Anxiety, Dental, Pain, Postoperative
Conditions
Keywords
Pain, Oral surgery, Postoperative, Gender, Eye color, Blood group, Hair color
Brief summary
This project aims to study various predictive factors of postoperative pain after oral surgery among different parameters accessible preoperatively, in order to build a predictive model. It also aims to validate the external consistency of the Pain Sensitivity Questionnaire in an odontological context.
Detailed description
This project aims to study various predictive factors of postoperative pain after oral surgery among different phenotypic parameters accessible to preoperative interrogation (anxiety about dental care, personal perception of pain sensitivity, gender, eye color, hair color, blood group) in order to build a predictive model. It also aims to validate the external consistency of the Pain Sensitivity Questionnaire (PSQ) in an odontological context, by studying the relationship between the personal perception of pain sensitivity (measured by the PSQ) and anxiety about dental care (measured by the Corah Dental Anxiety Scale), as well as dramatization in the face of pain (measured by the Pain Catastrophizing Scale).
Interventions
OTHERQuestionnaires
Pain Sensitive Questionnaire (PSQ) Corah's Dental Anxiety Scale (CDAS) Pain Catastrophizing Scale (PCS) Gender Eye color Hair color Blood group
Sponsors
University Hospital, Clermont-Ferrand
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Intervention model description
This is a collection of data from postoperative questionnaires and simple, non-invasive clinical observations. The oral surgery acts in question are performed in daily practice without any change in patient management. The intraoperative data collected come from routine care. Postoperative data (pain and analgesic intake) are collected by self-questionnaires and no visit on purpose is required.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patient, male or female, eligible for dental extraction under local anesthesia, * either a tooth on the arch, * either wisdom tooth(s) (2 homolateral wisdom teeth (maxilla + mandibular) or a mandibular wisdom tooth). * Fluent in speaking and reading French. * Able to give informed consent to research. * Affiliation to a Social Security scheme.
Exclusion criteria
* Pregnant or breastfeeding women. * Contraindication to paracetamol, NSAIDs, tramadol, or anesthetic agents local. * Patient uncooperative, unlikely or unable to comply with all procedures of the protocol. * Chronic use of opiates, in a therapeutic or illicit context. * Chronic depression on long-term antidepressants. * Stomatological pathology that may interfere with the conduct of the intervention or modify the results: insufficient mouth opening, pathologies of the temporal mandibular joints ... * Active medical pathology, or any medical condition judged by the investigator to be incompatible with the study. * Patient under guardianship, curatorship or safeguard of justice. * Refusal to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain Day 1 | Information gathering on the morning of day 1 | The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable" |
| Postoperative pain Day 2 | Information gathering on the morning of day 2 | The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable" |
| Postoperative pain Day 3 | Information gathering on the morning of day 3 | The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable" |
| Postoperative pain Day 4 | Information gathering on the morning of day 4 | The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable" |
| Postoperative pain Day 5 | Information gathering on the morning of day 5 | The pain will be measured from the collection of an intensity measured on a simple 11-point numerical scale (ENS) ranging from "0 = no pain" to "10 = the worst pain imaginable" |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Explanatory variable 1: Pain Sensitive Questionnaire | 1 time only before surgery | The Pain Sensitivity Questionnaire (PSQ) is a self-administered questionnaire comprising 17 items, each rated from 0 to 10. items n° 3-6-7-10-11-12-14 evoke moderately painful situations (and their sum makes it possible to calculate a "minor" PSQ score), and items n° 1-2-4-8- 15-16-17 evoke clearly painful situations (and their sum makes it possible to calculate a "moderate" PSQ score). The sum of these two scores is the "total" PSQ score. As each response to each item ranges from 0 to 10, the minimum value for all scores is 0, and the maximal ones for the minor, the moderate and the total PSQ scores are respectively 7, 7 and 14. The higher the scores, the higher the sensitivity to pain. |
| Explanatory variable 2: Corah's Dental Anxiety Scale (CDAS) | 1 time only before surgery | Corah's Dental Anxiety Scale is based on 4 main questions and calculates a score from 5 to 20 (0-8: no anxiety; 9-12: moderate anxiety; 13-14: high anxiety; 15-20: severe anxiety) |
| Explanatory variable 3: Pain Catastrophizing Scale (PCS) | 1 time only before surgery | Pain Catastrophizing Scale is based on 13 questions that cover 3 representative domains of dramatization: exaggeration of the pain felt (magnification), the tendency to constantly meditate on the pain (rumination) and the feeling of abandonment or lack of associated support (helplessness). As each response to each of the 13 responses items ranges from 0 to 4, the minimum value for the PCS score is 0, and the maximal is 52. The higher the score, the higher the level of pain catastrophizing. |
| Explanatory variable 4: Gender | 1 time only before surgery | Gender will be determined between male or female subject |
| Explanatory variable 5: Eye color | 1 time only before surgery | The color of the iris will be determined by the scale of Martine and Schultz: Light tones: 1-2: Blue 3: Blue gray 4: Gray 5: Blue-gray with yellow/brown spots 6: Grey-green with yellow/brown spots 7: Green 8: Green with yellow/brown spots 9-10-11: Light brown or hazelnut brown Dark tones: 12-13: Brown 14-15: Dark brown to black |
| Explanatory variable 6: Hair color | 1 time only before surgery | Hair color will be determined by color: Black Brown Blond Red |
| Explanatory variable 7: Blood group | 1 time only before surgery | The blood group will be determined by the groups: O HAS B AB as well as Rhesus + or - |
Countries
France
Contacts
PRINCIPAL_INVESTIGATORLaurent Devoize
University Hospital, Clermont-Ferrand
Outcome results
None listed