Effect of preoperative anxiety on postoperative pain in patients undergoing mandibular third molar extraction-A prospective study

Abstract

Background: Anxiety disorders impact various aspects of daily life, including dental experiences such as tooth extraction, which often induces anxiety. Anxiety disorders affect a substantial portion of the population and can significantly impact various aspects of daily life, including healthcare experiences such as dental procedures. Tooth extraction, a common dental procedure, often induces anxiety due to factors such as fear of pain, discomfort, and the unknown. This study reviews the intricate relationship between anxiety and tooth extraction, exploring the physiological, psychological, and behavioral dimensions involved.
Objective: To investigate the relationship between preoperative dental anxiety and postoperative pain in patients undergoing mandibular third molar extraction.
Methods: A prospective study involving 34 patients undergoing tooth extraction. Preoperative anxiety was measured using the Tooth Extraction Anxiety Scale and Corah’s Dental Anxiety Scale (Revised). Postoperative pain was assessed on the first, third, and eighth days using a Visual Analogue Scale.
Results: Significant increase in postoperative pain was observed on the first postoperative day in patients with high anxiety levels. No significant difference in pain was noted on subsequent days.
Conclusion: Anxiety significantly influences the experience of tooth extraction. Addressing anxiety comprehensively can mitigate its impact on the extraction experience and improve postoperative outcomes.