Do the positions of the impacted third molars affect the preoperative anxiety levels and probable postoperative pain levels of the patients?
Ahmet Taylan Çebi 1 * ,
Metin Berk Kasapoğlu 2 More Detail
1 Department Oral And Maxillofacıal Surgery, Faculty of Dentistry, Karabuk Unıversity, Karabuk, Turkey
2 Department Oral And Maxillofacıal Surgery, Faculty of Dentistry, Istanbul Unıversity, Istanbul, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 1, pp. 28-31.
https://doi.org/10.23950/jcmk/9650
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ABSTRACT
Objectives: The aim of this study is to evaluate the effects of the position of the impacted third molar teeth on preoperative anxiety and possible pain levels of patients.
Material and Methods: Fifty patients with impacted third molar teeth (full bone retention) in the horizontal and vertical positions were included in the study. Sociodemographic data of the patients were recorded. The patients have watched the impacted third molar surgery videos which were the position of horizontal and vertical. Subsequently, preoperative anxiety levels of patients were evaluated with The Spielberger State-Trait Anxiety Inventory-STAI part of the state anxiety inventory. In addition, pain levels that patients thought they might feel after the surgeries were evaluated with Visual Analogue Scale (VAS). P <0.05 and p <0.001 were considered significant in all statistical analyse.
Results: The study included 50 patients (25 males and 25 females) who mean the age of was 21.00 ± 2.08. A statistically significant difference was found between the levels of anxiety created by the positions of the impacted third molar teeth (p<0.001, p<0.05). Anxiety levels were higher in female patients than in men (p<0.001, p<0.05). A statistically significant difference was found between the levels of pain that patients could feel postoperatively and position of third molars (p<0.001, p<0.05).
Conclusion: The position of the third molars are associated with anxiety, stress, and postoperative pain in patients undergoing impacted third molar surgery. Addressing these factors preoperatively may reduce anxiety, probable postoperative perception of pain, and provide more positive treatment results.
CITATION
Çebi AT, Kasapoğlu MB. Do the positions of the impacted third molars affect the preoperative anxiety levels and probable postoperative pain levels of the patients?. J CLIN MED KAZ. 2021;18(1):28-31.
https://doi.org/10.23950/jcmk/9650
REFERENCES
- Aznar-Arasa L, Figueiredo R, Valmaseda-Castellón E, Gay-Escoda C. Patient anxiety and surgical difficulty in impacted lower third molar extractions: a prospective cohort study. Int J Oral Maxillofac Surg. 2014; 43(9):1131-6. doi:10.1016/j.ijom.2014.04.005
- Kazancioglu HO, Tek M, Ezirganli S, Demirtas N. Does watching a video on third molar surgery increase patients’ anxiety level? Oral Surg Oral Med Oral Pathol Oral Radiol. 2015; 119(3):272-7. doi:10.1016/j.oooo.2014.10.012
- González-Lemonnier S, Bovaira-Forner M, Peñarrocha- Diago M, Peñarrocha-Oltra D. Relationship between preoperative anxiety and postoperative satisfaction in dental implant surgery with intra venous conscious sedation. Med Oral Patol Oral Cir Bucal. 2010; 15(2):379-82. doi:10.4317/medoral.15.e379
- Lago-Mendez L, Diniz-Freitas M, Senra-Rivera C, Gude-Sampedro F, Gándara Rey JM, García-García A. Relationships between surgical difficulty and postoperative pain in lower third molar extractions. J Oral Maxillofac Surg. 2007; 65(5):979–83. doi:10.1016/j.joms.2006.06.281
- Jlala HA, French JL, Foxall GL, Hardman JG, Bedforth NM. Effect of preoperative multimedia information on periopoerative anxiety in patients undergoing procedures under regional anaesthesia. Br J Anaesth. 2010; 104(3):369-74. doi:10.1093/bja/aeq002
- Hwang JK, Kim KW. Complications of impacted third molar extraction: retrospective study. J Korean Assoc Oral Maxillofac Surg. 2010; 36(2):119-24. doi:http://doi.org/10.5125/jkaoms.2010.36.2.119
- Yusa H, Onizawa K, Hori M, Takeda S, Takeda H, Fukushima S, et al. Anxiety measurements in university students undergoing third molar extraction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 98(1):23-7. doi:10.1016/j.tripleo.2003.12.017
