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Global prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and meta-analysis. INTERNATIONAL JOURNAL OF SURGERY OPEN 2020. [DOI: 10.1016/j.ijso.2020.05.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Koga S, Seto M, Moriyama S, Kikuta T. Anxiety before dental surgery under local anesthesia: reducing the items on state anxiety in the State-Trait Anxiety Inventory-form X. J Dent Anesth Pain Med 2017; 17:183-190. [PMID: 29090248 PMCID: PMC5647819 DOI: 10.17245/jdapm.2017.17.3.183] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2017] [Revised: 09/05/2017] [Accepted: 09/06/2017] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND It is important to evaluate preoperative anxiety and prepare sedation when performing dental surgery under local anesthesia. Spielberger's State-Trait Anxiety Inventory (STAI) is useful for predicting preoperative anxiety. State anxiety is defined as a subjective feeling of nervousness. Reduction in the number of the state anxiety items (questions) will be clinically important in allowing us to predict anxiety more easily. METHODS We analyzed the STAI responses from 1,252 patients who visited our institution to undergo dental surgery under local anesthesia. Multiple linear regression analysis was conducted for 9 groups comprising anxiety level determinations using the STAI; we then developed a coefficient of determination and a regression formula. We searched for a group satisfying the largest number of requirements for regression expression while setting any necessary conditions for accurately predicting anxiety before dental surgery under local anesthesia. RESULTS The regression expression from the group determined as normal for preoperative state anxiety was deemed the most suitable for predicting preoperative anxiety. CONCLUSIONS It was possible to reduce the number of items in the STAI by focusing on "Preoperative anxiety before dental surgery."
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Affiliation(s)
- Sayo Koga
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
| | - Mika Seto
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
| | - Shigeaki Moriyama
- Department of Mechanical Engineering, Faculty of Engineering, Fukuoka University Fukuoka, Japan
| | - Toshihiro Kikuta
- Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan
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Sedation effects of intranasal dexmedetomidine delivered as sprays versus drops on pediatric response to venous cannulation. Am J Emerg Med 2017; 35:1126-1130. [DOI: 10.1016/j.ajem.2017.03.021] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Accepted: 03/13/2017] [Indexed: 11/23/2022] Open
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Byakodi S, Kumar S, Reddy RK, Kumar V, Sepolia S, Gupta S, Singh HP. Systemic Assessment of Patients Undergoing Dental Implant Surgeries: A Trans- and Post-operative Analysis. Niger J Surg 2017; 23:58-62. [PMID: 28584514 PMCID: PMC5441219 DOI: 10.4103/1117-6806.199966] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Background: Procedure-related and patient-related factors influence the prognosis of dental implants to a major extent. Hence, we aimed to evaluate and analyze various systemic factors in patients receiving dental implants. Materials and Methods: Fifty-one patients were included in the study, in which a total of 110 dental implants were placed. Complete examination of the subjects was done before and after placement of dental implants. Implant surgery was planned, and osseointegrated dental implants were placed in the subjects. Postoperative evaluation of the dental implant patients was done after 3 weeks. Anxiety levels were determined using State-Trait Anxiety Inventory (STAI) questionnaire on the surgery day and after 1 week of surgery. The participant describes how they feel at the moment by responding to twenty items as follows: (1) absolutely not, (2) slightly, (3) somewhat, or (4) very much. All the results were recorded and statistical analyzed by SPSS software. Results: Out of 51, 29 patients were males while 22 were females, with ratio of 1.32:1. Female patients’ mean age was 50.18 years while male patients’ mean age was 52.71 years, with statistically nonsignificant difference between them. Functional rehabilitation was the main purpose of choosing dental implants in more than 90% of the subjects. Diameter of 3.75 mm was the shortest implants to be placed in the present study, whereas in terms of length, 8.5 mm was the shortest length of dental implant used in the present study. Tooth area in which maximum implants were placed in our study was 36 tooth region. Maximum implants were placed in Type II bone quality (n = 38). Implants installed in the mandible were clamped more efficiently than implants placed in the maxilla (P < 0.001). The difference of average STAI-State subscore before and after the surgery was statistically significant (P < 0.05; significant). Conclusion: Mandibular dental implants show more clamping (torque) than maxillary dental implants.
