Real-time assessment of pain and its influencing factors after dental implant surgery
Clinical Medicine|更新时间:2026-01-09
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Real-time assessment of pain and its influencing factors after dental implant surgery
Journal of Third Military Medical UniversityVol. 42, Issue 7, Pages: 720-724(2020)
作者机构:
1.401147 重庆,重庆医科大学附属口腔医院修复科
2.401147 重庆,口腔疾病与生物医学重庆市重点实验室
3.401147 重庆,重庆市高校市级口腔生物医学工程重点实验室
作者简介:
基金信息:
Supported by the National Natural Science Foundation for Young Scholars of China(81800938);the Project for Innovation Team Construction of Higher Education in Chongqing(CXTDG201602006)
Yun XU, Xinxin XU, Wenjie XU, et al. Real-time assessment of pain and its influencing factors after dental implant surgery[J]. Journal of Third Military Medical University, 2020, 42(7): 720-724.
DOI:
Yun XU, Xinxin XU, Wenjie XU, et al. Real-time assessment of pain and its influencing factors after dental implant surgery[J]. Journal of Third Military Medical University, 2020, 42(7): 720-724. DOI: 10.16016/j.1000-5404.201910069.
Real-time assessment of pain and its influencing factors after dental implant surgery
To explore the clinical feasibility of real-time assessment for degree of pain after surgical dental implant placement
and to analyze the related influencing factors of postoperative pain.
Methods
2
A total of 233 patients undergoing dental implant surgery in the prosthodontics department from November 2018 to August 2019 were selected by convenient sampling in this study. The postoperative pain was evaluated in real time based on phone follow-up. All the data were collected and analyzed by SPSS 23.0 statistics. The postoperative pain was described statistically
and the predictor variables were tested by Spearman correlation analysis and multiple linear regression analysis.
Results
2
Finally
228 patients were included in the study
and the response rate was 97.9%. Pain intensity was mild for the most patients and the peak of it occurred at the 4th and 6th hour after surgery. Spearman correlation analysis and multiple linear regression analysis indicated that the influencing factors associated with the degree of postoperative pain included premedication with painkiller (
P
=0.000
P
=0.004)
the scores of pain sensitivity questionnai
re (PSQ-total) (
P
=0.016
P
=0.001) and operation time (
P
=0.046
P
=0.028).
Conclusion
2
Our real-time assessment is feasible
and is worthy of clinical promotion. For the patients with high pain sensitivity and longer operation time
painkillers should be recommended to relieve the pain.
关键词
Keywords
references
MCNEIL D W, BERRYMAN M L. Components of dental fear in adults?[J]. Behav Res Ther, 1989, 27(3): 233-236. DOI:10.1016/0005-7967(89)90041-7.
ATALAY B, RAMAZANOGLU M, TOZAN E N, et al . Pain intensity and its objective determinants following implant surgery and sinus lifting: a 1-year prospective study[J ] . Niger J Clin Pract, 2017, 20(9): 1139-1144. DOI:10.4103/1119-3077.217253.
AL-KHABBAZ A K, GRIFFIN T J, AL-SHAMMARI K F. Assessment of pain associated with the surgical placement of dental implants[J]. J Periodontol, 2007, 78(2): 239-246.DOI:10.1902/jop.2007.060032.
CHEN Y. Influencing factors of dental implant pain[J]. Natl Med Front China, 2012, 7(16): 92-93. DOI: 10.3969/j.issn.1673-5552.2012.16.070.
MAGALLÓN-NERI E, KIRCHNER-NEBOT T, FORNS-SANTACANA M, et al . Ecological momentary assessment with smartphones for measuring mental health problems in adolescents[J ] . World J Psychiatry, 2016, 6(3): 303-310. DOI:10.5498/wjp.v6.i3.303.
SHIFFMAN S, STONE A A, HUFFORD M R. Ecological momentary assessment[J]. Annu Rev Clin Psychol, 2008, 4: 1-32. DOI: 10.1146/annurev.clinpsy.3.022806.091415.
CAO X Z, YUMUL R, ELVIR LAZO O L, et al . A novel visual facial anxiety scale for assessing preoperative anxiety[J ] . PLoS ONE, 2017, 12(2): e0171233. DOI:10.1371/journal.pone.0171233.
RUSCHEWEYH R, MARZINIAK M, STUMPENHORST F, et al . Pain sensitivity can be assessed by self-rating: Development and validation of the Pain Sensitivity Questionnaire[J ] . Pain, 2009, 146(1/2): 65-74. DOI:10.1016/j.pain.2009.06.020.
HJERMSTAD M J, FAYERS P M, HAUGEN D F, et al . Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review[J ] . J Pain Symptom Manage, 2011, 41(6):1073-1093.DOI:10.1016/j.jpainsymman.20 10.08.016.
KUROI R, MINAKUCHI H, HARA E S, et al . A risk factor analysis of accumulated postoperative pain and swelling sensation after dental implant surgery using a cellular phone-based real-time assessment[J ] . J Prosthodont Res, 2015, 59(3): 194-198. DOI:10.1016/j.jpor.2015.05.003.
GONZÁLEZ-SANTANA H, PEÑARROCHA-DIAGO M, GUARINOS-CARBÓ J, et al . Pain and inflammation in 41 patients following the placement of 131 dental implants[J ] . Med Oral Patol Oral Cir Bucal, 2005, 10(3): 258-263.
WANG M J, TAN X, ZHAO Y W, et al . Influences of immediat implant or traditional implant on postoperative pain[J ] . Int J Stomatol, 2019, 46(3): 292-296.
DIONNE R A, COOPER S A. Evaluation of preoperative ibuprofen for postoperative pain after removal of third molars[J]. Oral Surg Oral Med Oral Pathol, 1978, 45(6): 851-856.DOI:10.1016/s0030-4220(78)80004-8.
JORGE-ARAUJO A C A, BORTOLUZZI M C, BARATTO-FILHO F, et al . Effect of premedicat ion with anti-inflammatory drugs on post-endodontic pain: a randomized clinical trial[J ] . Braz Dent J, 2018, 29(3): 254-260.DOI:10.1590/0103-6440201801786.
LIU Y M, ZHANG L S, WU O, et al . Prediction of short-term outcomes after percutaneous transforaminal endoscopic discectomy using pain sensitivity in patients with lumbar disc herniation[J ] . Chin J Pain Med, 2019, 25(3):192-198.DOI:10.3969/j.issn.1006-9852.2019.03.009.
RUSCHEWEYH R, VERNEUER B, DANY K, et al . Validation of the pain sensitivity questionnaire in chronic pain patients[J ] . Pain, 2012, 153(6): 1210-1218. DOI:10.1016/j.pain.2012.02.025.
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