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Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Mar;117(3):277-82. doi: 10.1016/j.oooo.2013.11.489. Epub 2013 Nov 18.

Effects of conscious sedation on patient recall of anxiety and pain after oral surgery.

Author information

1
Doctoral Student, Pennsylvania State University, University Park, PA, USA.
2
Professor of Psychology, Eberly Distinguished Professor, and Clinical Professor of Dental Practice and Rural Health, West Virginia University, Morgantown, WV, USA. Electronic address: Daniel.McNeil@mail.wvu.edu.
3
Assistant Professor, Department of Psychiatric Medicine, East Carolina University, Greenville, NC, USA.
4
Professor and Chair, Department of Oral and Maxillofacial Surgery, West Virginia University, Morgantown, WV, USA.
5
Professor Emeritus, Department of Oral and Maxillofacial Surgery, West Virginia University, Morgantown, WV, USA.

Abstract

OBJECTIVE:

This study examined the effect of conscious ("moderate") sedation with amnestic effects and local anesthetic, versus local anesthetic alone, on recall of pain and anxiety related to surgical tooth extraction. Greater anxiety and pain were hypothesized in the local anesthesia-alone group.

STUDY DESIGN:

Patients undergoing tooth extraction, receiving moderate sedation plus local anesthetic (n = 27) or local anesthetic alone (n = 27), were assessed on trait dental anxiety, preextraction state pain and anxiety, anticipated pain and anxiety, and 1-month recall of pain and anxiety.

RESULTS:

Patients with moderate sedation, compared with those administered only local anesthetic, recalled less procedural pain and anxiety after 1 month. The local anesthetic-alone group reported more preextraction pain and anticipated more procedural anxiety.

CONCLUSIONS:

Moderate sedation had the desired effect of lower recalled pain and anxiety associated with extraction, even 1 month later. Anticipating moderate sedation also prompts expectation of less anxiety during the procedure.

PMID:
24528789
DOI:
10.1016/j.oooo.2013.11.489
[Indexed for MEDLINE]

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