Evidence mapPaperPMID 40787134Full record

ArticleJournal of dental anesthesia and pain medicine2025

Association between preoperative anxiety, intraoperative discomfort, and postoperative pain across different dental extraction types: a prospective observational study.

Ramon Cesar Godoy Gonçalves, Vanessa Carvajal Soto, Carolina Ruppel, Helen Heloene Rosa, Fábio André Dos Santos, Marcelo Carlos Bortoluzzi

Abstract read
In one paragraph

Article in Journal of dental anesthesia and pain medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Observational
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ramon Cesar Godoy GonçalvesOral and Maxillofacial Surgery Residency Program at University Hospital of Campos Gerais (HUCG), Ponta Grossa, Brazil.ORCID https://orcid.org/0000-0002-7488-0771
Vanessa Carvajal SotoDentistry Post-Graduate Program, State University of Ponta Grossa (UEPG), Ponta Grossa, Brazil.ORCID https://orcid.org/0000-0002-3372-8079
Carolina RuppelDentistry Post-Graduate Program, State University of Ponta Grossa (UEPG), Ponta Grossa, Brazil.ORCID https://orcid.org/0000-0002-3419-3192
Helen Heloene RosaDentistry Post-Graduate Program, State University of Ponta Grossa (UEPG), Ponta Grossa, Brazil.ORCID https://orcid.org/0009-0001-5645-6272
Fábio André Dos SantosDentistry Post-Graduate Program, State University of Ponta Grossa (UEPG), Ponta Grossa, Brazil.ORCID https://orcid.org/0000-0003-0347-0270
Marcelo Carlos BortoluzziSchool of Dentistry, Dentistry Post-Graduate Program, Oral and Maxillofacial Surgery Residency Program at University Hospital of Campos Gerais (HUCG), State University of Ponta Grossa (UEPG), Ponta Grossa, Brazil.ORCID https://orcid.org/0000-0003-2756-5047

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study investigated the association among preoperative dental anxiety, intraoperative discomfort, and postoperative pain perception across various types of dental extractions, ranging from simple to complex procedures. Methods: A prospective observational clinical trial was conducted in 573 patients who underwent dental extractions. Preoperative anxiety was assessed by using a self-reported verbal scale. Intraoperative discomfort was measured using the Self-Perception Questionnaire for Dentoalveolar Oral Surgery. Postoperative pain was assessed on the seventh day using a verbal categorical rating scale. Results: Preoperative anxiety levels were significantly higher in patients who underwent mandibular third molar extraction. Intraoperative discomfort was significantly influenced by surgical technical complexity, surgical duration, and preoperative anxiety. Mediation analysis revealed that anxiety indirectly influenced postoperative pain through intraoperative discomfort with no direct effect. The analysis confirmed the interplay between anxiety, surgical factors, intraoperative discomfort, and patient demographics in shaping the surgical experience. Conclusions: The findings indicate that Anxiety did not directly predict postoperative pain in most surgical groups; however, it appeared to contribute to increased intraoperative discomfort, which subsequently elevated postoperative pain levels.

Indexed as

Dental AnxietyIntraoperative CareOral Surgical ProceduresPainTooth Extraction

Identifiers

PMID40787134
PMCPMC12328135

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.