PDF(Pubmed)
Abstract：
BACKGROUND: Dental anxiety is a prevalent concern affecting patients undergoing various dental procedures, particularly surgical interventions. Understanding the impact of patients\' anxiety levels on their physiological responses during dental surgeries, such as third molar impaction surgery, is crucial for optimizing patient care and outcomes. Therefore, this study aimed to investigate the effect of patients\' anxiety levels on vital signs during third molar teeth impaction surgery.
METHODS: A cross-sectional study was conducted, including 45 randomly selected, healthy patients. Demographic information was recorded after obtaining consent from the patients prior to surgical intervention. Preoperative anxiety levels were determined using the Modified Dental Anxiety Scale (MDAS). Pupil measurements were taken from the patients before surgery, at 10 min after the surgery began, and at 10 min after the surgery ended. Systolic (SBP) and diastolic (DBP) blood pressure, pulse rate, temperature, and haemoglobin oxygen saturation (SpO2) values were recorded.
RESULTS: The MDAS test results were statistically significantly higher in women compared to men (p < 0.001). Positive correlations were observed between MDAS score and both preoperative pulse rate (r = 0.344, p = 0.021) and SpO2 level during the operation (r = 0.462, p = 0.001). However, no significant correlations were found between MDAS and DBP (p = 0.575), SBP (p = 0.176), fever (p = 0.238), or pupil diameter (p = 0.338).
CONCLUSIONS: Third molar impaction surgery induces anxiety in adult patients 20 years and older. Vital sign monitoring provides information about the patient\'s emotional state, both before and during the procedure. Since anxiety causes changes in vital signs during dental procedures, it is important to follow these findings to have an idea about the general condition of the patients.
METHODS: A cross-sectional study was conducted, including 45 randomly selected, healthy patients. Demographic information was recorded after obtaining consent from the patients prior to surgical intervention. Preoperative anxiety levels were determined using the Modified Dental Anxiety Scale (MDAS). Pupil measurements were taken from the patients before surgery, at 10 min after the surgery began, and at 10 min after the surgery ended. Systolic (SBP) and diastolic (DBP) blood pressure, pulse rate, temperature, and haemoglobin oxygen saturation (SpO2) values were recorded.
RESULTS: The MDAS test results were statistically significantly higher in women compared to men (p < 0.001). Positive correlations were observed between MDAS score and both preoperative pulse rate (r = 0.344, p = 0.021) and SpO2 level during the operation (r = 0.462, p = 0.001). However, no significant correlations were found between MDAS and DBP (p = 0.575), SBP (p = 0.176), fever (p = 0.238), or pupil diameter (p = 0.338).
CONCLUSIONS: Third molar impaction surgery induces anxiety in adult patients 20 years and older. Vital sign monitoring provides information about the patient\'s emotional state, both before and during the procedure. Since anxiety causes changes in vital signs during dental procedures, it is important to follow these findings to have an idea about the general condition of the patients.
摘要：
背景：牙科焦虑是影响接受各种牙科手术的患者的普遍问题，特别是外科手术。了解患者焦虑水平对其在牙科手术期间的生理反应的影响，比如第三磨牙嵌塞手术，对于优化患者护理和结果至关重要。因此,本研究旨在探讨患者焦虑水平对第三磨牙嵌塞术中生命体征的影响。
方法：进行了横断面研究，包括随机选择的45个，健康患者。在手术干预前获得患者的同意后记录人口统计学信息。使用改良牙科焦虑量表（MDAS）确定术前焦虑水平。手术前对患者进行瞳孔测量，手术开始后10分钟，在手术结束后10分钟。收缩压（SBP）和舒张压（DBP）脉搏率,温度,记录血红蛋白氧饱和度（SpO2）值。
结果：与男性相比，女性的MDAS测试结果在统计学上明显更高（p<0.001）。MDAS评分与术前脉率(r=0.344,p=0.021)及术中SpO2水平(r=0.462,p=0.001)呈正相关。然而,MDAS和DBP之间没有发现显著的相关性(p=0.575)，SBP（p=0.176），发烧（p=0.238），或瞳孔直径（p=0.338）。
结论：第三磨牙嵌塞手术会导致20岁及以上的成年患者焦虑。生命体征监测提供有关患者情绪状态的信息，在手术前和手术期间。由于焦虑会导致牙科手术期间生命体征的变化，重要的是要遵循这些发现来了解患者的一般状况。
方法：进行了横断面研究，包括随机选择的45个，健康患者。在手术干预前获得患者的同意后记录人口统计学信息。使用改良牙科焦虑量表（MDAS）确定术前焦虑水平。手术前对患者进行瞳孔测量，手术开始后10分钟，在手术结束后10分钟。收缩压（SBP）和舒张压（DBP）脉搏率,温度,记录血红蛋白氧饱和度（SpO2）值。
结果：与男性相比，女性的MDAS测试结果在统计学上明显更高（p<0.001）。MDAS评分与术前脉率(r=0.344,p=0.021)及术中SpO2水平(r=0.462,p=0.001)呈正相关。然而,MDAS和DBP之间没有发现显著的相关性(p=0.575)，SBP（p=0.176），发烧（p=0.238），或瞳孔直径（p=0.338）。
结论：第三磨牙嵌塞手术会导致20岁及以上的成年患者焦虑。生命体征监测提供有关患者情绪状态的信息，在手术前和手术期间。由于焦虑会导致牙科手术期间生命体征的变化，重要的是要遵循这些发现来了解患者的一般状况。
