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Does psychological profile influence third molar extraction and postoperative pain?


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Título : Does psychological profile influence third molar extraction and postoperative pain?
Autor : González Martínez, Raquel
Jovani Sancho, María del Mar
Cortell Ballester, Isidoro
Materias: Ansiedad (Odontología)Fear of dentistsAnestesia en odontologíaAnesthesia in dentistryDolor posoperatorioPostoperative painExtracción dentalTeeth extractionCirugía dentalMouth surgery
Editorial : Elsevier
American Association of Oral and Maxillofacial Surgeons
Citación : González-Martínez, R., Jovani-Sancho, M.D. & Cortell-Ballester, I. (2017). Does psychological profile influence third molar extraction and postoperative pain?. Journal of Oral and Maxillofacial Surgery, vol. 75, i. 3 (mar.), pp. 484–490. DOI: https://doi.org/10.1016/j.joms.2016.09.023
Resumen : Purpose: Our purposes were to determine the influence of psychological profile on hemodynamic changes in patients who undergo surgical removal of the third molars under intravenous sedation and to evaluate the effect on patients' anxiety and postoperative recovery. Patients and Methods: We performed a prospective study of 100 patients (American Society of Anesthesiologists classes I and II; aged ≥18 years) seen in the CIMIVClinic (Department of Oral Surgery, Casa de Salud University Hospital, Valencia, Spain) who underwent extractions of all third molars under intravenous sedation. All patients were administered the Symptom Checklist 90 Revised (SCL-90-R). The following parameters were monitored at different times during the surgical interventions: systolic blood pressure, diastolic blood pressure, oxygen saturation, and heart rate. Position and depth of impaction of the tooth (Pell and Gregory classification and Winter classification), surgery duration, and surgical technique also were recorded. Finally, the degree of pain experienced the week after the surgical intervention was measured using a visual analog scale. Results: Patients' anxiety levels preoperatively were significantly higher in patients with psychological distress (P = .023). Postoperative pain significantly decreased from the first day to the seventh day in healthy patients but not in patients with altered psychological conditions (P < .05). Nevertheless, the hemodynamic changes were not correlated with the psychological impairment. Conclusions: Intravenous sedation enables the control of hemodynamic changes in all patients independently of their psychological profile. Patients with psychological distress present with higher levels of dental anxiety and postoperative pain. Future studies are needed to further clarify this interaction.
Descripción : Este recurso no está disponible en acceso abierto por política de la editorial.
URI : http://hdl.handle.net/10637/15416
Derechos: http://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
ISSN : 0278-2391
Fecha de publicación : mar-2017
Centro : Universidad Cardenal Herrera-CEU
Aparece en las colecciones: Dpto. Odontología





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