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Predicting Pain After Tooth Extraction With Easy-to-Collect Preoperative Variables.

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  • 1Service d'Odontologie, CHU Clermont-Ferrand, Clermont-Ferrand, France.

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Psychological distress significantly influences acute post-tooth extraction pain. However, factors like age and dental status impact pain differently based on extraction type, affecting simple versus wisdom tooth removal outcomes.

Keywords:
analgesiadental surgerypostoperative painthird molar extraction

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Area of Science:

  • Oral surgery and pain management.
  • Dental research.
  • Patient psychology in healthcare.

Background:

  • Acute pain after tooth extraction is common.
  • Understanding pain determinants is crucial for effective management.
  • ClinicalTrials.gov identifier: NCT05405088.

Purpose of the Study:

  • To investigate factors influencing acute pain after tooth extraction.
  • To analyze determinants across biometric, dental, psychological, and surgical domains.
  • To differentiate influences based on extraction type (simple vs. wisdom teeth).

Main Methods:

  • Two-center study in France and Lebanon.
  • 161 patients in simple extraction group, 115 in wisdom teeth group.
  • Postoperative pain and analgesic intake analyzed using multivariable linear mixed models.

Main Results:

  • For simple extractions, preoperative fear, dental pain, age (≥60), and prior extraction influenced outcomes.
  • For wisdom teeth, preoperative fear, pain catastrophizing, local inflammation, and dental pain were key predictors.
  • Psychological distress consistently predicted higher pain levels.

Conclusions:

  • Psychological distress is a universal factor in post-extraction pain.
  • Age and dental factors have variable effects depending on the extraction complexity.
  • Tailored pain management strategies may be needed based on patient factors and procedure type.