Real-time assessment of pain and its influencing factors after dental implant surgery

Abstract

Objective To explore the clinical feasibility of real-time assessment for degree of pain after surgical dental implant placement, and to analyze the related influencing factors of postoperative pain. Methods A total of 233 patients undergoing dental implant surgery in the prosthodontics department from November 2018 to August 2019 were selected by convenient sampling in this study. The postoperative pain was evaluated in real time based on phone follow-up. All the data were collected and analyzed by SPSS 23.0 statistics. The postoperative pain was described statistically, and the predictor variables were tested by Spearman correlation analysis and multiple linear regression analysis. Results Finally, 228 patients were included in the study, and the response rate was 97.9%. Pain intensity was mild for the most patients and the peak of it occurred at the 4th and 6th hour after surgery. Spearman correlation analysis and multiple linear regression analysis indicated that the influencing factors associated with the degree of postoperative pain included premedication with painkiller (P=0.000, P=0.004), the scores of pain sensitivity questionnaire (PSQ-total) (P=0.016, P=0.001) and operation time (P=0.046, P=0.028). Conclusion Our real-time assessment is feasible, and is worthy of clinical promotion. For the patients with high pain sensitivity and longer operation time, painkillers should be recommended to relieve the pain.

Keywords

• dental implants
• postoperative pain
• real-time assessment
• influential factors
• pain sensitivity questionnaire