Department of Periodontology, Faculty of Dentistry, Cukurova University, Adana, Turkey.
Department of Anesthesiology and Reanimation, Faculty of Dentistry, Cukurova University, Adana, Turkey.
Sci Rep. 2023 Dec 7;13(1):21686. doi: 10.1038/s41598-023-49092-3.
Dental implant surgery is almost always associated with patient anxiety. Anxiety during dental surgical procedures triggers an increase in sympathetic activity. Mindfulness meditation (MM) is often associated with high levels of relaxation in the form of increased parasympathetic tone and decreased sympathetic activity. However, the effect of MM on dental anxiety is not clear. The current study aimed to show the effects of a MM as a sedative technique during dental implant surgery by examining the State-Trait Anxiety Inventory (STAI-S), bispectral index (BIS), cortisol levels (CL), systolic (SBP) and diastolic blood pressure (DBP), heart rate (HR) and saturation (SpO) parameters. HR, SBP, DBP, SpO, BIS score and CLs were compared at the baseline, immediately before-, during-, and immediately after surgery between the test and control groups. We found that the MM resulted in significant decrease in BIS together with positive effects on hemodynamic parameters (decrease of HR, SBP, DBP and increase of SpO), psychological findings (improvement on STAI-S scores) and biochemical outcomes (decreased CL). In conclusion, the results demonstrate that MM appeared to be a reliable strategy for managing stress during dental implant operation with benefits in psychological, physiological and biochemical outcomes.
牙种植手术通常与患者焦虑有关。在牙科手术过程中，焦虑会引发交感神经活动增加。正念冥想（MM）通常与高水平的放松相关，表现为副交感神经活动增加和交感神经活动减少。然而，MM 对牙科焦虑的影响尚不清楚。本研究旨在通过检查状态-特质焦虑量表（STAI-S）、双谱指数（BIS）、皮质醇水平（CL）、收缩压（SBP）和舒张压（DBP）、心率（HR）和饱和度（SpO）参数，显示 MM 作为一种镇静技术在牙种植手术中的作用。在试验组和对照组中，比较了手术前、手术期间和手术后即刻的 HR、SBP、DBP、SpO、BIS 评分和 CL。结果发现，MM 可显著降低 BIS，同时对血流动力学参数（HR、SBP、DBP 降低，SpO 升高）、心理发现（STAI-S 评分改善）和生化结果（CL 降低）产生积极影响。总之，结果表明 MM 似乎是一种可靠的策略，可以在心理、生理和生化结果方面管理牙科种植手术中的压力。
