Valencia University Medical and Dental School, Valencia, Spain.
Med Oral Patol Oral Cir Bucal. 2010 Mar 1;15(2):e379-82. doi: 10.4317/medoral.15.e379.
To study if patient preoperative anxiety is related to age and gender and to compare preoperative anxiety with postoperative patient and surgeon satisfaction in dental implant surgery under intravenous conscious sedation.
Dental implants were placed in 102 patients under local anesthesia and intravenous conscious sedation. The procedures were performed with or without dental extractions, and with or without bone regeneration. Anxiety was evaluated using Corah's Dental Anxiety Scale and levels of surgeon and patient satisfaction were evaluated on an adapted scale.
Low preoperative anxiety was observed in 27.8% of patients, moderate in 50%, and high in 22.2%. Mean value of anxiety was 9.8+/-3.7. The level of surgeon satisfaction was adequate in 87.8% of the surgeries; patients were awake and nervous in 4.4% of surgeries, and excessively sleepy, with little cooperation in 7.8% of surgeries. Regarding patient satisfaction, the procedure was comfortable for 23.3% of patients, neither comfortable nor uncomfortable for 28.9%, a slightly uncomfortable experience for 36.7%, and very uncomfortable for 10% of patients. Younger patients and women were observed to have more anxiety, the difference being statistically significant. Patients with higher preoperative anxiety expressed a lower level of satisfaction, with statistically significant differences. There was no significant relationship between preoperative patient anxiety and postoperative surgeon satisfaction.
Anxiety was higher in younger patients and women. In this study, a higher preoperative patient anxiety was associated with lower patient satisfaction, but had no influence on postoperative surgeon satisfaction.
研究患者术前焦虑是否与年龄和性别有关，并比较在静脉镇静下进行牙种植手术时的术前焦虑与术后患者和外科医生满意度。
在局部麻醉和静脉镇静下，将牙种植体植入 102 名患者中。这些手术可以在拔牙或不拔牙的情况下进行，也可以进行或不进行骨再生。使用 Corah 的牙科焦虑量表评估焦虑程度，并用改良量表评估外科医生和患者的满意度水平。
术前焦虑程度低的患者占 27.8%，中度焦虑的占 50%，高度焦虑的占 22.2%。焦虑的平均分值为 9.8±3.7。外科医生满意度水平为 87.8%的手术结果为满意；4.4%的手术中患者清醒且紧张，7.8%的手术中患者非常困倦，合作度差。至于患者满意度，23.3%的患者认为手术过程舒适，28.9%的患者认为既不舒适也不不适，36.7%的患者感到轻微不适，10%的患者感到非常不适。年轻患者和女性观察到焦虑程度更高，差异具有统计学意义。术前焦虑程度较高的患者满意度较低，差异具有统计学意义。术前患者焦虑与术后外科医生满意度之间没有显著关系。
年轻患者和女性的焦虑程度更高。在这项研究中，较高的术前患者焦虑与较低的患者满意度相关，但对术后外科医生满意度没有影响。
