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Assessment of Relationship between Pain and Anxiety Following Dental Extraction—A Prospective Study

机译：拔牙后疼痛与焦虑的关系评估-一项前瞻性研究

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Objective—Anxiety and expected dental pain are the main reasons for avoiding any dental treatment by general population. In this study, we aimed to evaluate the various factors which can in-crease the anxiety and its association with pain perception of patients following dental extraction. Material and Methods—We had included 100 patients in our study who were undergoing orthodontic treatment and required extraction of either 34 or 44. Pain and anxiety levels after extraction were assessed with a visual analog scale (VAS) and an anxiety questionnaire consisting of eleven questions. Results—The mean VAS score for the entire study group was 16.23 ± 1.28 with statistically significant differences between genders, and was high in females and no statistically significant differences between different age groups. The mean anxiety score was 10.64 ± 3.12. This was significantly higher in women (P = 0.005), but there was no statistically significant differences between different age groups. There was a statistically significant correlation between VAS and total anxiety score (P < 0.001) as well as each question, except for question number 4, 8 and 9 in men. Conclusion—Although most patients had experienced limited pain, there was a significant gender difference in pain and anxiety level. They were anxious because they expected pain, women being more anxious than men. The most provoking factor for anxiety and pain while going for extraction in females was “being seated in dental chair”, while in men the most provoking factor was “uncertainty about proper numbness before extraction”.
机译：目的—焦虑和预期的牙科疼痛是避免普通人群进行牙科治疗的主要原因。在这项研究中，我们旨在评估各种因素，这些因素可能会增加拔牙后患者的焦虑及其与疼痛感的关联。材料和方法-我们纳入了100例接受正畸治疗并需要拔除34或44位患者的患者。拔牙后的疼痛和焦虑水平通过视觉模拟量表（VAS）和由11个问题组成的焦虑问卷进行评估。结果-整个研究组的平均VAS评分为16.23±1.28，性别间差异具有统计学意义，女性较高，不同年龄组之间差异均无统计学意义。平均焦虑评分为10.64±3.12。女性的这一比例明显更高（P = 0.005），但是不同年龄组之间没有统计学差异。除男性第4、8和9号问题外，VAS与总焦虑评分（P <0.001）以及每个问题之间存在统计学意义的相关性。结论—尽管大多数患者的疼痛程度有限，但疼痛和焦虑水平存在明显的性别差异。他们之所以焦虑，是因为他们预料到了痛苦，女人比男人更焦虑。女性在拔牙时最容易引起焦虑和疼痛的因素是“坐在牙科椅上”，而在男性中，拔牙时最引起焦虑的因素是“拔牙前是否有适当的麻木的不确定性”。

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