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Relationship between preoperative dental anxiety and short‐term inflammatory response following oral surgery
Author(s) -
Le SH,
Tonami K,
Umemori S,
Nguyen LTB,
Ngo LTQ,
Araki K,
Nitta H
Publication year - 2021
Publication title -
australian dental journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 71
eISSN - 1834-7819
pISSN - 0045-0421
DOI - 10.1111/adj.12796
Subject(s) - trismus , medicine , anxiety , demographics , inflammatory response , dentistry , surgery , inflammation , psychiatry , demography , sociology
Background The relationship between dental anxiety and mucosal wound healing, especially the inflammatory response, has not been well studied. This study aimed to examine the relationship between anxiety prior to dental treatment and short‐term inflammation following impacted mandibular third molar (IMTM) surgery. Methods Fifty‐nine patients who required IMTM surgery were recruited for this study. Sample demographics (gender, age) and surgical extent (Pederson classification, duration) were collected. Psychological stress towards surgery was assessed by the Dental Fear Survey (DFS). All surgeries were conducted according to an identical surgical protocol and all patients were given the same medical prescription. Correlations between short‐term inflammation (swelling and trismus after 2 days) and DFS, demographics and surgical extent were statistically analysed. Results The results showed that patients with a higher DFS score demonstrated more severe swelling (β = 0.36, P = 0.016) and trismus (β = 0.37, P = 0.008) 2 days after surgery. In addition, more severe trismus occurred following more difficult surgery (β = 0.29, P = 0.016) or that with a longer duration (β = 0.21, P = 0.081). Neither gender nor age showed any significant relationship with swelling or trismus. Conclusion Short‐term inflammatory response following IMTM surgery correlated with the preoperative dental anxiety and this correlation was independent of gender and surgical extent.