Mazur M, Ndokaj A, Jedlinski M, Marasca R, Trybek G, Polimeni A
Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161, Rome, Italy.
Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111, Szczecin, Poland.
Eur Arch Paediatr Dent. 2025 Feb;26(1):41-56. doi: 10.1007/s40368-024-00979-3. Epub 2024 Dec 15.
This study aimed to investigate the correlation between subjective pain threshold (SPT), daily pain recovery (PR) during the first postoperative week, and patient/surgical characteristics, while evaluating changes in SPT across multiple surgeries. Additionally, it assessed how perceived quality of life correlates with SPT and PR in adolescents undergoing lower third molar germectomy.
A prospective clinical study was conducted at the Paediatric Surgery Unit, Sapienza University of Rome, involving 51 patients aged 10-16 years undergoing lower third molar germectomy. SPT and daily PR were measured using the Visual Analogue Scale (VAS) during the first postoperative week, and quality of life was evaluated using the SF-12 questionnaire at 1-week follow-up.
A total of 87 germectomies were performed, with 36 patients undergoing a second surgery. The mean age was 13.86 ± 1.81 years. Mean VAS scores increased from 4.2 ± 1.5 for Intervention 1 to 4.8 ± 1.6 for Intervention 2. Longer operative times were associated with higher PR scores on postoperative day 3. Higher PR scores correlated with greater limitations in daily activities and emotional well-being, while lower PR scores were linked to better self-perceived health.
SPT and PR are influenced by surgical duration and self-health perception. Shorter procedures and positive self-health perception contribute to faster recovery and improved postoperative quality of life in young patients.
本研究旨在调查主观疼痛阈值（SPT）、术后第一周的每日疼痛恢复情况（PR）与患者/手术特征之间的相关性，同时评估多次手术中SPT的变化。此外，本研究还评估了接受下颌第三磨牙牙胚切除术的青少年的生活质量感知与SPT和PR之间的相关性。
在罗马第一大学小儿外科进行了一项前瞻性临床研究，纳入51例年龄在10至16岁之间接受下颌第三磨牙牙胚切除术的患者。术后第一周使用视觉模拟量表（VAS）测量SPT和每日PR，并在1周随访时使用SF-12问卷评估生活质量。
共进行了87例牙胚切除术，其中36例患者接受了第二次手术。平均年龄为13.86±1.81岁。平均VAS评分从第一次手术时的4.2±1.5增加到第二次手术时的4.8±1.6。手术时间较长与术后第3天较高的PR评分相关。较高的PR评分与日常活动和情绪健康方面的更大限制相关，而较低的PR评分与更好的自我健康感知相关。
SPT和PR受手术持续时间和自我健康感知的影响。较短的手术过程和积极的自我健康感知有助于年轻患者更快恢复并改善术后生活质量。
