Novy Luiz-Felipe-Silva, Aguiar Evandro-Guimarães, de Arruda José-Alcides-Almeida, Moreira Allyson-Nogueira, Dos Santos Emerson-Gomes, de Magalhães Cláudia-Silami, Moreno Amália
DDS, MSc, Department of Oral Surgery, Pathology and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
DDS, PhD, Professor, Department of Oral Surgery, Pathology and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
J Clin Exp Dent. 2020 Feb 1;12(2):e130-e138. doi: 10.4317/jced.55595. eCollection 2020 Feb.
The aim of the present study was to investigate pain perception and anxiety within the context of surgery for the placement of mandibular block bone and to evaluate the causality effect between theses variables.
A total of 13 patients were recruited for the study and were submitted to mandibular autogenous block bone surgery. Demographic data were collected and the anxiety level was determined using the State-Trait Anxiety Inventory (STAI). The STAI was administered on the day of surgery and on the 14th postoperative day. Pain was determined using the visual analogue scale (VAS) and limitation of daily activities and postoperative symptoms were also reported. Data were analyzed using parametric tests (α=0.05) and cross-lagged analysis was performed to verify a causality effect.
Few patients reported interference with daily activities or the presence of postoperative symptoms. A significant association of bad breath/taste with STAI-State was detected on the 14th postoperative day. No evidence of causality between STAI and VAS was detected.
The patient's self-evaluation indicates that the pain and anxiety level felt during treatment was not directly associated with the clinical aspects of the surgical procedure or with postoperative activities/symptoms limitations. Anxiety pain, questionnaires, autogenous bone block, treatment, outcomes.
本研究的目的是调查下颌骨块状自体骨植入手术过程中的疼痛感知和焦虑情况，并评估这些变量之间的因果关系。
共招募13名患者参与本研究，并对其进行下颌骨块状自体骨手术。收集人口统计学数据，并使用状态-特质焦虑量表（STAI）确定焦虑水平。STAI分别在手术当天和术后第14天进行测量。使用视觉模拟量表（VAS）确定疼痛程度，并记录日常活动受限情况和术后症状。采用参数检验（α=0.05）对数据进行分析，并进行交叉滞后分析以验证因果关系。
很少有患者报告日常活动受到干扰或出现术后症状。术后第14天，检测到口臭/味觉与STAI状态之间存在显著关联。未检测到STAI与VAS之间存在因果关系的证据。
患者的自我评估表明，治疗期间感受到的疼痛和焦虑程度与手术的临床情况或术后活动/症状受限没有直接关联。焦虑、疼痛、问卷调查、自体骨块、治疗、结果。
