Dental Anxiety And Cardiovascular Response Changes In Multiple Implant Surgery – An Observational Study
Dental Anxiety And Cardiovascular Response Changes In Multiple Implant Surgery – An Observational Study
Objective: The aim of the study is to observe the level of anxiety and its relationship with cardiovascular changes in each implant in the patients with a high number of implants applied in a single session.
Methods: In the prospective observational study, 100 patients, who had undergone 4 or more implant surgeries in the same session electively, were included in the study. Demographic data of each patient were recorded. After Corah Dental Anxiety Scale (C-DAS) was applied to the patients 10 minutes before the surgery, standard heart rate (HR), saturation, systolic (SAP), and diastolic (DAP) blood pressure monitorization were performed and the measured values were recorded during surgery and 30 minutes after the end of the procedure, and the surgery period were recorded.
Results: It was determined that the mean age of the cases was 52.0±11.7 and the number of implants was 5.8±1.5, and the surgery periodwas 53.7 ± 18 minutes. There was a positive correlation between HR and CDAS at all times and as the number of implants increased, SAP and DAP were added to this correlation (p
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- [1] Candido MC, Andreatini R, Zielak JC, Souza JF, Losso EM. Clinical
setting influences physiological responses in dental implant
patients. Brazilian Journal of Oral Sciences 2014;13(2):109-
113.
- [2] Newton JT, Buck DJ. Anxiety and pain measures in dentistry:
a guide to their quality and application. The Journal of the
American Dental Association 2000;131(10):1449-1457.
- [3] Corah NL. Development of a dental anxiety scale. Journal of
Dental Research 1969;48(4):596-596.
- [4] Seydaoğlu G, Doğan MC, Şükrü U, Yazgan Inanç B, Çelik M.
Corah Dental Anksiyete Skalasının Türkçe uyarlamasının
geçerlilik-güvenilirliği ve dental anksiyete görülme sıklığı.
Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi Dergisi
2006;7(1):7-14. (Turkish)
- [5] Yamashita K, Kibe T, Ohno S, Kohjitani A, Sugimura M. The
effects of music listening during extraction of the impacted
mandibular third molar on the autonomic nervous system and
psychological state. Journal of Oral and Maxillofacial Surgery
2019;77(6): 1153.e1-1153.e8.
- [6] Nagao H, Munakata M, Tachikawa N, Shiota M, Kasugai
S. Clinical study of risk management for dental implant
treatment—changes of blood pressure and pulse rate during
implant surgery under local anesthesia. Kokubyo Gakkai zasshi
The Journal of the Stomatological Society 2002;69(1):27-33.
- [7] Terpack S, Granbois A. Soothing dental anxiety: music therapy
and the dentally anxious patient. Access 2014;28(1):14-15.
- [8] Kim Y-K, Kim S-M, Myoung H. Musical intervention reduces
patients’ anxiety in surgical extraction of an impacted
mandibular third molar. Journal of Oral and Maxillofacial
Surgery 2011;69(4):1036-1045.
- [9] Miyata K, Odanaka H, Nitta Y, Shimoji S, Kanehira T, Kawanami
M. Music before dental surgery suppresses sympathetic activity
derived from preoperative anxiety: A randomized controlled
trial. JDR Clinical & Translational Research 2016;1(2):153-162.
- [10] Appukuttan DP. Strategies to manage patients with dental
anxiety and dental phobia: literature review. Clinical, Cosmetic
And Investigational Dentistry 2016;8:35-50.
- [11] Iancu I. Recalling the threat: Dental anxiety in patients waiting
for dental surgery. The Israel Journal Of Psychiatry And Related
Sciences 2013;50(1):61-67.
- [12] Muglali M, Komerik N. Factors related to patients’ anxiety
before and after oral surgery. Journal of Oral and Maxillofacial
Surgery 2008;66(5):870-877.
- [13] Gordon D, Heimberg RG, Tellez M, Ismail AI. A critical review
of approaches to the treatment of dental anxiety in adults.
Journal of Anxiety Disorders 2013;27(4):365-378.
- [14] Armfield JM, Heaton L. Management of fear and anxiety
in the dental clinic: a review. Australian Dental Journal
2013;58(4):390-407.
- [15] Wright H. The correlation of classical, jazz, and pop music to
a reduction of dental anxiety experienced by adult patients.
Undergraduate Honors Thesis Collection 2018;437. https://
digitalcommons.butler.edu/ugtheses/437
- [16] Mejía-Rubalcava C, Alanís-Tavira J, Mendieta-Zerón H, Sánchez-
Pérez L. Changes induced by music therapy to physiologic
parameters in patients with dental anxiety. Complementary
Therapies In Clinical Practice 2015;21(4):282-286.