Contributing factors related to patients' pain on implant surgery

임플란트 수술 시 통증에 영향을 주는 요인에 관한 평가

  • Kim, Yong-Tae (Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University) ;
  • Park, Jung-Chul (Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University) ;
  • Yun, Jeong-Ho (Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University) ;
  • Jung, Ui-Won (Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University) ;
  • Kim, Chang-Sung (Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University) ;
  • Cho, Kyoo-Sung (Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University) ;
  • Chai, Jung-Kiu (Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University) ;
  • Choi, Seong-Ho (Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University)
  • 김용태 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 박정철 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 윤정호 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 정의원 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 김창성 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 조규성 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 채중규 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 최성호 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소)
  • Received : 2010.10.18
  • Accepted : 2010.12.28
  • Published : 2011.02.01

Abstract

Purpose : The purpose of this study was to identify and assess factors that may contribute to pain of patients undergoing implant surgery. Materials and Methods: A total of 24 patients who underwent implant surgery were included in the study. Each patient's anxiety was measured using Corah's dental anxiety score(DAS) and modified Spielberger's state-trait anxiety inventory(STAI) immediately after the operation. Also, level of pain was measured using visual analog scale(VAS) during the operation and 48 hours after the surgery. The effect of various factors, such as demographic variables, previous dental experiences and operation time were also analyzed. Results: Postoperative pain levels were relatively low than expected. However, DAS and STAI were high among patients, and it showed that patients had anxieties about implant surgery according to DAS and STAI values. The previous dental experience did not affect the pain level, but the duration of surgery and the presence of accompanied advanced surgery did. Conclusion: To reduce patient's pain, proper management of anxiety will be required and careful attention is needed when performing local infiltration.