- Hollander MHJ, Schortinghuis J, Vissink A. Changes in heart rate during third molar surgery. Int J Oral Maxillofac Surg. 2016; 45(12):1652-7. https://doi.org/10.1016/j.ijom.2016.08.004
- Humphris GM, Freeman R, Campbell J, Tuutti H, D’Souza V. Further evidence for the reliability and validity of the Modified Dental Anxiety Scale. Int Dent J. 2000; 50(6):367-370. doi:10.1111/j.1875-595x.2000.tb00570.x
- Thomson WM, Locker D, Poulton R. Incidence of dental anxiety in young adults in relation to dental treatment experience. Community Dent Oral Epidemiol. 2000; 28(4):289-294. doi:10.1034/j.1600-0528.2000.280407.x
- Akadiri OA, Fasola AO, Arotiba JT. Evaluation of Pederson index as an instrument for predicting difficulty of third molar surgical extraction. Niger Postgrad Med J. 2009; 16(2):105-8. PMID: 19606189
- Bali A, Bali D, Sharma A, Verma G. Is Pederson index a true predictive difficulty index for impacted mandibular third molar surgery? A meta-analysis. J Maxillofac Oral Surg. 2013; 12(3):359-64. doi:10.1007/s12663-012-0435-x
- Roy I, Baliga SD, Louis A, Rao S. Importance of clinical and radiological parameters in assessment of surgical difficulty in removal of impacted mandibular 3rd molars: a new index. J Maxillofac Oral Surg. 2015; 14(3):745-9. doi:10.1007/s12663-014-0731-8
- Spielberger CD, Gorsuch RL, Lushene RE, Vagg PR, Jacobs GA. Manual for State and Trait Anxiety Inventory. Consulting Psychologists Press: Palo Alto. 1983.
- Asutay F, Yolcu Ü, Geçör O, Acar AH, Öztürk SA, Malkoç S. An evaluation of effects of platelet-rich-fibrin on postoperative morbidities after lower third molar surgery. Niger J Clin Pract. 2017; 20(12):1531-6. doi:10.4103/1119-3077.181400
- Mahdey HM, Arora S, Wei M. Prevalence and Difficulty Index Associated with the 3rd Mandibular Molar Impaction among Malaysian Ethnicities: A Clinico-Radiographic Study. JCDR. 2015; 9(9):65-68. doi:10.7860/JCDR/2015/14490.6509
- Brasileiro BF, de Braganca RM, Van Sickels JE. An evaluation of patients' knowledge about perioperative information for third molar removal. J Oral Maxillofac Surg. 2012; 70(1):12-8. doi: 10.1016/j.joms.2011.06.225
- Kvale G, Berggren U, Milgrom P. Dental fear in adults: a metaanalysis of behavioral interventions. Community Dent Oral Epidemiol. 2004; 32(4):250-64. doi:10.1111/j.1600-0528.2004.00146.x
- Van Wijk A, Lindeboom J. The effect of a separate consultation on anxiety levels before third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105(3):303-307. doi: 10.1016/j.tripleo.2007.07.028
- Doerr PA, Lang WP, Nyquist LV, Ronis DL. Factors associated with dental anxiety. J Am Dent Assoc. 1998; 129(8):1111-9. doi:10.14219/jada.archive.1998.0386
- Kazancioglu HO, Dahhan AS, Acar AH. How could multimedia information about dental implant surgery effects patients' anxiety level? Med Oral Patol Oral Cir Bucal. 2017; 22(1):102-7. doi:10.4317/medoral.21254
- Economou GC. Dental anxiety and personality: investigating the relationship between dental anxiety and self-consciousness. J Dental Educ. 2003; 67(9):970-80. PMID: 14518835
- Granot M, Ferber SG. The roles of pain catastrophizing and anxiety in the prediction of postoperative pain intensity: a prospective study. Clin J Pain. 2005; 21(5):439-45. doi:10.1097/01.ajp.0000135236.12705.2d
- Taenzer P, Melzack R, Jeans ME. Influence of psychological factors on postoperative pain, mood and analgesic requirements. Pain. 1986; 24(3):331-42. doi:10.1016/0304-3959(86)90119-3
- Susarla SM, Dodson TB. Risk factors for third molar extraction difficulty. J Oral Maxillofac Surg. 2004; 62(11):1363-1371. doi:10.1016/j.joms.2004.05.214
- Susarla SM, Dodson TB. Estimating third molar extraction difficulty: a comparison of subjective and objective factors. J Oral Maxillofac Surg. 2005; 63(4):427-434. doi:10.1016/j.joms.2004.12.003
- Wang TF, Wu YT, Tseng CF, Chou C. Associations between dental anxiety and postoperative pain following extraction of horizontally impacted wisdom teeth: A prospective observational study. Medicine (Baltimore). 2017; 96(47):8665. doi:10.1097/MD.0000000000008665