Bovaira Maite, Herrero Babiloni Alberto, Jovaní María, Peñarrocha-Diago Miguel, González-Lemonnier Sandra, Peñarrocha-Oltra David
Int J Oral Maxillofac Implants. 2017 Jul/Aug;32(4):912-918. doi: 10.11607/jomi.5712.
The aims of this study were to evaluate the relationship of age, sex, and type and duration of the surgery with preoperative anxiety in patients undergoing dental implant surgeries under intravenous conscious sedation, and to assess preoperative anxiety association with the postoperative satisfaction of both the patient and surgeon.
This prospective study included 180 patients receiving dental implant surgeries under intravenous conscious sedation by means of midazolam, fentanyl, and propofol. Preoperative anxiety (Corah Dental Anxiety Scale), number of implants, duration of surgery, surgeon satisfaction (evaluated as three categories: patient too awake and nervous, adequate sedation, or patient too asleep), and patient satisfaction (classified as five levels: agreeable, neither agreeable nor disagreeable, slightly uncomfortable, unpleasant, traumatic) were recorded.
All 180 patients completed the study, and 72.2% of them experienced moderate or high levels of anxiety. The mean Corah scale score was 9.2 ± 3.5. Anxiety was significantly higher among men but showed no relation to age. A significant relationship was found between patient anxiety and the number of implants: those patients who received eight or more implants, with a duration of surgery longer than 60 minutes, had lower anxiety. Surgeon satisfaction was adequate in 90% of the cases. Patients evaluated the procedure as agreeable in 34.4% of cases, neither agreeable nor disagreeable in 26.7%, slightly uncomfortable in 29.4%, unpleasant in 7.8%, and traumatic in 1.7%. High anxiety levels were related with poor patient satisfaction but not with surgeon satisfaction.
Preoperative anxiety was moderate or high in two-thirds of patients undergoing dental implant surgeries, having a negative influence on patient satisfaction, but not affecting surgeon satisfaction. Additionally, the intravenous conscious sedation technique was considered a satisfactory technique by the surgeon to control anxiety.
本研究旨在评估在静脉镇静下接受牙种植手术患者的年龄、性别、手术类型和时长与术前焦虑之间的关系，并评估术前焦虑与患者及外科医生术后满意度的相关性。
本前瞻性研究纳入了180例通过咪达唑仑、芬太尼和丙泊酚进行静脉镇静下接受牙种植手术的患者。记录术前焦虑（科拉牙科焦虑量表）、种植体数量、手术时长、外科医生满意度（分为三类：患者过于清醒和紧张、镇静适当、患者过于嗜睡）以及患者满意度（分为五级： agreeable、既不赞同也不反对、略有不适、不愉快、创伤性）。
所有180例患者均完成研究，其中72.2%经历了中度或高度焦虑。科拉量表平均得分为9.2±3.5。男性的焦虑明显更高，但与年龄无关。患者焦虑与种植体数量之间存在显著关系：接受8颗或更多种植体且手术时长超过60分钟的患者焦虑较低。90%的病例中外科医生满意度适当。患者将手术评估为agreeable的占34.4%，既不赞同也不反对的占26.7%，略有不适的占29.4%，不愉快的占7.8%，创伤性的占1.7%。高焦虑水平与患者满意度低相关，但与外科医生满意度无关。
在接受牙种植手术的患者中，三分之二的患者术前焦虑为中度或高度，对患者满意度有负面影响，但不影响外科医生满意度。此外，静脉镇静技术被外科医生认为是控制焦虑的令人满意的技术。
