van Wijk Arjen, Lindeboom Jerome
Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Mar;105(3):303-7. doi: 10.1016/j.tripleo.2007.07.028.
The present study tested the effect of a separate consultation with an oral and maxillofacial surgeon on levels of anxiety before third molar extraction.
Patients were randomly assigned to either the experimental or the control group. Experimental subjects received standard information about third molar extraction in a separate consultation visit before the surgical procedure. Control subjects received the same information just before and at the same visit as the surgical third molar removal. All patients completed several questionnaires covering measures of anxiety and pain.
Having a separate consultation was highly appreciated by patients. However, no subsequent differences could be shown on the measures of anxiety. Strong associations between anxiety level and pain felt after the extraction were found.
The practice of having a separate consultation (and possibly a more intensive one) should be considered by surgeons.
本研究测试了在拔除第三磨牙前与口腔颌面外科医生单独会诊对焦虑水平的影响。
患者被随机分为实验组或对照组。实验组受试者在手术前的一次单独会诊中接受了关于第三磨牙拔除的标准信息。对照组受试者在拔除第三磨牙手术前及手术时的同一次就诊中接受相同信息。所有患者均完成了几份涵盖焦虑和疼痛测量的问卷。
患者对单独会诊高度赞赏。然而，在焦虑测量方面未显示出后续差异。发现焦虑水平与拔牙后疼痛之间存在强烈关联。
外科医生应考虑采用单独会诊（可能更深入）的做法。
