Jabur Roberto de Oliveira, Gonçalves Ramon Cesar Godoy, Faria Kethleen Wiechetek, Semczik Izabelle Millene, Ramacciato Juliana Cama, Bortoluzzi Marcelo Carlos
Dentistry Sciences Post-Graduate Program, São Leopoldo Mandic University, Campinas, Brazil.
Health Sciences Post-Graduate Program, State University of Ponta Grossa (UEPG), Ponta Grossa, Brazil.
J Dent Anesth Pain Med. 2021 Apr;21(2):155-165. doi: 10.17245/jdapm.2021.21.2.155. Epub 2021 Mar 31.
This study aimed to assess the course of anxiety and pain during lower third molar (LTMo) surgery and explore the role of mobile and single-channel electroencephalography under clinical and surgical conditions.
The State-Trait Anxiety Inventory (STAI), Corah's Dental Anxiety Scale (DAS), and Interval Scale of Anxiety Response (ISAR) were used. The patient self-rated anxiety (PSA), the pain felt during and after surgery, EEG, heart rate (HR), and blood pressure (BP) were assessed.
The Attention (ATT) and Meditation (MED) algorithms and indicators evaluated in this study showed several associations. ATT showed interactions and an association with STAI-S, pain during surgery, PSA level, HR, and surgical duration. MED showed an interaction and association with DAS, STAI-S, and pain due to anesthesia. Preclinical anxiety parameters may influence clinical perceptions and biological parameters during LTMo surgeries. High STAI-Trait and PSA scores were associated with postoperative pain, whereas high STAI-State scores were associated with more pain during anesthesia and surgery, as well as DAS, which was also associated with patient interference during surgery due to anxiety.
The findings suggest that single-channel EEG is promising for evaluating brain responses associated with systemic reactions related to anxiety, surgical stress, and pain during oral surgery.
本研究旨在评估下颌第三磨牙（LTMo）手术期间焦虑和疼痛的过程，并探讨在临床和手术条件下移动和单通道脑电图的作用。
使用状态-特质焦虑量表（STAI）、科拉牙科焦虑量表（DAS）和焦虑反应间隔量表（ISAR）。评估患者自评焦虑（PSA）、手术期间和术后的疼痛、脑电图、心率（HR）和血压（BP）。
本研究中评估的注意力（ATT）和冥想（MED）算法及指标显示出多种关联。ATT显示出与STAI-S、手术期间疼痛、PSA水平、HR和手术持续时间的相互作用及关联。MED显示出与DAS、STAI-S和麻醉引起的疼痛的相互作用及关联。术前焦虑参数可能会影响LTMo手术期间的临床感知和生物学参数。高STAI-特质和PSA评分与术后疼痛相关，而高STAI-状态评分与麻醉和手术期间更多的疼痛相关，DAS也与手术期间因焦虑导致的患者干扰相关。
研究结果表明，单通道脑电图在评估与口腔手术中焦虑、手术应激和疼痛相关的全身反应的脑反应方面具有前景。
