کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3132369 1584138 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Patient anxiety and surgical difficulty in impacted lower third molar extractions: a prospective cohort study
ترجمه فارسی عنوان
اضطراب بیمار و مشکل جراحی در استخراج مولر سوم پایین تر تحت تاثیر قرار: یک مطالعه کوهورت آینده
کلمات کلیدی
اضطراب دندانی، مشکل جراحی، مولر سوم، استخراج
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

Encountering patients who are fearful and anxious is common in dental practice and these factors can increase the complexity of dental procedures. A prospective cohort study was performed to assess whether patient anxiety influences the difficulty of impacted lower third molar extraction and to identify other predictive factors of surgical difficulty; 102 extractions done under local anaesthesia were assessed. Several preoperative variables were recorded (demographic, anatomical, and surgical) and patient anxiety was assessed through the use of various questionnaires. Extraction difficulty was measured using the operation time (OT) and a 100-mm visual analogue scale (difficulty VAS) completed by the surgeon. Patients with deep impacted third molars that required bone removal and tooth sectioning showed higher levels of preoperative anxiety. Significant correlations were found between questionnaire scores and the surgical difficulty (OT and difficulty VAS). OT was also related to age, depth of impaction, third molar angulations, proximity of the third molar roots to the mandibular canal, hard and soft tissue coverage, and the need to perform an ostectomy and tooth sectioning. Impacted lower third molar extraction is significantly more difficult in anxious patients. Other demographic, radiological, and surgical factors were also found to be significantly related to the surgical difficulty.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Oral and Maxillofacial Surgery - Volume 43, Issue 9, September 2014, Pages 1131–1136
نویسندگان
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