State anxiety and depression as factors modulating and influencing postoperative pain in dental implant surgery. A prospective clinical survey
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Gómez de Diego, Rafael; Cutando Soriano, Antonio; Montero Martín, Javier; Prados Frutos, Juan Carlos; López-Valverde Centeno, Antonio
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Aquest document és un/a article, creat/da en: 2014
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Objetives: 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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