Keywords

References

  1. Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc 1984;109(2):247-251. https://doi.org/10.14219/jada.archive.1984.0328
  2. Ragnarsson B, Arnlaugsson S, Karlsson KO, et al. Dental anxiety in Iceland: an epidemiological postal survey. Acta Odontol Scand 2003;61(5):283-288. https://doi.org/10.1080/00016350310005844
  3. Ready LB, Oden R, Chadwick HS, et al. Development of an anesthesiology-based postoperative pain management service. Anesthesiology 1988;68(1):100-106. https://doi.org/10.1097/00000542-198801000-00016
  4. Lownie JF, Lownie MA, Reinach SG. Comparison of the safety and efficacy of a combination analgesic Myprodol and Ponstan in the treatment of dental pain. J Dent Assoc S Afr 1992;47(9):403-406.
  5. 조규성, 김현영, 서종진, 최성호, 채중규, 김종관. 치주 수술 및 인공 치아 매식술 후 $Myprodol^{(R)}$의 동통 억제 효과에 대한 연구. 대한치주과학회지 2000;30(1):1-11.(Korean)
  6. de Craen AJ, Di Giulio G, Lampe-Schoenmaeckers JE, et al. Analgesic efficacy and safety of paracetamol-codeine combinations versus paracetamol alone: a systematic review. BMJ 1996;313(7053):321-325. https://doi.org/10.1136/bmj.313.7053.321
  7. Laska EM, Sunshine A, Zighelboim I, et al. Effect of caffeine on acetaminophen analgesia. Clin Pharmacol Ther 1983;33(4):498-509. https://doi.org/10.1038/clpt.1983.68
  8. Sullivan MJ, Rodgers WM, Kirsch I. Catastrophizing, depression and expectancies for pain and emotional distress. Pain 2001;91(1-2):147-154. https://doi.org/10.1016/S0304-3959(00)00430-9
  9. Sullivan MJ, Thorn B, Rodgers W, Ward LC. Path model of psychological antecedents to pain experience: experimental and clinical findings. Clin J Pain 2004;20(3):164-173. https://doi.org/10.1097/00002508-200405000-00006
  10. Corah NL. Development of a dental anxiety scale. J Dent Res 1969;48(4):596. https://doi.org/10.1177/00220345690480041801
  11. 김정택. STAI의 한국표준화에 관한 연구. 최신의학 1978;21:69-75.(Korean)
  12. Corah NL. Dental anxiety. Assessment, reduction and increasing patient satisfaction. Dent Clin North Am 1988;32(4):779-790.
  13. CD S. Theory and research on anxiety. New York: Academic Press, 1966.
  14. Meechan JG. Intraoral topical anesthesia. Periodontol 2000 2008;46:56-79. https://doi.org/10.1111/j.1600-0757.2008.00231.x
  15. Aurell J, Elmqvist D. Sleep in the surgical intensive care unit: continuous polygraphic recording of sleep in nine patients receiving postoperative care. Br Med J (Clin Res Ed) 1985;290(6474):1029-1032. https://doi.org/10.1136/bmj.290.6474.1029
  16. Gonzalez-Santana H, Penarrocha-Diago M, Guarinos-Carbo J, Balaguer-Martinez J. Pain and inflammation in 41 patients following the placement of 131 dental implants. Med Oral Patol Oral Cir Bucal 2005;10(3):258-263.
  17. Muller E, Rios Calvo MP. Pain and dental implantology: sensory quantification and affective aspects. Part I: At the private dental office. Implant Dent 2001;10(1):14-22. https://doi.org/10.1097/00008505-200101000-00007
  18. Sisk AL, Dionne RA, Wirdzek PR. Evaluation of etidocaine hydrochloride for local anesthesia and postoperative pain control in oral surgery. J Oral Maxillofac Surg 1984;42(2):84-88. https://doi.org/10.1016/0278-2391(84)90316-1
  19. Ong KS, Seymour RA, Chen FG, Ho VC. Preoperative ketorolac has a preemptive effect for postoperative third molar surgical pain. Int J Oral Maxillofac Surg 2004;33(8):771-776. https://doi.org/10.1016/j.ijom.2004.01.020
  20. Macleod AG, Ashford B, Voltz M, et al. Paracetamol versus paracetamol-codeine in the treatment of post-operative dental pain: a randomized, double-blind, prospective trial. Aust Dent J 2002;47(2):147-151. https://doi.org/10.1111/j.1834-7819.2002.tb00319.x
  21. Eli I, Schwartz-Arad D, Baht R, Ben-Tuvim H. Effect of anxiety on the experience of pain in implant insertion. Clin Oral Implants Res 2003;14(1):115-118. https://doi.org/10.1034/j.1600-0501.2003.140115.x
  22. Vassend O. Anxiety, pain and discomfort associated with dental treatment. Behav Res Ther 1993;31(7):659-666. https://doi.org/10.1016/0005-7967(93)90119-F
  23. Eli I, Baht R, Kozlovsky A, Simon H. Effect of gender on acute pain prediction and memory in periodontal surgery. Eur J Oral Sci 2000;108(2):99- 103. https://doi.org/10.1034/j.1600-0722.2000.00777.x
  24. Berkley KJ. Sex differences in pain. Behav Brain Sci 1997;20(3):371-380; discussion 435-513.
  25. Unruh AM. Gender variations in clinical pain experience. Pain 1996;65(2-3):123-167. https://doi.org/10.1016/0304-3959(95)00214-6
  26. Al-Khabbaz AK, Griffin TJ, Al-Shammari KF. Assessment of pain associated with the surgical placement of dental implants. J Periodontol 2007;78(2):239-246. https://doi.org/10.1902/jop.2007.060032
  27. Croog SH, Baume RM, Nalbandian J. Pre-surgery psychological characteristics, pain response, and activities impairment in female patients with repeated periodontal surgery. J Psychosom Res 1995;39(1):39-51. https://doi.org/10.1016/0022-3999(94)00089-N
  28. Eli I, Bar-Tal Y, Fuss Z, Silberg A. Effect of intended treatment on anxiety and on reaction to electric pulp stimulation in dental patients. J Endod 1997;23(11):694-697. https://doi.org/10.1016/S0099-2399(97)80404-9
  29. Brand HS, Gortzak RA, Palmer-Bouva CC, et al. Cardiovascular and neuroendocrine responses during acute stress induced by different types of dental treatment. Int Dent J 1995;45(1):45-48.
  30. Wong M, Lytle WR. A comparison of anxiety levels associated with root canal therapy and oral surgery treatment. J Endod 1991;17(9):461-465. https://doi.org/10.1016/S0099-2399(07)80138-5
  31. Arntz A, van Eck M, Heijmans M. Predictions of dental pain: the fear of any expected evil, is worse than the evil itself. Behav Res Ther 1990;28(1):29-41. https://doi.org/10.1016/0005-7967(90)90052-K
  32. Kent G. Anxiety, pain and type of dental procedure. Behav Res Ther 1984;22(5):465-469. https://doi.org/10.1016/0005-7967(84)90049-4
  33. Klepac RK, Dowling J, Hauge G. Characteristics of clients seeking therapy for the reduction of dental avoidance: reactions to pain. J Behav Ther Exp Psychiatry 1982;13(4):293-300. https://doi.org/10.1016/0005-7916(82)90073-8