada eğitim düzeyinin anksiyete ile ilişkili olmadığı görülmüştür (16). Üç çalışmada, yüksek anksiyeteli hastalarda, hastaların tedavi memnuniyeti daha az bulunmuştur (20,27,28). Cerrahın uygulanan işlemle ilgili memnuniyetini değerlendiren bir çalışmada cerrah memnuniyetinin hastaların preoperatif anksiyetesi ile ilişkili olmadığı görülmüştür (20).…”

Section: Anksiyetenin Görülme Sıklığı Tipi Ve Zamanıunclassified

See 2 more Smart Citations

Anxiety in Dental Implant Surgery: Literature Review

Ciğerim¹,

Ciğerim²

2017

Van Med J

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Five different solutions to mitigate overprescribing opioid medications

Font

Johnson

Powell

2020

Journal of Dental Education

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PurposeThe University of Colorado School of Dental Medicine took 5 distinct actions to mitigate the amount of opioids prescribed at the dental school between the years 2016‐2020.MethodsThis retrospective study evaluated a comprehensive 5‐step quality improvement strategy which was implemented to decrease opioid prescribing. a) development of a Dental Pain Management Protocol, b) implementation of the protocol with pre‐doctoral students, c) incorporating the results of a Master's project that determined the actual postoperative pain after periodontal/oral surgical procedures, d) development of a favorite electronic prescription list, and e) creation of patient instructions to allow for information on nonopioid analgesic use after dental procedures to be disseminated to the patient.ResultsThere was a significant decrease (P = 0.05) in the opioid prescribing trend with the implementation of these 5 actions, resulting in an overall 68.8% decrease for prescription writing of opioids and a 78.6% decrease of opioid pills over this 3 year period.ConclusionSimple guidelines and protocols resulted in a drastic decrease in opioid prescribing, with limited negative feedback from faculty and patients.

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Impact of Anxiety on Pain Perception Associated With Periodontal and Implant Surgery in a Private Practice

Abstract: For periodontal surgery and implant treatments pain perception is affected by the level of presurgical anxiety.

Cited by 63 publications

References 42 publications

Chewing gum vs. ibuprofen in the management of orthodontic pain, a multi-centre randomised controlled trial – the effect of anxiety

Chewing gum vs. ibuprofen in the management of orthodontic pain, a multi-centre randomised controlled trial – the effect of anxiety

Anxiety in Dental Implant Surgery: Literature Review

Five different solutions to mitigate overprescribing opioid medications

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