State Anxiety and Depression As Factors Modulating and Influencing Postoperative Pain in Dental Implant Surgery. A Prospective Clinical Survey

Overview

Journal Med Oral Patol Oral Cir Bucal

Specialty Dentistry

Date 2014 Jun 2

PMID 24880447

Citations 7

Authors

Rafael Gomez-De Diego

Antonio Cutando-Soriano

Javier Montero-Martin

Juan-Carlos Prados-Frutos

Antonio Lopez-Valverde

Affiliations

Soon will be listed here.

Abstract

Objectives: To determine whether preoperative state anxiety and depression modulate or influence objective and subjective postoperative pain following dental implant insertion.

Study Design: Prospective, clinical study with 7-day follow-up of a sample of 105 subjects who preoperatively completed the state anxiety questionnaire (STAI-E) and Beck Depression Inventory (BDI) and postoperatively, at 2 and 7 days, recorded objective pain with the Semmes-Weinstein mechanical esthesiometer (SW test) and subjective pain with the Visual Analog Scale (VAS).

Results: 85.6% and 81.5% of patients, respectively, recorded no signs of state anxiety or depression. The correlation between anxiety and depression for both maxillary bones was the lower (P=0.02). The correlation between subjective and objective pain at 2 and 7 days, and the anatomic regions intervened, was statistically significant in the mandible at day 7 (P<0.01), and highly significant (P<0.001) for the other variables. The correlation between state anxiety and objective pain at day 7 was nearly statistically significant (P=0.07).

Conclusions: The correlation between state anxiety and depression, and objective and subjective pain at day 7 was not statistically significant. A strong correlation was found between objective and subjective pain in the immediate postoperative period.

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