State anxiety and depression as factors modulating and influencing postoperative pain in dental implant surgery. A prospective clinical survey

• Autores: Rafael Gómez de Diego, Antonio Cutando Soriano, Javier Montero Martín, Juan Carlos Prados Frutos, Antonio López-Valverde Centeno
• Localización: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, ISSN-e 1698-6946, Vol. 19, Nº. 6, 2014, págs. 592-597
• Idioma: inglés
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• Resumen

  • Objetives: To determine whether preoperative state anxiety and depression modulate or influence objective and subjective postoperative pain following dental implant insertion.

    Study Design: Prospective, clinical study with 7-day follow-up of a sample of 105 subjects who preoperatively completed the state anxiety questionnaire (STAI-E) and Beck Depression Inventory (BDI) and postoperatively, at 2 and 7 days, recorded objective pain with the Semmes-Weinstein mechanical esthesiometer (SW test) and subjective pain with the Visual Analog Scale (VAS).

    Results: 85.6% and 81.5% of patients, respectively, recorded no signs of state anxiety or depression. The correlation between anxiety and depression for both maxillary bones was the lower ( P =0.02). The correlation between subjective and objective pain at 2 and 7 days, and the anatomic regions intervened, was statistically significant in the mandible at day 7 ( P <0.01), and highly significant ( P <0.001) for the other variables. The correlation between state anxiety and objective pain at day 7 was nearly statistically significant ( P =0.07).

    Conclusions: The correlation between state anxiety and depression, and objective and subjective pain at day 7 was not statistically significant. A strong correlation was found between objective and subjective pain in the immediate postoperative period.