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Affiliation(s)
- Sanjay Byakodi
- Department Oral and Maxillofacial Surgery, Bharati Vidyapeeth Dental College and Hospital, Sangli, Maharashtra, India
| | - Sachin Kumar
- Consultant Oral and Maxillofacial Surgeon, Ghaziabad, Uttar Pradesh, India
| | - Rajesh Kumar Reddy
- Department of Prosthodontics, Lenora Institute of Dental Sciences and Research Centre, Rajahmundry, Andhra Pradesh, India
| | - Vipin Kumar
- Consultant Periodontist and Implantologist, Government of India, Jammu, India
| | - Shipra Sepolia
- Department of Periodontics, Indira Gandhi Government Dental College, Jammu, India
| | - Shivangi Gupta
- Department of Periodontics, Bhojia Dental College, Baddi, Himachal Pradesh, India
| | - Harkanwal Preet Singh
- Department of Oral Pathology and Microbiology, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India
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Astramskaitė I, Juodžbalys G. Scales used to rate adult patients' psycho-emotional status in tooth extraction procedures: a systematic review. Int J Oral Maxillofac Surg 2017; 46:886-898. [PMID: 28377143 DOI: 10.1016/j.ijom.2017.03.015] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Revised: 11/27/2016] [Accepted: 03/10/2017] [Indexed: 12/14/2022]
Abstract
The aim of this study was to review scales used to assess anxiety, stress, and pain in dental patients undergoing a tooth extraction procedure and to propose a novel psycho-emotional rating scale based on the relevant literature and our own experience. An electronic literature search was conducted of the National Library of Medicine database MEDLINE (Ovid) and EMBASE databases between January 2005 and April 2016. Sequential screening at the title/abstract and full-text levels was performed. The review included all human prospective or retrospective follow-up studies and clinical trials, cohort studies, case-control studies, and case series that demonstrated at least one scale used to measure tooth extraction anxiety, stress, or pain. The search resulted in 32 articles meeting the inclusion criteria. None of the studies were found to be suitable in evaluating patient's stress, pain, and fear at once. Also, no scales were found that included both the doctor's and the patient's rating. In a few studies, vital signs as psycho-emotional status indicators were rated. Guidelines for a suitable questionnaire that could be used for rating the psycho-emotional status of patients undergoing tooth extraction are listed in the present research. Further studies are required for verification and validation of offered scale.
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Affiliation(s)
- I Astramskaitė
- Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
| | - G Juodžbalys
- Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania
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Factors determining tooth extraction anxiety and fear in adult dental patients: a systematic review. Int J Oral Maxillofac Surg 2016; 45:1630-1643. [DOI: 10.1016/j.ijom.2016.06.019] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2015] [Revised: 06/11/2016] [Accepted: 06/30/2016] [Indexed: 11/23/2022]
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Canpolat DG, Yildirim MD, Aksu R, Kutuk N, Alkan A, Cantekin K. Intravenous ketamine, propofol and propofol-ketamine combination used for pediatric dental sedation: A randomized clinical study. Pak J Med Sci 2016; 32:682-7. [PMID: 27375714 PMCID: PMC4928423 DOI: 10.12669/pjms.323.9834] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Background and Objective: Dental treatments cannot bealways performed under local anesthesia inpediatric non-cooperative patients. For this purpose, differentanesthetic techniques have been applied to increase patient comport to dental treatments. Methods: Sixty children classified as ASA I-II, between aged 3 to 9, who were scheduled to undergo tooth extraction, were enrolled for this randomized study. Group K received 1 mg/kg ketamine, Group P received 1 mg/kg propofol, and Group KP received 0.5 mg/kg propofol plus 0.5 mg/kg ketamine intravenously for anesthesia induction. Results: Recovery time was significantly lower in Group P than Group KP. No significant differences were found between groups regarding HR, before and after the induction, at tenth minute. Fifth minute’s HR was higher in Group K than Group KP. Mean arterial pressure (MAP) values were similar at baseline, before and after the induction, and at tenth minute, whereas significantly lower values were found in Group P and Group KP than in Group K at fifth minute. Conclusions: Although ketamine, propofol and ketamine-propofol combination are effective for sedation in tooth extraction in pediatric patients, propofol may be an excellent alternative, with the shortest recovery, no nausea and vomiting, and reasonable surgical satisfaction.
