在接受牙科植入物的患者中,牙科焦虑和疼痛感知之间的关联:一项观察性研究
Chunqin Liu1, Shumin Nie2, Xiaoli Ren3
1The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Clinical implant dentistry and related research
|January 15, 2026
概括
牙科焦虑在口腔植入术后显著增加疼痛感知,特别是在较低的焦虑水平. 早期的焦虑管理对于更好的术后疼痛控制至关重要.
科学领域:
- 口腔和牙面部外科手术
- 疼痛管理 疼痛管理
- 精神病学是一种精神病学.
背景情况:
- 牙科焦虑与疼痛感知有关,但其对口腔植入体手术疼痛的特定影响在时间上的具体影响尚未得到充分理解.
- 了解这种关系是改善患者结果和管理术后不适的关键.
研究的目的:
- 调查口腔植入术后牙焦虑和峰值疼痛感知之间的关联.
- 探索跨多个术后时间点之间的这种关系的性质.
主要方法:
- 一项针对332名接受口腔植入术的患者进行的前性观察性研究.
- 在五个时间点 (手术前至术后7天) 用视觉模拟量表评估疼痛.
- 使用修改的牙焦虑量表来测量牙焦虑,采用后勤和细分回归分析.
主要成果:
- 疼痛感知峰值发生在手术后6小时 (T2).
- 牙科焦虑得分每增加一个单位,疼痛感知的可能性增加38% (OR=1.38).
- 发现了一个非线性关联,疼痛感知率显著增加,牙焦虑得分为14.01.
结论:
- 在口腔植入术后,牙焦虑和疼痛感知之间存在非线性关系.
- 牙焦虑的增加,即使在亚临床水平,也与术后疼痛的增加有关.
- 早期识别和治疗牙科焦虑对于这些患者有效控制疼痛至关重要.
相关概念视频
01:29Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
01:15Teeth
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
01:21Tooth Anatomy
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
01:20Pain
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...