Gómez-de Diego Rafael, Cutando-Soriano Antonio, Montero-Martín Javier, Prados-Frutos Juan-Carlos, López-Valverde Antonio
Universidad de Salamanca, Spain,
Med Oral Patol Oral Cir Bucal. 2014 Nov 1;19(6):e592-7. doi: 10.4317/medoral.19685.
To determine whether preoperative state anxiety and depression modulate or influence objective and subjective postoperative pain following dental implant insertion.
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).
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).
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.
确定术前状态焦虑和抑郁是否会调节或影响牙种植体植入术后的客观和主观疼痛。
前瞻性临床研究，对105名受试者进行为期7天的随访。这些受试者术前完成了状态焦虑问卷（STAI-E）和贝克抑郁量表（BDI），术后第2天和第7天，使用Semmes-Weinstein机械感觉计（SW测试）记录客观疼痛，使用视觉模拟量表（VAS）记录主观疼痛。
分别有85.6%和81.5%的患者未表现出状态焦虑或抑郁迹象。上颌骨的焦虑与抑郁之间的相关性较低（P=0.02）。术后第2天和第7天主观疼痛与客观疼痛之间的相关性，以及所干预的解剖区域，在术后第7天下颌骨中具有统计学意义（P<0.01），其他变量则具有高度统计学意义（P<0.001）。术后第7天状态焦虑与客观疼痛之间的相关性接近统计学意义（P=0.07）。
术后第7天状态焦虑与抑郁以及客观和主观疼痛之间的相关性无统计学意义。术后即刻客观疼痛与主观疼痛之间存在强烈相关性。
