The relationship between resting arterial blood pressure and oral postsurgical pain (2025)

The relationship between resting arterial blood pressure and acute postoperative pain in endodontic patients

Journal of orofacial pain, 2012

To evaluate the relationship between preoperative resting arterial blood pressure and postoperative pain in patients undergoing nonsurgical root canal therapy. Written informed consent was obtained from normotensive patients seeking treatment for teeth with a preoperative diagnosis of pulpal necrosis and periradicular periodontitis. Preoperative resting blood pressure was recorded, and nonsurgical root canal therapy was initiated using a standardized protocol. Patients recorded their pre- and postoperative pain intensity on a 100-mm visual analog scale (VAS) for 7 days after the procedure. A linear regression model to predict postoperative VAS intensity used preoperative pain and blood pressure values as covariates. Pearson correlations were calculated to assess the relationship between the measures of preoperative blood pressure and both pre- and postoperative pain. After controlling for preoperative pain, significant correlations were observed between preoperative systolic blood p...

Analysis of blood pressure during tooth extraction

2014

Introduction: Surgical procedures have a history of dental pain, apprehension and fear reported by patients. Because of these reasons, they trigger a series ...

Impacted lower third molars: Can preoperative salivary pH influence postoperative pain?

National Journal of Maxillofacial Surgery, 2010

Pain as a frequent occurrence after dental procedures concerns patients and has an adverse impact on patient satisfaction. [1] Third molar post extraction pain (PEP) is one of the most common models successfully used in recent years for assessing the analgesic efficacy of pain-killing drugs. [2,3] Pain is a subjective experience influenced by many factors such as patient age, cultural and educational level, past experiences, pain threshold and tolerance which makes its objective assessment difficult. Despite these limitations, a visual analog scale (VAS) is universally considered to be the most appropriate instrument for pain measurement and is the most widely used means for scoring postoperative painand specifically that caused by the surgical extraction of the lower third molar. [4-6] The literature has it that many factors are related to PEP (such as patient age, surgical parameters, number of sutures, degree of impaction, etc.). Some have strong supporting evidence Confirming their relationship while some are still mired in controversy. Most of the literature focuses little attention on the patient and surgical factors that influence third molar PEP. [7] However, one of the most important factors regulating oral health is saliva. [8] For diagnostic and prognostic purposes, routine dental practice should therefore

EVALUATION OF ANXIETY AND BLOOD PRESSURE IN PATIENTS UNDERGOING MINOR ORAL SURGERY (Atena Editora)

EVALUATION OF ANXIETY AND BLOOD PRESSURE IN PATIENTS UNDERGOING MINOR ORAL SURGERY (Atena Editora), 2023

The dental environment generates fear and anxiety for many individuals. These feelings can be observed by behavioral and physiological changes, such as altered blood pressure, tachycardia, changes in temperature, pulse and respiratory rate. The objective of this study was to verify if there is variation in blood pressure (BP) of normorreactive patients submitted to surgical procedures in the Update on Minor Oral Surgery course at ``Universidade Vale do Itajaí``- Univali, before and after the anesthetic act, and to relate the values blood pressure levels with patients' anxiety. Cross-sectional clinical study through primary data collection. Eighty-five patients participated, who answered a Corah Anxiety Scale questionnaire. Subsequently, blood pressure was measured before the anesthetic act and immediately after it. After the measurements, the data were tabulated and related to the Corah Anxiety Scale, in order to determine whether there was a relationship between anxiety levels and the variation in blood pressure values. It was observed that the mean BP was 122/84 before and 127/80 after the anesthetic act. As for anxiety, 57.6% were calm, 24.7% a little tense, 13% tense and 4.7% very anxious. It was concluded that there was no significant difference in blood pressure before and after the anesthetic procedure, nor was there any relationship between pressure values and patient anxiety.

Effect of Dental Anxiety on Blood Pressure of Patients Undergoing Dental Extractions Under Local Anesthesia

2017

Dental treatment especially surgical treatments like tooth extractions are usually considered by patients as a fearful procedure due to the sight of instruments and blood and the expected pain during and after the procedure. The fear and anxiety may raise the blood pressure which may further complicate the operative and postoperative phases. The study was aimed at finding a relationship between Dental anxiety and Blood Pressure fluctuations in patients undergoing dental extractions under local anesthesia. A total of 196 participants were included in the study after getting the written consent signed. Dental anxiety was measured by a Modified Corah’s Dental Anxiety Scale. Blood pressure measurements were done at five different points during patients’ visit for dental extraction and were standardized according to the JNC (Joint National Committee)-8 guidelines for Hypertension. The local anesthetic solution used was Lidocaine 2% with 1:100,000 adrenaline in a 1.8 mL cartridge. The res...