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Affiliation(s)
- Dilek Gunay Canpolat
- Dilek Gunay Canpolat, Anesthesiologist, Department of Maxillofacial Surgery, Erciyes University Faculty of Dentistry, Kayseri, Turkey
| | - Mustafa Denizhan Yildirim
- Mustafa Denizhan Yildirim, Anesthesiologist, Department of Pediatric Dentistry, Erciyes University Faculty of Dentistry, Kayseri, Turkey
| | - Recep Aksu
- Recep Aksu, Department of Anesthesiology, Erciyes University Medical Faculty, Kayseri, Turkey
| | - Nukhet Kutuk
- Nukhet Kutuk, Department of Oral Maxillofacial Surgery, Erciyes University Faculty of Dentistry, Kayseri, Turkey
| | - Alper Alkan
- Alper Alkan, Department of Oral Maxillofacial Surgery, Erciyes University Faculty of Dentistry, Kayseri, Turkey
| | - Kenan Cantekin
- Kenan Cantekin, Pediatric Dentist, Department of Pediatric Dentistry, Erciyes University Faculty of Dentistry, Kayseri, Turkey
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Goiato MC, Junior JFS, Pellizzer EP, Moreno A, Villa LMR, de Carvalho Dekon SF, de Carvalho PSP, dos Santos DM. Systemic Trans- and Postoperative Evaluations of Patients Undergoing Dental Implant Surgery. Clinics (Sao Paulo) 2016; 71:156-62. [PMID: 27074177 PMCID: PMC4785855 DOI: 10.6061/clinics/2016(03)07] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2015] [Accepted: 01/27/2016] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE The aims of this study were to examine the trans- and postoperative systemic characteristics of patients undergoing dental implant surgery and to investigate the relationship between pre- and post- surgery anxiety levels. MATERIAL AND METHODS Thirty-nine patients were analyzed in 3 call centers to determine anxiety levels, pain levels, and preoperative and postoperative histories using the State-Trait (STAI) questionnaire. RESULTS A total of 93 dental implants were installed, with a success rate of 100%. The most frequently reported systemic disease was hypertension. There was a significantly higher rate of effective clamping (torque) to the mandibular bone than to the maxillary bone. The association between postoperative surgical complications and longer operative time was not significant, but there was a significant correlation between the alteration of mouth opening and daily routine activities and a significant decrease in anxiety levels between the day of surgery and the postoperative time point (p =0.006). CONCLUSION A longer surgical time was associated with surgery-related complications and with a higher anxiety index on the preoperative evaluation.
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Affiliation(s)
| | | | | | - Amália Moreno
- />Universidade Estadual Paulista (UNESP), Faculdade de Odontologia Pública
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Morino M, Masaki C, Seo Y, Mukai C, Mukaibo T, Kondo Y, Shiiba S, Nakamoto T, Hosokawa R. Non-randomized controlled prospective study on perioperative levels of stress and dysautonomia during dental implant surgery. J Prosthodont Res 2014; 58:177-83. [PMID: 24981241 DOI: 10.1016/j.jpor.2014.03.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2014] [Revised: 03/12/2014] [Accepted: 03/17/2014] [Indexed: 10/25/2022]
Abstract
PURPOSE The purpose of this study was to compare pre- and postoperative autonomic activities and changes in salivary stress biomarkers between patients who received only local anesthesia and those who received local anesthesia together with intravenous sedation in dental implant surgery. METHODS A total of 21 patients were enrolled in this non-randomized controlled prospective study; 7 subjects underwent implant surgery under local anesthesia with intravenous sedation and 14 subjects underwent surgery under only local anesthesia. Stress was evaluated by measuring salivary levels of chromogranin A (CgA) and a spectral analysis of heart rate variability (HRV) at baseline (on a day other than the day of surgery), 1h preoperatively, and 1h postoperatively. HRV analysis yields low- (LF) and high-frequency (HF) components, the LF/HF ratio, and the component coefficient of variance (CCV[HF]), which provide indices of sympathetic and parasympathetic regulatory activity. RESULTS CgA levels were significantly higher (p<0.05) at baseline in patients who received sedation than those who did not, but CgA levels did not differ prior to surgery. Also, the values of most parameters, including LF, HF, LF/HF (L/H), and CCV(HF), did not significantly differ between groups or among the three time points. Only ΔL/H and ΔCCV(HF) were significantly lower (p<0.05) at 1h preoperatively in patients who received sedation than those who received only local anesthesia. CONCLUSIONS CgA levels were high in both groups immediately before surgery, and thus CgA values immediately before surgery may not be a reliable indicator of the need for intravenous sedation. Also, spectral analysis of HRV, especially ΔL/H and ΔCCV(HF), could be useful for assessing tension and anxiety.
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Affiliation(s)
- Miyuki Morino
- Department of Oral Reconstruction and Rehabilitation, Kyushu Dental University, Graduate School, Japan
| | - Chihiro Masaki
- Department of Oral Reconstruction and Rehabilitation, Kyushu Dental University, Graduate School, Japan
| | - Yoshinori Seo
- Department of Oral Reconstruction and Rehabilitation, Kyushu Dental University, Graduate School, Japan
| | - Chisato Mukai
- Department of Oral Reconstruction and Rehabilitation, Kyushu Dental University, Graduate School, Japan
| | - Taro Mukaibo
- Department of Oral Reconstruction and Rehabilitation, Kyushu Dental University, Graduate School, Japan
| | - Yusuke Kondo
- Department of Oral Reconstruction and Rehabilitation, Kyushu Dental University, Graduate School, Japan
| | - Shunji Shiiba
- Department of Dental Anesthesiology, Kyushu Dental University, Japan
| | - Tetsuji Nakamoto
- Department of Oral Reconstruction and Rehabilitation, Kyushu Dental University, Graduate School, Japan
| | - Ryuji Hosokawa
- Department of Oral Reconstruction and Rehabilitation, Kyushu Dental University, Graduate School, Japan.
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