The Impact of Surgical Trauma, BMI and Analgesics Intake on Postoperative Pain after Periapical Surgery in the Anterior Maxillary Region
Objective: To investigate whether factors associated with surgical trauma influence postoperative pain in the first postoperative week. Study design: The study included 30 healthy, non-smoker adults of both genders, with an indication for periapical surgery on a single tooth in the upper anterior re...
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| Format: | Article |
| Language: | English |
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University of Zagreb. School of Dental Medicine
2024-01-01
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| Series: | Acta Stomatologica Croatica |
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| Online Access: | https://hrcak.srce.hr/file/469615 |
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| author | Jure Martinić Lidija Gavić Antonija Tadin Ante Mihovilović Petra Stazić Daniel Jerković |
| author_facet | Jure Martinić Lidija Gavić Antonija Tadin Ante Mihovilović Petra Stazić Daniel Jerković |
| author_sort | Jure Martinić |
| collection | DOAJ |
| description | Objective: To investigate whether factors associated with surgical trauma influence postoperative pain in the first postoperative week. Study design: The study included 30 healthy, non-smoker adults of both genders, with an indication for periapical surgery on a single tooth in the upper anterior region, no history of prior surgery, no allergies to lidocaine with adrenaline or ibuprofen, no acute inflammation or pain, and a PAI of 3, 4, or 5. A single surgical team treated all patients by following the same surgical protocol. In the first postoperative week, each patient received the same postoperative instructions and a pain questionnaire to record pain intensity and analgesic consumption. Results: The highest pain intensity was recorded on the day after surgery, while the highest analgesics
consumption was recorded on the day of surgery. Participants with a BMI correlated positively with the amount of analgesics taken in the postoperative period (P<0.05). The duration of the operation
correlated negatively with the intensity of pain and the consumption of analgesics after the operation
(P<0.05). The volume, height and width of the alveolar bone defect after the operation did not significantly influence the intensity of pain and the consumption of analgesics in the postoperative period (P>0.05). The presence of a fistula correlated negatively with analgesic consumption after surgery
(P<0.05), while preoperative fenestration correlated negatively with the intensity of postoperative pain (P<0.05). Conclusion: Patients with a preoperative fistula and fenestration reported less pain and lower analgesic consumption in the postoperative period. These results indicate a potential relationship between the severity of postoperative pain and the degree of surgical trauma. |
| format | Article |
| id | doaj-art-24412961ddb149d58dee5a1770aa1805 |
| institution | Kabale University |
| issn | 0001-7019 1846-0410 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | University of Zagreb. School of Dental Medicine |
| record_format | Article |
| series | Acta Stomatologica Croatica |
| spelling | doaj-art-24412961ddb149d58dee5a1770aa18052025-02-12T09:08:45ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102024-01-0158438239310.15644/asc58/4/7The Impact of Surgical Trauma, BMI and Analgesics Intake on Postoperative Pain after Periapical Surgery in the Anterior Maxillary RegionJure Martinić0Lidija Gavić1Antonija Tadin2Ante Mihovilović3Petra Stazić4Daniel Jerković5Study of Dental Medicine, School of Medicine, University of Split, Split, CroatiaDepartment for Oral Medicine and Periodontology, Study of Dental Medicine, School of Medicine, University of Split, Split, CroatiaDepartment of Restorative Dental Medicine and Endodontics, Study of Dental Medicine, School of Medicine, University of Split, Split, CroatiaDepartment of Oral and Maxillofacial Surgery, Clinical Hospital Centre Split, Split, CroatiaDepartment of Oral and Maxillofacial Surgery, Clinical Hospital Centre Split, Split, CroatiaDepartment of Oral and Maxillofacial Surgery, Clinical Hospital Centre Split, Split, CroatiaObjective: To investigate whether factors associated with surgical trauma influence postoperative pain in the first postoperative week. Study design: The study included 30 healthy, non-smoker adults of both genders, with an indication for periapical surgery on a single tooth in the upper anterior region, no history of prior surgery, no allergies to lidocaine with adrenaline or ibuprofen, no acute inflammation or pain, and a PAI of 3, 4, or 5. A single surgical team treated all patients by following the same surgical protocol. In the first postoperative week, each patient received the same postoperative instructions and a pain questionnaire to record pain intensity and analgesic consumption. Results: The highest pain intensity was recorded on the day after surgery, while the highest analgesics consumption was recorded on the day of surgery. Participants with a BMI correlated positively with the amount of analgesics taken in the postoperative period (P<0.05). The duration of the operation correlated negatively with the intensity of pain and the consumption of analgesics after the operation (P<0.05). The volume, height and width of the alveolar bone defect after the operation did not significantly influence the intensity of pain and the consumption of analgesics in the postoperative period (P>0.05). The presence of a fistula correlated negatively with analgesic consumption after surgery (P<0.05), while preoperative fenestration correlated negatively with the intensity of postoperative pain (P<0.05). Conclusion: Patients with a preoperative fistula and fenestration reported less pain and lower analgesic consumption in the postoperative period. These results indicate a potential relationship between the severity of postoperative pain and the degree of surgical trauma.https://hrcak.srce.hr/file/469615ApicoectomyOral SurgeryPostoperative PainAnalgesia |
| spellingShingle | Jure Martinić Lidija Gavić Antonija Tadin Ante Mihovilović Petra Stazić Daniel Jerković The Impact of Surgical Trauma, BMI and Analgesics Intake on Postoperative Pain after Periapical Surgery in the Anterior Maxillary Region Acta Stomatologica Croatica Apicoectomy Oral Surgery Postoperative Pain Analgesia |
| title | The Impact of Surgical Trauma, BMI and Analgesics Intake on Postoperative Pain after Periapical Surgery in the Anterior Maxillary Region |
| title_full | The Impact of Surgical Trauma, BMI and Analgesics Intake on Postoperative Pain after Periapical Surgery in the Anterior Maxillary Region |
| title_fullStr | The Impact of Surgical Trauma, BMI and Analgesics Intake on Postoperative Pain after Periapical Surgery in the Anterior Maxillary Region |
| title_full_unstemmed | The Impact of Surgical Trauma, BMI and Analgesics Intake on Postoperative Pain after Periapical Surgery in the Anterior Maxillary Region |
| title_short | The Impact of Surgical Trauma, BMI and Analgesics Intake on Postoperative Pain after Periapical Surgery in the Anterior Maxillary Region |
| title_sort | impact of surgical trauma bmi and analgesics intake on postoperative pain after periapical surgery in the anterior maxillary region |
| topic | Apicoectomy Oral Surgery Postoperative Pain Analgesia |
| url | https://hrcak.srce.hr/file/469615 |
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