Assessment of pre and post extraction anxiety levels using anxiety scale among patients visiting department of oral and maxillofacial surgery

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-09-06 DOI:10.1016/j.jobcr.2025.09.003

K. Subhikshanaa , S.P. Indra Kumar , C. Manjula , E. Gayathri Priyadharshini , S. Vaishnavi Prashanth , Preethi Saraswathi

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引用次数: 0

Abstract

Background

Dental anxiety frequently deters individuals from seeking timely dental care, with extraction procedures often perceived as highly distressing. While general dental anxiety has been studied, few investigations have specifically assessed changes in anxiety before and after dental extraction, particularly among Indian patients and in relation to clinical predictors.

Methods

This prospective study enrolled 100 patients (50 males, 50 females; mean age 43.57 ± 13.90 years) scheduled for extraction under local anesthesia. Anxiety was measured using the Dental Fear Survey (DFS) immediately before and after extraction. Additional clinical and psychological parameters—including previous dental experience, pain expectation and experience (VAS), waiting time, use of sedation, and extraction complexity—were documented. Statistical analyses included paired t-tests for pre- and post-extraction DFS scores and correlations with clinical variables. Results tables clearly indicate non-significant (ns) or not analyzed (N/A) parameters.

Results

Mean DFS scores decreased significantly post-extraction (61.72 ± 20.24 to 55.08 ± 19.82; mean reduction 6.64 points, ∼10.8 % decrease, p = 0.001), indicating a clinically meaningful decline in anxiety levels. Both genders exhibited reduced anxiety, though females reported slightly higher post-extraction scores. Significant correlations were observed between DFS scores and traumatic dental experience, pain expectation, actual pain experienced, and waiting time (pre-extraction only). Importantly, no significant association was found between DFS scores and extraction complexity or use of sedation, underscoring this as a key finding of the study.

Conclusion

Dental extraction under local anesthesia results in immediate anxiety reduction, with gender-related nuances. This study emphasizes the value of perioperative anxiety assessment and identifies predictors that can inform targeted interventions and improvements to current clinical protocols. All results presented correspond strictly to parameters measured and analyzed in this study.

查看原文本刊更多论文

用焦虑量表评估口腔颌面外科患者拔牙前后焦虑水平

牙科焦虑经常阻止个人寻求及时的牙科护理，拔牙过程通常被认为是非常痛苦的。虽然对一般的牙科焦虑进行了研究，但很少有调查专门评估拔牙前后的焦虑变化，特别是在印度患者中以及与临床预测因素的关系。方法本前瞻性研究纳入100例患者，其中男50例，女50例，平均年龄43.57±13.90岁。在拔牙前后立即使用牙科恐惧调查（DFS）测量焦虑。其他的临床和心理参数——包括以前的牙科经验、疼痛预期和体验（VAS）、等待时间、镇静的使用和拔牙的复杂性——被记录下来。统计分析包括抽取前后DFS评分的配对t检验以及与临床变量的相关性。结果表清楚地显示了非显著（ns）或未分析（N/A）参数。结果拔牙后平均DFS评分显著下降（61.72±20.24至55.08±19.82；平均下降6.64分，下降10.8%,p = 0.001），表明焦虑水平有临床意义的下降。男性和女性的焦虑程度都有所降低，但女性的拔牙后得分略高。DFS评分与创伤性牙科经历、疼痛预期、实际疼痛经历和等待时间（仅拔牙前）之间存在显著相关性。重要的是，没有发现DFS评分与提取复杂性或镇静使用之间的显著关联，强调这是该研究的关键发现。结论局麻拔牙可立即减轻患者的焦虑，且存在性别差异。本研究强调围手术期焦虑评估的价值，并确定了可以为有针对性的干预和改进当前临床方案提供信息的预测因素。所有结果均与本研究测量和分析的参数严格对应。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.