Predicting Pain After Tooth Extraction: Pain Prediction Index

Journal of oral & facial pain and headache, 2018

To identify relevant variables that may predict pain after routine extraction of erupted teeth, to construct a Pain Prediction Index (PPI) based on these variables, and to verify how these variables are related by using valid structural equation modeling (ie, path analysis). This study was designed as an observational prospective study for postoperative memory of pain after dental extraction of erupted teeth. Data from a total of 781 surgical procedures related to dental extractions were included. Pain was self-reported by the patients and was evaluated by a verbal category scale (VCS) on the seventh postoperative day. The database was searched for predictive variables that were significantly (P < .05) associated with postoperative pain. Pain was scored by patients as none in 65.4% of cases (511); light in 22.9% (179); moderate in 11% (86); and severe in 0.6% (5). Seven predictive variables were strongly related to postoperative pain: gender (female); age (younger than 33); numbe...

Update on the Use of Analgesics in Oral Surgery

Romanian Journal of Oral Rehabilitation, 2020

Hemodynamic variations and anxiety during the surgical extraction of impacted lower third molars

Journal of Clinical and Experimental Dentistry

Background: The surgical removal of an impacted third molar can cause patient anxiety. Such anxiety and the use of vasoconstrictor drugs and local anesthetics in turn can induce hemodynamic variations during the operation. A study is made of the variations in hemodynamic parameters (systolic and diastolic blood pressure and heart rate) and their correlation to patient gender and anxiety during surgical removal of an impacted lower third molar. Material and Methods: A prospective study was carried out in the Oral Surgery Unit of a university clinic, with the inclusion of 125 patients (mean age 24.9 years). Anesthesia was administered in the form of 4% articaine and adrenalin 1:200,000 for surgical removal of the impacted lower third molars. Results: Women experienced greater anxiety than men. Systolic blood pressure showed few changes-the maximum and minimum values being recorded at the time of incision and upon suturing, respectively. Diastolic blood pressure in turn showed maximum and minimum values before the start of surgery and during extraction, respectively, while heart rate proved maximum during incision and minimum upon suturing. The differences in systolic and diastolic blood pressure, and heart rate, between men and women, and between patients with and without anxiety, failed to reach statistical significance. Conclusions: The fact that these were young patients could contribute to explain the absence of significant hemodynamic changes in our study.

Evaluation of changes in blood pressure in patients submitted to dental surgical procedures

2021

The present study aimed to evaluate the occurrence of significant changes in systemic blood pressure (SBP) during surgical-dental procedures. A prospective study was performed with a sample of 135 randomly selected individuals who underwent surgical procedures at the Bucomaxillofacial Surgery Clinic of the Dentistry School of the ESFA (ES) between the second half of 2017 and April 2018. After consent, sociodemographic, lifestyle data, weight and height were obtained through a questionnaire, weighing and measurement, respectively. BP measurements were performed at three moments: preoperative (BP1), intraoperative (BP2) and postoperative (BP3) using a mercury column sphygmomanometer and stethoscope. Values ​​<120/80 mmHg were used as normal values. When BP1 and BP2 were compared, 63.0% remained within normal values ​​and 22.2% reached the stage of hypertension. In the comparison of BP1 and BP3, 66.7% remained normal, and only 7.4% reached the stage of hypertension. When BP2 and BP3...

Analysis of the acute postoperative pain experience following oral surgery: Identification of ‘unaffected’, ‘disabled’ and ‘depressed, anxious and disabled’ patient clusters

Acute Pain, 2006

Background: Pain is defined as both a sensory and an emotional experience. Acute postoperative tooth extraction pain is assessed and treated as a physiological (sensory) pain while chronic pain is a biopsychosocial problem. The purpose of this study was to assess whether psychological and social changes occur in the acute pain state. Methods: A biopsychosocial pain questionnaire was completed by 438 subjects (165 males, 273 females) with acute postoperative pain at 24 hours following the surgical extraction of teeth and compared with 273 subjects (78 males, 195 females) with chronic orofacial pain. Statistical methods used a k-means cluster analysis. Results: Three clusters were identified in the acute pain group: 'unaffected', 'disabled' and 'depressed, anxious and disabled'. Psychosocial effects showed 24.8 per cent feeling 'distress/suffering' and 15.1 per cent 'sad and depressed'. Females reported higher pain intensity and more distress, depression and inadequate medication for pain relief (p<0.001). Distress and depression were associated with higher pain intensity. The developed questionnaire had tested reliability (test-retest r=0.89) and estimated validity. Conclusion: Cluster analysis showed constituent groups with a range of psychosocial effects in acute postoperative dental extraction pain and is associated with an increase in pain intensity.