微种植体支抗不同植入部位对患者牙科焦虑症和疼痛的影响

发布时间：2019-03-08 12:55

【摘要】：目的探讨微种植体支抗(MIA)不同植入部位对患者术前焦虑水平和术后疼痛程度及持续时间的影响。方法选择需在上颌前牙区,上颌磨牙区,下颌磨牙区需植入MIA患者每组各40例,在术前采用改良牙科焦虑量表(MDAS);术后应用视觉模拟量表(VAS)进行调查和统计学分析。结果接受MIA植入术的患者,术前焦虑的评分值为(10.44±3.54)分,有51.6%的患者评分高于11分,为高焦虑患者。患者术前焦虑程度与植入部位并无明显相关性(P0.05)。但植入后疼痛程度与植入部位呈明显相关性,前牙区组和上颌磨牙区组疼痛程度较重,下颌磨牙区组较轻,三个区域在术后6、12、24 h差异均有统计学意义(P0.05)。高焦虑组与低焦虑组疼痛的高峰均出现在术后6~12 h期间,疼痛高峰强度大小差异均有统计学意义(P0.05)。疼痛开始的强度及疼痛持续的时间差异无统计学意义(P0.05)。结论不同植入部位与患者术前焦虑水平并无明显相关性,但和术后疼痛强度具有明显的相关性。植入术前焦虑的严重程度与术后疼痛高峰强度亦具有明显的相关性。提示临床上应考虑MIA的直径,头部的圆滑程度,所选择植入部位与周围组织黏膜的关系等,并且应在植入术前对患者进行一定的心理行为干预,以降低患者恐惧的心理,进而减少患者术后的疼痛程度。
[Abstract]:Objective to investigate the effects of microimplant-supported anti-(MIA) implantation sites on preoperative anxiety level, postoperative pain degree and duration. Methods 40 patients in each group who had to be implanted with MIA in the maxillary anterior area, maxillary molar area and mandibular molar area were investigated and statistically analyzed by using (VAS) before and after the operation of the modified dental anxiety scale (MDAS);) and the visual analogue scale (VAS). Results the preoperative anxiety score of patients undergoing MIA implantation was (10.44 卤3.54), and 51.6% of the patients had a score higher than 11, which was high anxiety. There was no significant correlation between preoperative anxiety and implantation site (P0.05). However, there was a significant correlation between the degree of pain after implantation and the implantation site. The pain degree in the anterior tooth area group and the maxillary molar area group was more severe than that in the mandibular molar area group. There were statistically significant differences among the three areas at 6, 12 and 24 hours after operation (P0.05). The peak of pain in the high anxiety group and the low anxiety group appeared at 6 h after operation, and there was a significant difference in the pain peak intensity between the high anxiety group and the low anxiety group (P0.05). There was no significant difference in the intensity of pain onset and the duration of pain duration (P0.05). Conclusion there is no significant correlation between different implantation sites and preoperative anxiety level, but there is a significant correlation between preoperative anxiety and postoperative pain intensity. There was also a significant correlation between the severity of anxiety before implantation and the peak intensity of postoperative pain. It is suggested that the diameter of MIA, the smooth degree of the head, the relationship between the implanted site and the surrounding mucosa should be considered clinically, and the psychological and behavioral intervention should be carried out before the implantation in order to reduce the fear of the patients. And then reduce the degree of postoperative pain.
【作者单位】：佛山科学技术学院附属口腔医院/佛山市口腔医院正畸科;佛山科学技术学院口腔医学院;佛山科学技术学院附属口腔医院/佛山市口腔医院修复种植科;
【基金】：佛山科学技术学院口腔医学院(医药工程学院)高水平大学建设项目(编号:y2016-ky80) 佛山市医学类科技攻关项目(编号:2016AB002071)
【分类号】：R783.6

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