The Impact of Surgical Trauma, BMI and Analgesics Intake on Postoperative Pain after Periapical Surgery in the Anterior Maxillary Region.

IF 1.4 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Jure Martinić, Lidija Gavić, Antonija Tadin, Ante Mihovilović, Petra Stazić, Daniel Jerković
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引用次数: 0

Abstract

Objective: To investigate whether factors associated with surgical trauma influence postoperative pain in the first postoperative week.

Study design: The study included 30 healthy, non-smoker adults of both genders, with an indication for periapical surgery on a single tooth in the upper anterior region, no history of prior surgery, no allergies to lidocaine with adrenaline or ibuprofen, no acute inflammation or pain, and a PAI of 3, 4, or 5. A single surgical team treated all patients by following the same surgical protocol. In the first postoperative week, each patient received the same postoperative instructions and a pain questionnaire to record pain intensity and analgesic consumption.

Results: The highest pain intensity was recorded on the day after surgery, while the highest analgesics consumption was recorded on the day of surgery. Participants with a BMI correlated positively with the amount of analgesics taken in the postoperative period (P<0.05). The duration of the operation correlated negatively with the intensity of pain and the consumption of analgesics after the operation (P<0.05). The volume, height and width of the alveolar bone defect after the operation did not significantly influence the intensity of pain and the consumption of analgesics in the postoperative period (P>0.05). The presence of a fistula correlated negatively with analgesic consumption after surgery (P<0.05), while preoperative fenestration correlated negatively with the intensity of postoperative pain (P<0.05).

Conclusion: Patients with a preoperative fistula and fenestration reported less pain and lower analgesic consumption in the postoperative period. These results indicate a potential relationship between the severity of postoperative pain and the degree of surgical trauma.

上颌前区手术创伤、体重指数和镇痛药物摄入对根尖周围手术术后疼痛的影响。
目的:探讨手术创伤相关因素对术后一周疼痛的影响。研究设计:该研究包括30名健康、不吸烟的男女成年人,有上颌前区单牙根尖周手术指征,既往无手术史,对利多卡因与肾上腺素或布洛芬无过敏反应,无急性炎症或疼痛,PAI为3、4或5。一个手术小组按照相同的手术方案对所有患者进行治疗。术后第一周,每位患者接受相同的术后指导和疼痛问卷,记录疼痛强度和镇痛药用量。结果:术后当天疼痛强度最高,术中镇痛药用量最高。BMI与术后镇痛药用量呈正相关(PPP>0.05)。瘘管的存在与术后镇痛消耗呈负相关(ppp)。结论:术前瘘管开窗患者术后疼痛减轻,镇痛消耗减少。这些结果表明,术后疼痛的严重程度与手术创伤程度之间存在潜在的关系。
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来源期刊
Acta Stomatologica Croatica
Acta Stomatologica Croatica DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.40
自引率
28.60%
发文量
32
审稿时长
12 weeks
期刊介绍: The Acta Stomatologica Croatica (ASCRO) is a leading scientific non-profit journal in the field of dental, oral and cranio-facial sciences during the past 44 years in Croatia. ASCRO publishes original scientific and clinical papers, preliminary communications, case reports, book reviews, letters to the editor and news. Review articles are published by invitation from the Editor-in-Chief by acclaimed professionals in distinct fields of dental medicine. All manuscripts are subjected to peer review process.
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